基于最佳证据总结的康复护理在脑卒中偏瘫患者中的应用

Application of rehabilitation nursing based on the best evidence summary in patients with hemiplegia after stroke

目的 本研究探讨基于最佳证据总结的康复护理方案在脑卒中偏瘫患者中的应用,并进行分析。方法 选取医院2022年1—12月收治的脑卒中偏瘫患者120例,按照组间基线资料均衡可比的原则分为对照组和观察组,每组60例。对照组给予常规康复护理,观察组在常规康复护理基础上给予基于最佳证据总结的康复护理。比较两组患者干预前后神经功能缺损程度、肌张力、运动功能、日常生活能力和负性情绪。结果 干预前,两组患者的神经功能缺损程度(NIHSS)评分、肌张力(Ashwoth)评分、上肢运动功能(UL-FMA)评分、下肢运动功能(FMA-L)评分、日常生活能力(MBI)评分、焦虑情绪(HAMA)评分、抑郁情绪(HAMD)评分比较差异均无统计学意义(P>0.05)。干预后,观察组患者神经缺损程度的评分低于对照组,差异有统计学意义(P<0.05)。干预后,观察组患者肌张力和运动功能评分优于对照组,差异有统计学意义(P<0.05)。干预后,观察组日常生活能力评分高于对照组,差异有统计学意义(P<0.05)。干预后,观察组焦虑、抑郁评分低于对照组,差异有统计学意义(P<0.05)。结论 基于最佳证据总结的康复护理可减轻脑卒中偏瘫患者神经功能缺损程度,改善肌张力,提升运动功能和日常生活能力,并可缓解负性情绪,促进身心康复。

Objective To explore and analyze the application of rehabilitation nursing programs based on the best evidence summary in patients with hemiplegia after stroke in this study.Methods A total of 120 stroke and hemiplegic patients admitted to the hospital from January to December 2022 were selected and divided into a control group and an observation group according to the principle of balanced and comparable baseline data between groups,with 60 cases in each group.The control group was given routine rehabilitation care,and the observation group was given rehabilitation care based on the best evidence summary in addition to routine rehabilitation care.The degree of neurological deficit,muscle tone,motor function,daily living ability and negative emotions of the two groups of patients before and after intervention were compared.Results Before intervention,there was no statistically significant difference in the degree of neurological deficit(NIHSS)score,muscle tone(Ashwoth)score,upper limb motor function(UL-FMA)score,lower limb motor function(FMA-L)score,ability of daily living(MBI)score,anxiety(HAMA)score,and depression(HAMD)score between the two groups(P>0.05).After intervention,the degree of neurological deficit score in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).After intervention,the muscle tone and motor function scores in the observation group were better than those in the control group,the differences were statistically significant(P<0.05).After intervention,the ability of daily living in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).After intervention,the anxiety and depression scores in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion Rehabilitation nursing based on the best evidence summary can reduce the degree of neurological deficits in patients with hemiplegia after stroke,improve muscle tone,enhance motor functions and daily living abilities,relieve negative emotions,and promote physical and mental recovery.