早期康复护理应用于颅脑外伤术后运动障碍患者功能恢复的效果评价(1)
[摘要] 目的 探讨分析对颅脑外伤术后运动障碍患者应用早期康复护理措施及干预效果。方法 随机选取该院收治的颅脑外伤术后运动障碍患者120例，随机分成两组，每组60例，对照组：常规护理；观察组：在常规护理的基础上，采取早期康复护理措施干预。从患者术后满意度调查、Fugl-Meyer 运动评分(FMA)等两个指标观察两组患者的护理效果。 结果 经过合理有效护理措施，观察组患者满意度较高，为96.7%，高于对照组80.0%；且观察组患者Fugl-Meyer 运动评分(FMA)得分明显优于对照组。数据之间均差异有统计学意义(P<0.05)。 结论 将早期康复护理措施应用于该院颅脑外伤术后运动障碍患者的护理中，效果显著，值得广泛推广。
[关键词] 早期康复护理；颅脑外伤伤术后；运动障碍
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-0742(2015)05(b)-0156-02
Evaluation of the Effect of Early Rehabilitation Nursing on the Functional Recovery in Patients with Movement Disorders after Craniocerebral Trauma Surgery
LI Yan-hua
The Second Department of Surgery， Yunnan Yuxi Xinping People's Hospital， Yuxi， Yunnan Province， 653400 China
[Abstract] Objective To investigate and analyze early rehabilitation nursing measures for patients with movement disorders after craniocerebral trauma surgery and the intervention effect. Methods 120 patients with movement disorders after craniocerebral trauma surgery admitted in our hospital were selected and randomly divided into two groups， the control group and the observation group with 60 patients in each. The control group were treated by the usual care， while the observation group were treated by the early rehabilitation nursing measures based on the usual care. And the nursing efficacy of the two groups was evaluated by the postoperative satisfaction and Fugl-Meyer Assessment (FMA). Results After reasonable and effective nursing， the level of satisfaction was 96.7% in the observation group， higher than 80.0% in the control group(P<0.05)； and the FMA scores of the observation group were much higher with statistically significant difference (P<0.05). Conclusion The early rehabilitation nursing measures applied to the patients with movement disorders after craniocerebral trauma surgery in our hospital have significant effect， which are worthy of popularization extensively.
[Key words] Early rehabilitation nursing； After craniocerebral trauma surgery； Movement disorders
直接或间接的暴力作用与头部时会导致严重的颅脑外伤。如果损伤后脑组织是与外界不相通，则称为闭合性损伤，如果损伤后与外界相通则称为为开放性损伤[1]。颅脑损伤会导致脑震荡、颅骨骨折、颅内血肿等多种严重损害，而这些损伤会导致脑组织伤害，影响患者神经系统，进而影响患者四肢运动功能。患者运动功能受损，会对生活质量产生极大负面影响。长期的临床观察和统计可知，早期对患者进行系统的康复护理，可以极大的促进四肢功能的恢复[2]。现选取2013年1月—2014年12月该院收治的颅脑外伤术后运动障碍患者120例，制定合理的护理方案，观察护理效果，现报道如下。
1 资料与方法
1.1 一般资料
随机选取2013年1月—2014年12月该院收治的颅脑外伤术后运动障碍患者120例，其中男性67例，女性53例，年龄28～69岁，平均年龄(46.3±5.5)岁。随机分为两组，对照组60例，男性25例，女性35例，平均年龄(47.6±3.5)岁，给予常规护理；观察组60例，男性42例，女性18例，平均年龄(45.3±4.6)岁，在基础护理的基础上给予早期康复护理措施干预。120例患者均排除有其他精神疾病以及合并其他脏器疾病的患者。两组患者的一般资料方面(如性别、年龄等)差异无统计学意义(P>0.05)。, 百拇医药(李艳华)
[关键词] 早期康复护理；颅脑外伤伤术后；运动障碍
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-0742(2015)05(b)-0156-02
Evaluation of the Effect of Early Rehabilitation Nursing on the Functional Recovery in Patients with Movement Disorders after Craniocerebral Trauma Surgery
LI Yan-hua
The Second Department of Surgery， Yunnan Yuxi Xinping People's Hospital， Yuxi， Yunnan Province， 653400 China
[Abstract] Objective To investigate and analyze early rehabilitation nursing measures for patients with movement disorders after craniocerebral trauma surgery and the intervention effect. Methods 120 patients with movement disorders after craniocerebral trauma surgery admitted in our hospital were selected and randomly divided into two groups， the control group and the observation group with 60 patients in each. The control group were treated by the usual care， while the observation group were treated by the early rehabilitation nursing measures based on the usual care. And the nursing efficacy of the two groups was evaluated by the postoperative satisfaction and Fugl-Meyer Assessment (FMA). Results After reasonable and effective nursing， the level of satisfaction was 96.7% in the observation group， higher than 80.0% in the control group(P<0.05)； and the FMA scores of the observation group were much higher with statistically significant difference (P<0.05). Conclusion The early rehabilitation nursing measures applied to the patients with movement disorders after craniocerebral trauma surgery in our hospital have significant effect， which are worthy of popularization extensively.
[Key words] Early rehabilitation nursing； After craniocerebral trauma surgery； Movement disorders
直接或间接的暴力作用与头部时会导致严重的颅脑外伤。如果损伤后脑组织是与外界不相通，则称为闭合性损伤，如果损伤后与外界相通则称为为开放性损伤[1]。颅脑损伤会导致脑震荡、颅骨骨折、颅内血肿等多种严重损害，而这些损伤会导致脑组织伤害，影响患者神经系统，进而影响患者四肢运动功能。患者运动功能受损，会对生活质量产生极大负面影响。长期的临床观察和统计可知，早期对患者进行系统的康复护理，可以极大的促进四肢功能的恢复[2]。现选取2013年1月—2014年12月该院收治的颅脑外伤术后运动障碍患者120例，制定合理的护理方案，观察护理效果，现报道如下。
1 资料与方法
1.1 一般资料
随机选取2013年1月—2014年12月该院收治的颅脑外伤术后运动障碍患者120例，其中男性67例，女性53例，年龄28～69岁，平均年龄(46.3±5.5)岁。随机分为两组，对照组60例，男性25例，女性35例，平均年龄(47.6±3.5)岁，给予常规护理；观察组60例，男性42例，女性18例，平均年龄(45.3±4.6)岁，在基础护理的基础上给予早期康复护理措施干预。120例患者均排除有其他精神疾病以及合并其他脏器疾病的患者。两组患者的一般资料方面(如性别、年龄等)差异无统计学意义(P>0.05)。, 百拇医药(李艳华)