超早期康复护理在高血压脑出血患者术后应用的效果观察

Observing the effects of ultra-early rehabilitation nursing on the postoperative patients with hypertensive intracerebral hemorrhage

目的分析高血压脑出血术后患者应用超早期康复护理(即评估患者病情稳定后,术后48 h内实施超早期康复护理)对神经功能、肢体功能、生活质量及并发症发生率的影响。方法选取100例符合纳入标准的高血压脑出血术后患者,随机均分为对照组和观察组各50例。对照组予常规护理,观察组在对照组的基础上分析术后早期护理需求并应用超早期康复护理干预。对干预前、干预后第1、3、6个月以神经缺损功能量表(NIHSS)评定神经功能,以Fugl-Meyer运动功能评定量表(FMA)评定肢体功能,以脑卒中专用生活质量量表(SS-QOL)评定生活质量,并比较两组并发症发生情况。结果干预后观察组的NIHSS评分、并发症发生率均明显低于对照组(P<0.05),FMA评分、SS-QOL评分均明显高于对照组(P<0.05)。结论实施超早期康复护理干预能够明显改善高血压脑出血术后患者神经功能和肢体运动能力,提升患者生活质量和护理质量,预防并发症,具有推广价值。

Objective To analyze the effects of ultra-early rehabilitation nursing on neurological function,limb function,quality of life and incidence of complications in patients with hypertensive intracerebral hemorrhage after the evaluation of stability within 48 h after operation.Methods A total of 100 postoperative patients with hypertensive intracerebral hemorrhage who met the inclusion criteria were randomly divided into the control group and observation group,with 50 cases in each group.The control group were given routine nursing,while for the observation group,the nursing needs after operation were analyzed and the ultra-early rehabilitation nursing intervention were applied besides the intervention of the control group.Before and after intervention(1 month,3 months,6 months after operation),the neurological function was assessed by national institutes of health stroke scale(NIHSS).The limb function was assessed by Fugl-Meyer assessment(FMA).The quality of life was assessed by stroke specific quality of life scale(SS-QOL).The complications of the two groups were compared and statistically analyzed.Results After intervention,the NIHSS score and complication rate of the observation group were significantly lower than those of the control group(P<0.05),and the FMA score and SS-QOL score were significantly higher than those of the control group(P<0.05).Conclusion The implementation of ultra-early rehabilitation nursing intervention deserves to be promoted since it can significantly improve the neurological function and limb movements of patients with hypertensive intracerebral hemorrhage after surgery,elevate the life quality of patients and the nursing services quality,and reduce the occurrence of complications.