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早期康复护理干预对脑卒中偏瘫患者神经功能及日常生活的影响

Effects of early rehabilitation nursing intervention on nerve function and daily living in patients with stroke hemiplegia.

作者信息

Yang Chunhua, Zhao Jingfei, Xie Hua, Wang Hao, Liu Xiaoting, Liu Hua, Liu Liang

机构信息

Department of Nursing, Ningxiang People's Hospital Ningxiang 410600, Hunan Province, China.

Department of Neurosurgery, Ningxiang People's Hospital Ningxiang 410600, Hunan Province, China.

出版信息

Am J Transl Res. 2021 Oct 15;13(10):11842-11850. eCollection 2021.

Abstract

OBJECTIVE

To explore the effects of early rehabilitation nursing on the rehabilitation of stroke hemiplegia patients.

METHODS

A total of 80 patients with stroke admitted to Ningxiang People's Hospital were selected as the research subjects for analysis. Among them, 40 patients received early rehabilitation nursing intervention after admission and were enrolled in the observation group. The other 40 patients received only general nursing intervention who were enrolled in the control group. National Institutes of Health Stroke Scale (NIHSS) and Ruminative responses scale (RRS) were used to evaluate the nerve function of the two groups of patients before and after treatment. Fugl-Meyer motor function assessment (FMA) was applied to evaluate their athletic ability, and activity of daily living (ADL) score and Barthel index were utilized to evaluate their living ability. The adverse reactions and nursing satisfaction were compared between the two groups.

RESULTS

After treatment, NIHSS score and RRS score in the observation group were lower than those in the control group (P<0.05). FMA score, ADL score and Barthel index were higher in the observation group than those of the control group (P<0.05). After treatment, NIHSS score and RRS score were both lower than those before treatment (P<0.05), while FMA score, ADL score and Barthel index were higher than those before treatment (P<0.05). There was no difference in the incidence of adverse reactions between the two groups (P>0.05). The nursing satisfaction of the observation group was higher than that of the control group (P<0.05).

CONCLUSION

Early rehabilitation nursing can effectively improve the nerve function, athletic ability and living ability of stroke hemiplegia patients, which is worth popularizing in clinic.

摘要

目的

探讨早期康复护理对脑卒中偏瘫患者康复的影响。

方法

选取宁乡市人民医院收治的80例脑卒中患者作为研究对象进行分析。其中,40例患者入院后接受早期康复护理干预,纳入观察组。另外40例患者仅接受常规护理干预,纳入对照组。采用美国国立卫生研究院卒中量表(NIHSS)和沉思反应量表(RRS)评估两组患者治疗前后的神经功能。采用Fugl-Meyer运动功能评估(FMA)评估其运动能力,采用日常生活活动能力(ADL)评分和Barthel指数评估其生活能力。比较两组患者的不良反应及护理满意度。

结果

治疗后,观察组NIHSS评分和RRS评分低于对照组(P<0.05)。观察组FMA评分、ADL评分和Barthel指数高于对照组(P<0.05)。治疗后,NIHSS评分和RRS评分均低于治疗前(P<0.05),而FMA评分、ADL评分和Barthel指数高于治疗前(P<0.05)。两组患者不良反应发生率比较,差异无统计学意义(P>0.05)。观察组护理满意度高于对照组(P<0.05)。

结论

早期康复护理可有效改善脑卒中偏瘫患者的神经功能、运动能力和生活能力,值得临床推广应用。

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