加速康复护理应用于脑卒中偏瘫患者康复中的价值

Value of enhanced recovery nursing in the rehabilitation of stroke patients with hemiplegia

目的 探讨加速康复护理应用于脑卒中偏瘫患者康复中的价值,以期为临床治疗提供参考。方法 本研究选取河南省南阳市中心医院2019年10月—2021年9月收治的90例脑卒中偏瘫患者为研究对象。采用随机数字表法将患者分为常规组与研究组,每组45例。常规组患者采用常规护理,研究组患者采用加速康复护理干预。比较2组患者干预前后汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、日常生活活动能力量表(ADL)、Fugl-Meyer运动功能测评法(FMA)、美国国立卫生研究院脑卒中量表(NIHSS)、匹兹堡睡眠质量指数(PSQI)评分。比较2组患者住院期间并发症发生情况。出院时,比较2组患者护理满意度。结果 干预前,2组患者HAMA、HAMD评分比较,差异无统计学意义(P>0.05)。干预后,2组患者HAMA、HAMD评分均低于干预前,且研究组低于常规组,差异均有统计学意义(P<0.05)。干预前,2组患者ADL、FMA评分比较,差异无统计学意义(P>0.05)。干预后,2组患者ADL、FMA评分均高于干预前,且研究组高于常规组,差异均有统计学意义(P<0.05)。干预前,2组患者NIHSS、PSQI评分比较,差异无统计学意义(P>0.05)。干预后,2组患者NIHSS、PSQI评分均低于干预前,且研究组低于常规组,差异均有统计学意义(P<0.05)。2组患者并发症发生率比较,差异无统计学意义(P>0.05)。研究组患者护理总满意度高于常规组,差异有统计学意义(P<0.05)。结论 加速康复护理在脑卒中偏瘫患者中的应用效果显著,能缓解负性情绪,改善神经功能和运动功能,提高日常生活能力,并可改善睡眠质量,提高护理满意度,值得临床推广应用。

Objective This study aimed to explore the value of enhanced recovery nursing in the rehabilitation of stroke patients with hemiplegia to provide evidence for clinical treatment.Methods Ninety stroke patients with hemiplegia admitted to Nanyang Central Hospital from October 2019 to September 2021 were selected as the study participants.They were assigned to a routine group and a study group by random number table,with 45 cases in each group.Patients in the conventional group received routine nursing and patients in the study group enhanced recovery nursing intervention.Scores in the Hamilton Depression Rating Scale(HAMD),Hamilton Anxiety Rating Scale(HAMA),Activities of Daily Living Scale(ADL),Fugl-Meyer Motor Function Assessment(FMA),National Institutes of Health Stroke Scale(NIHSS),and Pittsburgh Sleep Quality Index(PSQI)scores were compared between the two groups before and after the intervention.Complications during hospitalization were compared between the groups.At discharge,patient satisfaction with nursing was compared between the groups.Results Before the intervention,there was no significant difference in HAMA and HAMD scores between the two groups(P>0.05).After the intervention,the HAMA and HAMD scores of the two groups were significantly lower than those before the intervention,with the study group lower than the conventional group(P<0.05).Before the intervention,there was no significant difference in ADL and FMA scores between the 2 groups(P>0.05).After the intervention,ADL and FMA scores in the 2 groups were significantly higher than those before the intervention,and the study group was higher than the conventional group(P<0.05).Before the intervention,no significant difference in NIHSS and PSQI scores was observed between the two groups(P>0.05).After the intervention,NIHSS and PSQI scores in the two groups were significantly lower than those before the intervention,with the study group lower than the conventional group(P<0.05).No significant difference in the incidence rate of complications was observed between the groups(P>0.05).The total satisfaction rate of nursing in the study group was significantly higher than that in the conventional group(P<0.05).Conclusion Enhanced recovery nursing is effective in stroke patients with hemiplegia,which can relieve negative emotions,improve neurological function and motor function,increase activities of daily living,and raise sleep quality and nursing satisfaction.These benefits hold promise for a wider application of this technique clinically.