路径式早期康复护理对脑梗死患者神经功能及生活质量的影响

Effects of Pathway-type Early Rehabilitation Nursing on Neurological Function and Quality of Life of Cerebral Infarction Patients

目的探讨路径式早期康复护理对脑梗死患者神经功能及生活质量的改善作用。方法方便选择2022年1月—2023年12月南通市通州区中医院收治的96例脑梗死患者为研究对象,以随机数表法分为两组。对照组(n=48)予常规康复护理,观察组(n=48)则予路径式早期康复护理,比较两组神经功能、运动功能、日常生活能力、生活质量与并发症发生情况。结果护理后,观察组的美国国立卫生研究院卒中量表评分为(14.12±1.26)分,Fugl-Meyer量表评分(67.73±6.34)分、Barthel指数(70.85±6.88)分,均优于对照组,差异有统计学意义(t=21.661、7.451、8.605,P均<0.05)。与护理前相比,护理后两组生活质量评分上升,且观察组评分高于对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论对脑梗死患者开展路径式早期康复护理,可减轻神经功能损伤,改善运动功能以及患者的日常生活能力,并降低并发症风险,从而利于患者生活质量的提升。

Objective To explore the effect of pathway-type early rehabilitation nursing on neurological function and quality of life of patients with cerebral infarction.Methods A total of 96 patients with cerebral infarction admitted to Nantong Tongzhou Hospital of Traditional Chinese Medicine from January 2022 to December 2023 were conveniently selected as the study objects and divided into two groups by random number table method.The control group(n=48)was given conventional rehabilitation nursing,and the observation group(n=48)was given pathway-type early rehabilitation nursing.The neurological function,motor function,ability of daily living,quality of life and complications of the two groups were compared.Results After nursing,the National Institutes of Health Stroke Scale score of the observation group was(14.12±1.26)points,Fugl-Meyer Scale score(67.73±6.34)points and Barthel index(70.85±6.88)points,all better than that of the control group,the differences were statistically significant(t=21.661,7.451,8.605,all P<0.05).Compared with before nursing,the quality of life score of the two groups increased after nursing,and the score of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Carrying out pathway-type early rehabilitation nursing care for patients with cerebral infarction can reduce neurological damage,improve motor function and patients'ability of daily life,and reduce the risk of complications,which is conducive to the improvement of patients'quality of life.