良肢位摆放在脑卒中偏瘫患者早期康复护理中的应用效果及改善患者日常生活能力分析

Application Effect of Good Limb Placement in Early Rehabilitation Nursing of Stroke Hemiplegic Patients and Analysis of Daily Living Ability Improvement

目的分析及评估良肢位摆放对脑卒中偏瘫患者早期康复护理中的应用价值以及对其日常生活能力的改善效果。方法基于抽签法将采集时间为2020年6月—2021年6月在本院收治的80例脑卒中偏瘫患者纳入本次研究当中,分为对照组(40例)、试验组(40例),对照组应用常规护理,试验组应用早期康复护理配合良肢位摆放。对比干预前后2组日常生活能力情况、心理状态、肢体功能、自理能力、护理满意度等结果。结果试验组的护理次数、护理时间、护理态度、护理内容等指标结果均高于对照组,差异对比有统计学意义(P<0.05)。干预前2组日常生活能力评分比较无差异(P>0.05);干预后试验组评分高于对照组,差异对比有统计学意义(P<0.05)。试验组与对照组干预前的肢体功能结果对比无意义(P>0.05);干预后试验组的上肢与下肢评分均高于对照组,差异对比有统计学意义(P<0.05)。2组干预前SDS与SAS评分对比无差异(P>0.05),干预后对照组SDS与SAS评分全部高于试验组,差异对比有统计学意义(P<0.05)。干预前2组自理能力对比无差异(P>0.05),干预后试验组自理能力评分高于对照组,差异对比有统计学意义(P<0.05)。结论针对其脑卒中偏瘫患者的早期康复护理当中,配合良肢位摆放效果显著,可有效改善其日常生活能力,加强患者自理能力以及肢体功能,并且对于缓解其负面情绪也具有重要作用,患者对于该种护理方式的满意度也相对较高,值得予以广泛推广实施。

Objective To analyze and evaluate application value of good limb placement in early rehabilitation nursing of stroke hemiplegic patients and its improvement effect on daily living ability.Methods The paper included 80 stroke hemiplegic patients in our hospital from June 2020 to June 2021,and divided them into control group(40 cases)and experimental group(40 cases)based on the lottery method.Control group was treated with routine nursing,while experimental group with early rehabilitation nursing combined with good limb placement.Daily living ability,psychological state,limb function,self-care ability,and nursing satisfaction degree was compared between two groups before and after intervention.Results According to evaluation of nursing satisfaction in both groups,experimental group had higher scores in nursing frequency,nursing time,nursing attitude,and nursing content than control group(P<0.05).Comparing improvement of daily living ability before and after intervention,there was no difference in daily living ability scores between two groups before intervention(P>0.05).After intervention,scores of experimental group were higher than control group,and statistical results showed(P<0.05).Comparison and statistics of limb function results before and after intervention between two groups showed,limb function results between experimental group and control group before intervention showed no significant difference(P>0.05).After intervention,upper and lower limb scores of experimental group were higher than control group,substitution statistics showed(P<0.05).Analyzing psychological status between two groups before and after intervention,there was no difference in SDS and SAS scores between two groups before intervention(P>0.05).After intervention,SDS and SAS scores of control group were higher than experimental group,substitution statistics showed P<0.05.Calculating self-care ability scores between two groups before and after intervention,there was no difference in self-care ability between two groups before intervention(P>0.05).After intervention,self-care ability scores of experimental group were higher than control group,substitution statistics showed P<0.05.Conclusion Good limb placement can significant effect in early rehabilitation nursing of stroke patients with hemiplegia,can improve daily living ability,strengthen self-care ability and limb function effectively,and play important role in alleviating negative emotions,with relatively high satisfaction degree with nursing,which is worthy of wide promotion and application.