早期健康教育对脑血栓患者肢体功能康复的影响(1)
[摘要]目的 探討早期健康教育对脑血栓患者肢体功能康复的影响情况。方法 选取2015年1月～2016年11月神经内科收治的280例脑血栓患者的临床资料，依据护理措施不同分为对照组(常规的康复护理指导)140例和观察组(早期健康教育)140例。比较两组患者护理前后神经功能损伤程度、生活质量、复发率和患者满意度情况。结果 两组患者护理前NIHSS评分比较，差异无统计学意义(P>0.05)，护理后两组患者NIHSS评分均有所降低，与护理前比较，差异有统计学意义(P<0.05)，且观察组患者评分均低于对照组，差异均有统计学意义(P<0.05)。两组患者护理前生活质量指标评分比较，差异无统计学意义(P>0.05)，护理后两组患者各指标评分均有所提高，与护理前比较，差异有统计学意义(P<0.05)；观察组各指标评分均高于对照组，差异有统计学意义(P<0.05)。观察组患者复发率低于对照组，患者护理满意度高于对照组，差异均有统计学意义(P<0.05)。结论 早期健康教育在脑血栓患者中应用，可以降低神经功能损伤程度评分，改善生活质量，提高患者满意度，值得临床推广应用。
[关键词]早期健康教育；脑血栓；肢体功能；康复
[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721(2017)05(a)-0183-04
[Abstract]Objective To explore the efficacy of early health education on rehabilitation of limb function in patients with cerebral thrombosis.Methods 280 patients′clinical datas with cerebral thrombosis treated by Department of Neurology in our hospital were selected and divided into the control group (regular nursing on rehabilitation guidance) and the observation group (early health education) according to different nursing measures.The neurological impairment，quality of life before and after nursing，recurrence rate and nursing satisfaction were compared between two groups.Results Before nursing，there was no significantly different among the scores of NIHSS in two groups (P>0.05)；after nursing， the scores of NIHSS in two groups were all declined，and compared with those before nursing，the differences was statistically significant (P<0.05).And that in observation group was lower than those in control group，and the difference was statistically significant (P<0.05).Before nursing，there were no significantly different among the scores of indexes of quanlity of life in two groups (P>0.05)；after nursing，those in two groups were all increased，and compared with those before nursing，the differences were statistically significant (P<0.05).And those in observation group was higher than those in control group，and the differences were statistically significant (P<0.05).The recurrence rate of patients in the observation group was lower than that in the control group，the nursing satisfaction was higher than that in the control group，and the differences were statistically significant (P<0.05).Conclusion Application of early health education in patients with cerebral thrombosis can reduce the score of neurological impairment，improve the quality of life and patients′satisfaction.It is worthy of clinical application.
[Key words]Early health education；Cerebral thrombosis；Limb function；Rehabilitation (冯利勉 巢珊珊 彭莹莹)
[关键词]早期健康教育；脑血栓；肢体功能；康复
[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721(2017)05(a)-0183-04
[Abstract]Objective To explore the efficacy of early health education on rehabilitation of limb function in patients with cerebral thrombosis.Methods 280 patients′clinical datas with cerebral thrombosis treated by Department of Neurology in our hospital were selected and divided into the control group (regular nursing on rehabilitation guidance) and the observation group (early health education) according to different nursing measures.The neurological impairment，quality of life before and after nursing，recurrence rate and nursing satisfaction were compared between two groups.Results Before nursing，there was no significantly different among the scores of NIHSS in two groups (P>0.05)；after nursing， the scores of NIHSS in two groups were all declined，and compared with those before nursing，the differences was statistically significant (P<0.05).And that in observation group was lower than those in control group，and the difference was statistically significant (P<0.05).Before nursing，there were no significantly different among the scores of indexes of quanlity of life in two groups (P>0.05)；after nursing，those in two groups were all increased，and compared with those before nursing，the differences were statistically significant (P<0.05).And those in observation group was higher than those in control group，and the differences were statistically significant (P<0.05).The recurrence rate of patients in the observation group was lower than that in the control group，the nursing satisfaction was higher than that in the control group，and the differences were statistically significant (P<0.05).Conclusion Application of early health education in patients with cerebral thrombosis can reduce the score of neurological impairment，improve the quality of life and patients′satisfaction.It is worthy of clinical application.
[Key words]Early health education；Cerebral thrombosis；Limb function；Rehabilitation (冯利勉 巢珊珊 彭莹莹)