Hu Luanjiao, Liu Guangwei
Department of Neurology, The First Affiliated Hospital of Chongqing Medical University Chongqing 400016, China.
Am J Transl Res. 2021 Apr 15;13(4):3811-3818. eCollection 2021.
This study aimed at exploring the effects of early rehabilitation nursing (ERN) on the neurological functions, the incidence of lower extremity deep venous thrombosis (LEDVT) and the quality of life (QOL) of patients with ischemic stroke hemiplegia (ISH).
Admitted to our hospital from January 2018 to February 2019, 123 patients with ISH were enrolled, among which 70 cases received routine nursing (a control group) and 53 cases received ERN (a study group). The patients in the two groups were compared with respect to the scores of the European Stroke Scale (ESS), the Barthel Index (BI) and the Fugl-Meyer Assessment (FMA), the incidences of complications and LEDVT, QOL and nursing satisfaction.
After intervention, the ESS, BI and FMA scores rose in both groups, but they were remarkably higher in the study group (P < 0.05). Compared with those in the control group, patients in the study group had remarkably lower incidences of complications and LEDVT (P < 0.05), remarkably better indicators of QOL (P < 0.05), and higher nursing satisfaction (P < 0.05).
For patients with ISH, ERN can improve neurological functions, reduce the incidence of LEDVT, and improve their QOL, so this safe and effective nursing method is worthy of clinical application.
本研究旨在探讨早期康复护理(ERN)对缺血性脑卒中偏瘫(ISH)患者神经功能、下肢深静脉血栓形成(LEDVT)发生率及生活质量(QOL)的影响。
选取2018年1月至2019年2月我院收治的123例ISH患者,其中70例接受常规护理(对照组),53例接受ERN(研究组)。比较两组患者的欧洲卒中量表(ESS)评分、巴氏指数(BI)评分、Fugl-Meyer评估量表(FMA)评分、并发症及LEDVT发生率、QOL及护理满意度。
干预后,两组患者的ESS、BI及FMA评分均升高,但研究组升高更显著(P<0.05)。与对照组相比,研究组患者的并发症及LEDVT发生率显著降低(P<0.05),QOL指标显著改善(P<0.05),护理满意度更高(P<0.05)。
对于ISH患者,ERN可改善神经功能,降低LEDVT发生率,提高其QOL,因此这种安全有效的护理方法值得临床应用。