摘要
目的:研究对脑卒中后偏瘫患者应用康复护理对于神经功能、生活能力、睡眠质量的影响。方法:选取2022年8月至2023年8月尤溪县总医院收治的脑卒中后偏瘫患者90例作为研究对象,按照随机数字表法分为对照组和观察组,每组45例。对照组采用常规护理,观察组采用康复护理,对比2组康复情况。结果:观察组神经功能缺损量表(NIHSS)为(11.39±2.21)分,Fugl-Meyer运动功能评估量表(FMA)为(59.21±2.44)分,日常生活能力量表(ADL)为(58.47±5.79)分,优于对照组[NIHSS(17.32±2.65)分,FMA(53.84±2.85)分,ADL(47.32±6.18)分],差异均有统计学意义(均P<0.05)。观察组焦虑自评量表(SAS)为(45.17±5.58)分,匹兹堡睡眠质量指数(PSQI)(6.23±1.10)分,低于对照组[SAS(55.65±4.72)分,PSQI(10.27±2.19)分],差异均有统计学意义(均P<0.05)。观察组满意度(97.78%)高于对照组(82.22%),差异有统计学意义(P<0.05)。结论:针对脑卒中患者开展康复护理对于神经和肢体功能康复起到积极作用,有利于恢复正常生活能力,提高患者生命质量,并关注患者情绪和睡眠问题,积极改善睡眠质量和不良情绪,更有利于患者身心康复。
Objective:To study the impact of rehabilitation nursing on neurological function,life ability,and sleep quality in patients with hemiplegia after stroke.Methods:A total of 90 patients with post-stroke hemiplegia in our hospital were randomly selected and divided into a control group(45 cases,routine nursing)and an observation group(rehabilitation nursing),and the rehabilitation status of the two groups was compared.Results:The observation group scored National Institute of Health Stroke Scale(NIHSS)(11.39±2.21),FMA(59.21±2.44),ADL(58.47±5.79),better than the control group[NIHSS(17.32±2.65),Fugl-Meyer Assessment Scale(FMA)(53.84±2.85),Activity of Daily Living Scale(ADL)(47.32±6.18)](P s<0.05).The Self-rating Anxiety Scale(SAS)(45.17±5.58)and Pittsburgh Sleep Quality Index(PSQI)(6.23±1.10)were lower than the control group[SAS(55.65±4.72)and PSQI(10.27±2.19)](P s<0.05).The satisfaction of the observation group(97.78%)was higher than the control group(82.22%)(P<0.05).Conclusion:Rehabilitation nursing for stroke patients plays a positive role in the rehabilitation of nerve and limb function,which is conducive to the recovery of normal living ability,improve the quality of life,pay attention to the patients′mood and sleep problems,and actively improve the sleep quality and bad mood,which is more conducive to the physical and mental rehabilitation of patients.
作者
陶亚平
TAO Yaping(Emergency Department of Youxi County General Hospital,Youxi 365100,China)
出处
《世界睡眠医学杂志》
2024年第3期674-676,共3页
World Journal of Sleep Medicine
关键词
脑卒中
康复护理
神经功能
日常生活能力
睡眠质量
Stroke
Rehabilitation nursing
Neurological function
Daily living ability
Sleep quality
