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早期护理干预对社区脑卒中患者足下垂的预防效果评估 被引量:1

Effect Evaluation About Early Nursing Intervention for Patients After Stroke Preventing Against Foot Drop in Community
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摘要 目的探索对社区的脑卒中患者进行早期的康复护理对缓解足下垂的作用。方法选取2013年8月~2014年8月住院患者80例,随机分为对照组和干预组各40例。干预组患者在脑卒中发生3个月内进行早期护理干预,对照组在脑卒中后未进行护理干预。3个月后,通过徒手肌力测定法(MMT)对早期护理干预组和对照组的病人进行机能恢复评价。结果主要核心肌群痉挛和踝关节自主运动在早期干预组分别有10人和8人得到了改善,对照组为0,差异有统计学意义(P<0.01);废用性萎缩在早期干预组有2人得到了改善,对照组为0。结论对脑卒中患者早期的护理干预可以促进下肢肌肉的收缩,充分发挥残存功能,使患侧肢体功能得以提高,恢复步行功能,提高生活质量。 Objective To explore the effect of early rehabilitation nursing for the patients with stroke in the community to alleviate foot drop. Methods A total of 80 inpatients selected from 2013-2014 year in a community hospital were divided into the intervention group(40 cases) and control group(40 cases) randomly. The cases of intervention group received early nursing intervention in 3 months after stroke, and the cases of control group had not special treatments. The recovery of myodynamia was evaluated using Manual Muscle Testing(MMT) after 3 months. Results In the intervention group, there had 10 and 8 cases respectively who had been improved in the core muscle spasms and ankle joint independent movement respectively, and there had no case in the control group, with significant difference(P<0.01). There had 2 cases who had been improved in disuse atrophy in the intervention group, and no case in the control group. Conclusion Early nursing intervention for stroke patients can promote the lower limb muscle contraction, give full play to the function of residual, improve limb motor function, recover walking function, and improve the quality of life.
出处 《健康教育与健康促进》 2015年第1期48-50,共3页 Health Education and Health Promotion
关键词 脑卒中 足下垂 早期护理干预 社区 Stroke Foot drop Early nursing intervention Community
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