早期护理干预应用于脑梗死偏瘫失语患者的临床效果

Clinical Effect of Early Nursing Intervention on Cerebral Infarction Patients with Hemiplegia and Aphasia

目的研究对脑梗死偏瘫失语患者通过早期护理进行干预的效果。方法将2018年3月至2019年3月到我院经过治疗的68例脑梗死偏瘫失语患者随机分为观察组和对照组,平均34例。对照组按常规护理模式提供护理,观察组织开展早期护理,比较不同护理干预之后患者的运动功能、失语症状评分、并发症发生率、负面心理评分、睡眠质量评分、生活质量评分和满意度的差异性。结果①两组患者护理以前Fugl-Meyer评分和ABC评分差异不具有显著性(P>0.05),但经过护理2个月,观察组在Fugl-Meyer评分和ABC评分方面所获得的改善明显比对照组更占优势,有统计学差异(P<0.05)。②并发症在观察组(3例,占8.82%)患者所表现出的情况相比对照组(13例,占38.24%)更轻微,有统计学差异(P<0.05)。③护理前两组患者心理状况表现不佳,睡眠质量严重,且差异不显著(P>0.05),护理以后观察组的心理状况和睡眠质量都有明显的好,与对照组相比有统计学差异(P<0.05)。④护理以前,两组患者的生活质量评分未表现出显著性的差异(P>0.05),经过护理2个月后,观察组的生活质量相比对照组改善更理想,有统计学差异(P<0.05)。⑤护理满意度在观察组(32例,占94.12%)上所表现出的优势明显比对照组(26例,占76.47%)更好,有统计学差异(P<0.05)。结论将早期护理应用在脑梗死偏瘫失语的患者护理中可以实现对患者生活与语言能力的转变,可有效预防患者出现更为严重的并发症,是调节患者负面情绪和睡眠质量的良好护理措施,也能为提高生活质量和满意度提供帮助。

Objective To study the effect of early nursing intervention on hemiplegic aphasia patients with cerebral infarction.Methods A total of 68 hemiplegic and aphasia patients with cerebral infarction who were treated in our hospital from March 2018 to March 2019 were randomly divided into an observation group and a control group,with an average of 34 cases.The control group provided nursing according to the routine nursing mode,observed the organization to carry out early nursing,and compared the differences in motor function,aphasia symptom score,complication rate,negative psychological score,sleep quality score,quality of life score and satisfaction of patients after different nursing interventions sex.Results(1)There was no significant difference in Fugl-Meyer score and ABC score between the two groups before nursing(P>0.05),but after 2 months of nursing,the observation group improved significantly in terms of Fugl-Meyer score and ABC score It is more dominant than the control group,with a statistical difference(P<0.05).(2)The complications in the observation group(3 cases,accounting for 8.82%)are compared with those in the control group(13 cases,accounting for 38.24%))was milder,and there was a statistical difference(P<0.05).(3)Before nursing,the two groups of patients had poor psychological performance and severe sleep quality,and the difference was not significant(P>0.05).After nursing,the psychological status of the observation group was higher than the sleep quality was obviously better,and there was a statistical difference compared with the control group(P<0.05).(4)Before nursing,there was no significant difference in the quality of life scores between the two groups(P>0.05).After 2 months of nursing,the quality of life of the observation group improved more ideally than the control group,with a statistical difference(P<0.05).(5)Nursing satisfaction was shown in the observation group(32 cases,accounting for 94.12%)The superiority of the patients was significantly better than that of the control group(26 cases,accounting for 76.47%),and there was a statistical difference(P<0.05).Conclusion The application of early nursing in the nursing of hemiplegic and aphasia patients with cerebral infarction can realize the transformation of patients'life and language ability,and can effectively prevent patients from more serious complications.It is a good nursing measure to regulate patients'negative emotions and sleep quality.It can also help improve the quality of life and satisfaction.