早期康复护理在神经内科脑卒中患者中的应用效果

The Application Effect of Early Rehabilitation Nursing in Patients with Cerebrovascular Stroke in the Neurology Department

目的:探讨早期康复护理在神经内科脑卒中患者中的应用效果。方法:选取2019年4月—2020年4月,沈阳市第五人民医院收治的160例脑卒中患者为研究对象,采用随机数字表法分为常规护理(CE)组和早期康复护理(MG)组各80例。CE组给予常规护理,MG组给予早期康复护理。比较2组Fugl-Meyer评估表(FMA)、Barthel指数量表、焦虑自评量表(SAS)、抑郁自评量表(SDS)美国国立卫生研究院卒中量表(NIHSS)评分以及治疗总有效率。结果:护理2周后,2组FMA评分均高于护理前,且MG组FMA评分高于CE组,差异有统计学意义(P<0.05)。护理2周后,2组Barthel指数评分均高于护理前,且MG组Barthel指数评分高于CE组,差异有统计学意义(P<0.05)。护理2周后,2组SAS、SDS评分均低于护理前,且MG组SAS、SDS评分低于CE组,差异有统计学意义(P<0.05)。护理2周后,2组NIHSS评分均低于护理前,且MG组NIHSS评分低于CE组,差异有统计学意义(P<0.05)。MG组治疗总有效率88.75%高于CE组的72.50%,差异有统计学意义(P<0.05)。结论:给予脑卒中患者早期康复护理可以有效提高患者肢体运动能力、生活自理能力,改善心理状态,提高临床疗效。

Objective:To explore the application effect of early rehabilitation nursing in patients with cerebrovascular stroke in the neurology department.Methods:160 patients with cerebrovascular stroke admitted to the Fifth People's Hospital of Shenyang from April 2019 to April 2020 were selected as the research objects.They were randomly divided into conventional care(CE)group and early rehabilitation nursing(MG)group,with 80 cases in each group.The CE group received routine care,while the MG group received early rehabilitation nursing.The Fugl-Meyer Assessment Scale(FMA),Barthel Index,Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),National Institutes of Health Stroke Scale(NIHSS)scores,and total effective rate of treatment were compared between the two groups.Results:2 weeks after nursing,the FMA scores in both groups were higher than before nursing,and the FMA score in the MG group was higher than that in the CE group,with statistical significance(P<0.05).2 weeks after nursing,the Barthel Index scores in both groups were higher than before nursing,and the Barthel Index score in the MG group was higher than that in the CE group,with statistical significance(P<0.05).2 weeks after nursing,the SAS and SDS scores in both groups were lower than before nursing,and the SAS and SDS scores in the MG group were lower than those in the CE group,with statistical significance(P<0.05).2 weeks after nursing,the NIHSS scores in both groups were lower than before nursing,and the NIHSS score in the MG group was lower than that in the CE group,with statistical significance(P<0.05).The total effective rate of treatment in the MG group 88.75%was higher than that in the CE group 72.50%,with statistical significance(P<0.05).Conclusion:Early rehabilitation nursing for patients with cerebrovascular stroke can effectively improve patients'limb motor ability,activities of daily living,psychological state,and clinical efficacy.