集束化护理对脑卒中偏瘫患者神经功能及肢体运动功能的干预效果

Intervention Effect of Cluster Nursing on Neural Function and Limb Motor Function of Stroke Patients with Hemiplegia

目的:观察集束化护理对脑卒中偏瘫患者神经功能及肢体运动功能的干预效果。方法:筛选2021年1月—2022年1月在福建医科大学附属南平第一医院神经内科就诊的100例脑卒中偏瘫患者,按随机数字表法分为对照组和观察组,每组50例。对照组采取常规护理模式,观察组采取集束化护理模式,干预前及干预14 d后,选取美国国立卫生研究院卒中量表(national institute of health stroke scale,NIHSS)、Fugl-Meyer评估表(Fugl-Meyer assessment,FMA)、综合痉挛量表(compopsites spasticity scale,CSS)、日常生活活动能力评分(activities of daily living,ADL)分别评估偏瘫患者神经及肢体运动功能;在干预14 d后,评估患者护理满意度。结果:干预14 d后,观察组NIHSS、CSS评分均低于对照组,FMA、ADL评分均高于对照组,差异均有统计学意义(P<0.05)。观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论:集束化护理可以有效提高脑卒中偏瘫患者神经功能及肢体运动功能,提升患者护理满意度。

Objective:To observe the intervention effect of cluster nursing on nerve function and limb motor function of stroke patients with hemiplegia.Method:From January 2021 to January 2022,100 patients with stroke hemiplegia who visited the Neurology Department of Nanping First Hospital Affiliated to Fujian Medical University were selected and divided into control group and observation group according to random number table method,with 50 patients in each group.The control group adopted conventional nursing mode,while the observation group adopted cluster nursing mode.Before intervention and 14 days after the intervention,the national institute of health stroke scale(NIHSS),Fugl-Meyer assessment(FMA),compopsites spasticity scale(CSS),activities of daily living(ADL)were used to evaluate the nerve and limb motor function of patients with hemiplegia;after 14 days of intervention,patients'satisfaction with nursing was assessed.Result:After 14 days of intervention,the scores of NIHSS and CSS in the observation group were lower than those in the control group,while the scores of FMA and ADL were higher than those in the control group,the differences were statistically significant(P<0.05).The nursing satisfaction in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Cluster nursing can effectively improve the nerve function and limb motor function of stroke patients with hemiplegia,and improve patient nursing satisfaction.