摘要
目的探讨全程护理联合康复护理训练对老年脑血管意外患者康复的影响。方法选取本院诊治的60例老年脑血管意外患者分组,将接受康复护理训练的患者设为对照组,将接受全程护理联合康复护理训练的患者设为联合组。6个月后,比较2组世界卫生组织生存质量测定简表(WHOQOL-BREF)、神经功能缺损评分(NIIHSS)、临床疗效。结果 2组环境领域评分比较,差异无统计学意义(P>0.05);联合组WHOQOL-BREF总分(81.12±11.53)分,显著高于对照组(74.11±11.16)分(P<0.01);2组面瘫评分、上肢肌力评分比较,差异均无统计学意义(P>0.05);联合组临床NIIHSS总分(18.48±6.51)分,显著低于对照组(24.50±6.75)分(P<0.01);联合组总有效率90.00%,显著高于对照组总有效率76.67%(P<0.05)。结论全程护理联合康复护理训练,能显著提高老年脑血管意外患者的生活质量,减轻神经功能损害,从而提高临床疗效。
Objective To study the effect of full course nursing combined with rehabilitation nursing training on the rehabilitation of senile patients with cerebrovascular accidents. Methods A total of 120 elderly patients with cerebrovascular accidents in our hospital were divided into two groups. The control group was given rehabilitation nursing training. Combination group was given the whole course nursing combined with rehabilitation training. After 6 months of nursing,World Health Organization＇s Quality of Life Scale（ WHOQOL-BREF）,the scores of clinical nerve function defect（ NIIHSS）,and the clinical outcomes of two groups were compared. Results There was no significant difference in environmental score between the two groups（ P〉0. 05）. The total score of WHOQOL-BREF in the combined group was significantly than that of the control group（ 81. 12 ± 11. 53 vs.74. 11 ± 11. 16,P〈0. 01）. There were no significant difference between the two groups in facial paralysis scores and upper limb strength scores（ P〉0. 05）. The total neurological deficit score of the combined group was significantly lower than that in the control group（ 18. 48 ± 6. 51 vs. 24. 50 ±6. 75,P〈0. 01）. The total effective rate of the control group was significantly lower than that of the combined group（ 90. 00% vs. 76. 67%,P〈0. 01）. Conclusion Full course nursing combined with rehabilitation training can significantly improve the quality of life and reduce neurological impairment in elderly patients with cerebrovascular accident,and thereby improve their clinical efficacy.
作者
王全妹
云洁
胡丽彬
WANG Quanmei;YUN J ie;HU Libin(Nursing Department,Dayi Wangxian Hospital o f Traditional Chinese Medicine,Chengdu,Sichuan,6 1 3 3 0)
出处
《实用临床医药杂志》
CAS
2018年第12期11-14,共4页
Journal of Clinical Medicine in Practice
基金
四川省科技厅资助项目(2013021541)
关键词
全程护理
康复护理训练
脑血管意外
临床疗效
whole course nursing
rehabilitation nursing training
cerebrovascular acci-dent
clinical effect
