系统化康复护理促进脑卒中患者有效康复

Systematic Rehabilitation Nursing could Enhance the Effective Rehabilitation of Stroke Patients

为了探讨系统化康复护理对脑卒中患者有效的康复效果,本研究选取132例脑卒中患者,采用随机数字表法将患者随机分为观察组(n=68)和对照组(n=64),观察组给予系统化康复护理,对照组给予常规护理,采用简易智能状态检查量表(MMSE)和洛文斯顿作业疗法认知评定量表(LOTCA)评估患者认知功能,采用Barthel指数(BI)评估患者日常生活能力,采用抑郁自评量表(SDS)评估患者抑郁情况。MMSE评估结果表明,观察组干预后定向力、注意力和计算力、语言能力以及MMSE总分分别为(9.24±1.31)分、(4.54±0.97)分、(7.86±1.22)分和(25.57±2.03)分,明显高于对照组(p<0.05);LOTCA结果表明,观察组干预后定向力、知觉、视运动、思维能力以及LOTCA总分分别为(5.30±1.24)分、(13.24±1.90)分、(17.41±2.55)分、(18.16±1.80)分和(55.64±4.56)分,明显高于对照组(p<0.05);观察组干预后BI评分为(76.82±10.46)分,明显高于对照组(p<0.05);观察组干预后SDS评分为(42.15±6.41)分,明显低于对照组(p<0.05)。初步的研究表明,系统化康复护理对脑卒中患者康复有较好的促进作用,明显改善了患者认知功能、日常生活能力以及抑郁状态,值得临床上推广使用。

To explore the effect of systematic rehabilitation nursing on the rehabilitation effect of stroke patients,in this research,132 stroke patients were selected and randomly divided into the observation group(n=68)and the control group(n=64),the observation group was given systematic rehabilitation nursing,and the control group was given routine nursing.The mini mental state examination(MMSE)and the Loewenstein Occupational Therapy Cognitive Assessment(LOTCA)were used to assess the cognitive function,Barthel index(BI)was used to evaluate the ability of daily life,Self Depression Scale(SDS)was used to evaluate depression condition.MMSE evaluation results indicated that the scores of orientation,attention and calculation,language ability and MMSE score after the intervention in the observation group were(9.24±1.31),(4.54±0.97),(7.86±1.22)and(25.57±2.03),which were significantly higher than those in the control group(p<0.05);while in LOTCA assessment,orientation,perception,visual motion,thinking ability and LOTCA scores after the intervention in the observation group were(5.30±1.24),(13.24±1.90),(17.41±2.55),(18.16±1.80)and(55.64±4.56),which is significantly higher than the control group(p<0.05);The BI score after the intervention of the observation group was 76.82±10.46,which was significantly higher than that of the control group(p<0.05);The SDS score after the intervention of the observation group was(42.15±6.41),which was significantly lower than that of the control group(p<0.05).Preliminary studies show that systematic rehabilitation nursing has a better promoting effect on the rehabilitation of stroke patients,significantly improving the cognitive function,daily life ability and depression status of patients,which is worthy of clinical application.