早期康复护理干预对脑卒中偏瘫患者肢体功能恢复的影响分析(1)
[摘要] 目的 探讨早期康复护理对脑卒中伴偏瘫患者恢复情况的影响。方法 便利选择2016年1月—2017年12月在该院接受住院治疗的60例脑卒中偏瘫患者，应用随机数字表法分为对照组30例及观察组30例，分别施以基础护理和早期康复护理;比较两组Barthel指数、肢体运动功能评分改善情况及临床总有效率。结果 观察组患者的肢体运动功能评分为(61.25±11.52)分，显著高于对照组(46.74±10.08)分(t=5.192，P<0.001);其Barthel指数为(50.47±8.24)分，也明显优于对照组(43.54±7.10)分(t=3.490，P=0.001)。此外，观察组患者的显效率、临床总有效率分别为53.33%、90.00%，均高于对照组26.67%、66.67%(χ2=4.444、4.812，P=0.035、0.028)。结论 对脑卒中伴偏瘫患者施以早期康复护理，有助于促进肢体功能恢复，提高自理能力，值得应用及推广。
[关键词] 早期康复护理;脑卒中;偏瘫;肢体功能;影响
[中图分类号] R473.74 [文献标识码] A [文章编号] 1674-0742(2018)09(a)-0138-03
Effect of Early Rehabilitation Nursing Intervention on Recovery of Limb Function in Stroke Patients with Hemiplegia
YANG Jing
Department of Nursing， Sheyang County Hospital of TCM， Yancheng， Jiangsu Province， 224300 China
[Abstract] Objective To investigate the effect of early rehabilitation nursing on the recovery of stroke patients with hemiplegia. Methods A total of 60 stroke patients with hemiplegia who were hospitalized in the hospital from January 2016 to December 2017 were convenient selected and randomly divided into a control group (30 cases) and an observation group(30 cases). They were treated with basic care and early rehabilitation nursing; comparing Barthel index， limb motor function score improvement and clinical total effective rate. Results The limb motor function score of the observation group was (61.25±11.52) points， which was significantly higher than that of the control group (46.74±10.08) points(t=5.192， P<0.001); the Barthel index was (50.47±8.24) points， also significantly better than the control group (43.54±7.10) points (t=3.490， P=0.001). In addition， the apparent efficacy and clinical total effective rate of the observation group were 53.33% and 90.00%， respectively， which were higher than the control group 26.67% and 66.67% (χ2=4.444，4.812， P=0.035， 0.028). Conclusion Early rehabilitation nursing for stroke patients with hemiplegia contributes to the promotion of physical function recovery and self-care ability. It is worth applying and popularizing.
[Key words] Early rehabilitation nursing; Stroke; Hemiplegia; Limb function; Effect
腦卒中具有发生率高、致死率高、致残率高的特点，严重威胁患者的生命健康。近年来，随临床医学诊疗技术的不断发展，脑卒中的存活率逐年提升，但其致残率一直居高不下，存活的脑卒中患者多伴失语、偏瘫等后遗症，严重影响患者生活质量[1]。不少学者认为，早期的、系统的康复护理及训练有助于预防肢体挛缩，改善肢体功能，提高生存质量[2]。为进一步探讨早期康复护理对脑卒中偏瘫患者的影响，笔者于2016年1月—2017年12月期间采用早期康复的方法对30例住院治疗脑卒中偏瘫患者进行护理干预，并设对照组作临床对比，现报道如下。, http://www.100md.com(杨静)
[关键词] 早期康复护理;脑卒中;偏瘫;肢体功能;影响
[中图分类号] R473.74 [文献标识码] A [文章编号] 1674-0742(2018)09(a)-0138-03
Effect of Early Rehabilitation Nursing Intervention on Recovery of Limb Function in Stroke Patients with Hemiplegia
YANG Jing
Department of Nursing， Sheyang County Hospital of TCM， Yancheng， Jiangsu Province， 224300 China
[Abstract] Objective To investigate the effect of early rehabilitation nursing on the recovery of stroke patients with hemiplegia. Methods A total of 60 stroke patients with hemiplegia who were hospitalized in the hospital from January 2016 to December 2017 were convenient selected and randomly divided into a control group (30 cases) and an observation group(30 cases). They were treated with basic care and early rehabilitation nursing; comparing Barthel index， limb motor function score improvement and clinical total effective rate. Results The limb motor function score of the observation group was (61.25±11.52) points， which was significantly higher than that of the control group (46.74±10.08) points(t=5.192， P<0.001); the Barthel index was (50.47±8.24) points， also significantly better than the control group (43.54±7.10) points (t=3.490， P=0.001). In addition， the apparent efficacy and clinical total effective rate of the observation group were 53.33% and 90.00%， respectively， which were higher than the control group 26.67% and 66.67% (χ2=4.444，4.812， P=0.035， 0.028). Conclusion Early rehabilitation nursing for stroke patients with hemiplegia contributes to the promotion of physical function recovery and self-care ability. It is worth applying and popularizing.
[Key words] Early rehabilitation nursing; Stroke; Hemiplegia; Limb function; Effect
腦卒中具有发生率高、致死率高、致残率高的特点，严重威胁患者的生命健康。近年来，随临床医学诊疗技术的不断发展，脑卒中的存活率逐年提升，但其致残率一直居高不下，存活的脑卒中患者多伴失语、偏瘫等后遗症，严重影响患者生活质量[1]。不少学者认为，早期的、系统的康复护理及训练有助于预防肢体挛缩，改善肢体功能，提高生存质量[2]。为进一步探讨早期康复护理对脑卒中偏瘫患者的影响，笔者于2016年1月—2017年12月期间采用早期康复的方法对30例住院治疗脑卒中偏瘫患者进行护理干预，并设对照组作临床对比，现报道如下。, http://www.100md.com(杨静)