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康复护理干预对老年脑梗死患者肢体功能恢复的影响 被引量:5

Effect of rehabilitation nursing intervention on limb function recovery of elderly patients with cerebral infarction
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摘要 目的分析在老年脑梗死患者中采取康复护理干预对其肢体功能恢复的影响。方法 120例老年脑梗死患者,通过随机数字表法分为对照组和试验组,每组60例。对照组患者实施常规护理干预,试验组患者实施康复护理干预。比较两组患者护理前后的肢体功能、日常生活能力、神经功能及生活质量。结果护理后,试验组简式Fugl-Meyer运动功能评定量表(FMA)评分、Barthel指数均高于对照组,美国国立卫生研究院卒中量表(NIHSS)评分低于对照组,差异具有统计学意义(P<0.05)。试验组力量评分(150.25±27.53)分、手功能评分(120.74±28.23)分、行动能力评分(165.38±28.47)分、记忆与思维评分(156.47±27.12)分、交流评分(180.64±28.12)分、情感评分(161.43±28.15)分、社会参与评分(106.38±28.47)分、日常生活能力评分(150.79±28.94)分,均高于对照组的(131.52±25.86)、(95.41±8.17)、(140.31±26.74)、(128.23±26.45)、(163.57±28.56)、(140.53±27.08)、(81.46±26.36)、(127.53±26.28)分,差异具有统计学意义(P<0.05)。结论康复护理干预应用于老年脑梗死患者中,有利于促进肢体功能恢复,改善神经功能,提高生活质量,值得广泛开展。 Objective To analyze the effect of rehabilitation nursing intervention on limb function recovery of elderly patients with cerebral infarction. Methods A total of 120 elderly patients with cerebral infarction were divided into control group and experimental group according to random numerical table, with 60 cases in each group. The control group was treated with conventional nursing intervention, and the experimental group was treated with rehabilitation nursing intervention. The limb function, activities of daily living, nerve function and quality of life before and after nursing of the two groups were compared. Results After nursing, the Fugl-Meyer motor assessment(FMA) score and Barthel index score of the experimental group were all higher than those of the control group, and the National Institutes of Health stroke scale(NIHSS) score was lower than that of the control group, and the difference was statistically significant(P<0.05). The strength score(150.25±27.53) points, hand function score(120.74±28.23), mobility score(165.38±28.47), memory and thinking score(156.47±27.12), communication score(180.64±28.12) points, emotional score(161.43± 28.15) points, social participation score(106.38±28.47) points, activities of daily living score(150.79± 28.94) points of the experimental group were all higher than(131.52±25.86),(95.41±8.17),(140.31±26.74),(128.23±26.45),(163.57±28.56),(140.53±27.08),(81.46±26.36),(127.53±26.28) points of the control group, and the difference was statistically significant(P<0.05). Conclusion The application of rehabilitation nursing intervention in elderly patients with cerebral infarction is conducive to promoting the recovery of limb function, improving neurological function and improving the quality of life, which is worthy of wide promotion.
作者 周荣秀 倪翠兰 姚兰 ZHOU Rong-xiu;NI Cui-lan;YAO Lan(Yancheng Second People's Hospital,Yancheng 224003,China)
出处 《中国实用医药》 2021年第7期198-200,共3页 China Practical Medicine
关键词 脑梗死 康复护理干预 肢体功能 神经功能 生活质量 Cerebral infarction Rehabilitation nursing intervention Limb function Nerve function Quality of life
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