摘要
目的观察康复护理对脑梗死偏瘫患者肢体功能的影响。方法2019年5月—2021年3月从郯城县第一人民医院神经内科随机选择脑梗死偏瘫患者90例并随机分为康复组(n=45)与对照组(n=45)。对照组接受常规神经内科护理,观察组在常规护理基础上加康复护理,两组均干预3个月。干预前后用Barthel指数评价两组患者生活活动功能状态;干预前后用Fugl-Meyer评分对患者的运动功能进行评价;干预3个月,用自制的护理满意度调查表对两组进行调查,让患者对护理技能、病情保证、护理及时性、心理护理进行评分。结果与干预前比较,干预后两组Barthel指数评分升高,差异有统计学意义(P<0.05);干预后康复组Barthel指数评分(75.15±10.64)分高于对照组(54.09±8.35)分,差异有统计学意义(t=10.530,P<0.05)。干预后两组Fugl-Meyer评分均较干预前升高,差异有统计学意义(P<0.05);干预后,康复组Fugl-Meyer评分(69.05±7.41)分高于对照组(58.37±8.13)分,差异有统计学意义(t=6.510,P<0.05)。康复组病情保证(85.16±7.52)分、心理护理评分(90.16±8.33)分高于对照组(54.08±5.67)分、(65.48±7.92)分,差异有统计学意义(P<0.05)。结论康复护理可显著改善脑梗死偏瘫患者肢体功能,并提高护理满意度。
Objective To observe the effect of rehabilitation nursing on limb function of patients with cerebral infarc‐tion and hemiplegia.Methods From May 2019 to March 2021,90 patients with cerebral infarction hemiplegia were randomly selected from the Department of Neurology of the First People's Hospital of Tancheng County and ran‐domly divided into a rehabilitation group(n=45)and a control group(n=45).Patients in the control group received routine neurological nursing,while patients in the observation group received rehabilitation nursing on the basis of routine nursing.Both groups were intervened for 3 months.Before and after the intervention,the Barthel index was used to evaluate the functional status of life activities in the two groups.The motor function of the patients was evalu‐ated by Fugl-Meyer score before and after the intervention.After 3 months of intervention,the two groups were inves‐tigated with a self-made nursing satisfaction questionnaire,and the patients were asked to rate nursing skills,disease assurance,nursing timeliness,and psychological nursing.Results Compared with before the intervention,the Barthel index scores in the two groups increased after the intervention,and the difference was statistically significant(P<0.05);after intervention,the Barthel index score of the rehabilitation group(75.15±10.64)points was higher than that of the control group(54.09±8.35)points,and the difference was statistically significant(t=10.530,P<0.05).After in‐tervention,Fugl-Meyer scores in both groups were higher than those before intervention,and the difference was sta‐tistically significant(P<0.05);after the intervention,the Fugl-Meyer score in the rehabilitation group(69.05±7.41)points was higher than that in the control group(58.37±8.13)points,and the difference was statistically signifi‐cant(t=6.510,P<0.05).The scores of condition assurance(85.16±7.52)points and psychological nursing(90.16±8.33)points in the rehabilitation group were higher than those in the control group(54.08±5.67)poin
作者
李红梅
LI Hongmei(The First Department of Neurology,the First People's Hospital of Tancheng County,Linyi,Shandong Province,276199 China)
出处
《中外医疗》
2022年第18期117-121,共5页
China & Foreign Medical Treatment
关键词
脑梗死
偏瘫
康复护理
肢体功能
Cerebral infarction
Hemiplegia
Rehabilitation nursing
Limb function
