高血压脑出血偏瘫患者在常规护理基础上进行早期肢体康复训练的效果

Effect of Early Limb Rehabilitation Training Based on Routine Nursing for Hypertensive Cerebral Hemorrhage Patients with Hemiplegia

目的 分析高血压脑出血偏瘫患者在常规护理基础上进行早期肢体康复训练的效果。方法 选取2020年1月至2021年6月我院收治的100例高血压脑出血偏瘫患者为研究对象,并依据患者的护理方式将其纳入观察组(50例)和对照组(50例),对照组脑出血偏瘫患者采用常规护理管理,观察组高血压脑出血偏瘫患者在常规护理基础上进行早期肢体康复训练。比较两组脑出血偏瘫患者满意度(指标包括护理态度、护理安全、护理技巧、护理水平、满意度总评分)、护理前后神经功能缺损程度、肢体功能和生活质量评分(指标包括睡眠评分、精神评分、体力评分、食欲评分)改善情况以及护理期间的并发症发生情况(指标包括肩手综合征、肢体痉挛、足下垂内翻)。结果 观察组脑出血偏瘫患者护理态度、护理安全、护理技巧、护理水平、满意度总评分均显著高于对照组(P<0.05);两组脑出血偏瘫患者护理前睡眠评分、精神评分、体力评分、食欲评分等生活质量评分和神经功能缺损程度、肢体功能评分相比差异无统计学意义(P>0.05),护理后两组脑出血偏瘫患者以上评分均显著改善(P<0.05),且观察组脑出血偏瘫患者睡眠评分、精神评分、体力评分、食欲评分等生活质量评分和神经功能缺损程度、肢体功能评分改善情况均显著优于对照组(P<0.05);观察组脑出血偏瘫患者肩手综合征、肢体痉挛、足下垂内翻等并发症发生率明显低于对照组脑出血偏瘫患者(P<0.05)。结论 高血压脑出血偏瘫患者在常规护理上进行早期肢体康复训练具有良好的效果,能明显提升患者的肢体功能、生活质量,减少并发症的发生,提升患者的满意度。

Objective To analyze the effect of early limb rehabilitation training based on routine nursing for hypertensive cerebral hemorrhage patients with hemiplegia. Methods A total of 100 patients with hypertensive cerebral hemorrhage and hemiplegia admitted to our hospital from January 2020 to June 2021were selected as the research objects, and were divided into observation group(50 cases) and control group(50 cases) according to the nursing methods of the patients. The patients with hemiplegia in the control group received routine nursing management. The observation group of hypertensive cerebral hemorrhage patients with hemiplegia received early limb rehabilitation training based on routine nursing. Compare the satisfaction of patients with cerebral hemorrhage hemiplegia(indicators include: nursing attitude, nursing safety, nursing skills, nursing level, total satisfaction score), neurological impairment degree before and after nursing, limb function and quality of life score(indicators include: sleep score, mental score, physical strength score, appetite score) and the occurrence of complications during nursing(indicators include: shoulderhand syndrome, limb spasm, foot drop varus). Results The nursing attitude, nursing safety, nursing skills, nursing level and total score of satisfaction of patients with cerebral hemorrhage hemiplegia in observation group were significantly higher than those in control group(P<0.05). Before nursing, there were no significant differences between the two groups of patients with cerebral hemorrhage hemiplegia in sleep scores, mental scores, physical scores, appetite scores and other quality of life scores as well as neurological impairment and limb function scores(P>0.05). After nursing, the above scores of patients with cerebral hemorrhage hemiplegia in the two groups were significantly improved(P<0.05). In addition, sleep scores, mental scores, physical scores, appetite scores and other quality of life scores as well as neurological impairment and limb function scores in the observation group were significantly better than those in the control group(P<0.05). The incidence of complications such as shoulder and hand syndrome, limb spasm, foot drop and varus in the observation group was significantly lower than that in the control group(P<0.05). Conclusion Early limb rehabilitation training in routine nursing for hypertensive cerebral hemorrhage patients with hemiplegia has good effects, can significantly improve the limb function of patients, quality of life, reduce the occurrence of complications, improve the satisfaction of patients.