分级康复护理对老年脑梗死患者上肢功能、运动功能及神经功能的影响

Effect of Graded Rehabilitation Nursing on Upper Limb Function,Motor Function and Nerve Function in Elderly Patients with Cerebral Infarction

目的:探讨分级康复护理对老年脑梗死患者上肢功能、运动功能及神经功能的影响。方法:选择2021年6月—2022年6月在中国人民解放军联勤保障部队第九〇九医院接受治疗的90例老年脑梗死患者作为研究对象,根据随机数表法将患者分为对照组(n=45)与观察组(n=45)。对照组给予常规护理,观察组在对照组基础上给予分级康复护理。比较两组上肢Wolf运动功能测试量表(WMFT)和Fugle-Meyer评估(FMA)评分、运动功能综合评定量表(FCA)和Berg平衡量表(BBS)评分及临床神经功能缺损程度评分量表(NDS)和生活质量测定量表评分。结果:干预前,两组上肢部分FMA评分、WMFT评分比较,差异无统计学意义(P>0.05);干预后,两组上肢部分WMFT评分、FMA评分较干预前升高,且观察组高于对照组,差异有统计学意义(P<0.05)。干预前,两组FCA评分、BBS评分比较,差异无统计学意义(P>0.05);干预后,两组FCA评分、BBS评分较干预前升高,且观察组高于对照组,差异有统计学意义(P<0.05)。干预前,两组NDS评分比较,差异无统计学意义(P>0.05);干预后,两组NDS评分较干预前降低,且观察组低于对照组,差异有统计学意义(P<0.05)。干预前,两组生活质量评分比较,差异无统计学意义(P>0.05);干预后,两组身体状况评分、社会/家庭状况评分、情感状况评分、功能状况评分、头颈模块评分及总分较干预前升高,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:分级康复护理能够改善老年脑梗死患者的上肢以及综合的运动功能,促进神经功能的恢复,从而改善患者的生活质量,在脑梗死患者康复过程中发挥良好作用。

Objective:To explore the effect of graded rehabilitation nursing on upper limb function,motor function and nerve function in elderly patients with cerebral infarction.Method:Ninety elderly patients with cerebral infarction who received treatment in the 909th Hospital of the Joint Logistic Support Force of the PLA from June 2021 to June 2022 were selected as the research objects,the patients were divided into the control group(n=45)and the observation group(n=45)according to the random number table method.The control group was given routine nursing,and the observation group was given graded rehabilitation nursing on the basis of the control group.The upper limb Wolf motor function test(WMFT)and Fugle-Meyer assessment(FMA)scores,the functional comprehensive assessment(FCA)and Berg balance scale(BBS)scores,clinical neurological impairment scale(NDS)and quality of life scale scores were compared between two groups.Result:Before intervention,there were no significant differences in upper limb FMA score and WMFT score between the two groups(P>0.05).After intervention,WMFT score and FMA score of upper limb in both groups were higher than those before intervention,and observation group was higher than control group,the differences were statistically significant(P<0.05).Before intervention,there were no significant differences in FCA score and BBS score between the two groups(P>0.05).After intervention,FCA score and BBS score of the two groups were higher than those before intervention,and the observation group was higher than the control group,the differences were statistically significant(P<0.05).Before intervention,there was no significant difference in NDS scores between the two groups(P>0.05).After intervention,NDS score of the two groups were lower than those before intervention,and the observation group was lower than the control group,the differences were statistically significant(P<0.05).Before intervention,there was no significant difference in quality of life score between the two groups(P>0.05).After intervention score,the physical status score,social/family status score,emotional status score,functional status score,head and neck module score and total scores of the two groups were higher than those before intervention,and the observation group was higher than the control group,the differences were statistically significant(P<0.05).Conclusion:Graded rehabilitation nursing can improve the upper limbs and comprehensive motor function of elderly patients with cerebral infarction,promote the recovery of neurological function,thus improving the quality of life of patients,and play a good role in the rehabilitation process of patients with cerebral infarction.