Altern Ther Health Med. 2023 Oct;29(7):80-85.
This study aimed to investigate the impact of integrating medical nursing with targeted functional training interventions on neurological and limb motor function and self-care ability in patients diagnosed with cerebral hemorrhage.
A retrospective cohort study was conducted, including 100 patients diagnosed with cerebral hemorrhage who received interventions at our hospital between January 2020 and June 2022. The patients were divided into two groups: the research group (50 cases) and the reference group (50 cases), based on different intervention methods. The reference group received targeted functional training intervention, while the research group implemented the integration of medical nursing in addition to the reference group intervention. Differences in the National Institutes of Health Stroke Scale (NIHSS) score, Barthel index, Modified Barthel Index (MBI) score, Glasgow Coma Scale (GCS) score, Edinburgh Speech Scale (ESS) score, Fugl-Meyer score, Ability of Daily Living (ADL) score, and efficacy evaluation were observed and compared between the two groups of patients.
After nursing, the Fugl-Meyer score and Barthel index score were significantly higher in both groups compared to before nursing, with the research group showing higher scores than the reference group (P < 0.05). There was no significant difference in limb motor function scores between the two groups before nursing (P > 0.05). After the integrated nursing intervention, the NIHSS and ADL scores of both groups were significantly higher than before nursing, with the research group demonstrating higher scores than the reference group (P < 0.05).
Integrating medical nursing with targeted functional training interventions has the potential to significantly improve cognitive function, neurological function, and daily activity engagement in patients with cerebral hemorrhage, thereby enhancing their overall quality of life.
本研究旨在探讨将医学护理与针对性功能训练干预相结合对脑出血患者神经和肢体运动功能以及自理能力的影响。
采用回顾性队列研究,纳入 2020 年 1 月至 2022 年 6 月在我院接受干预的 100 例脑出血患者。根据干预方法的不同,将患者分为研究组(50 例)和对照组(50 例)。对照组接受针对性功能训练干预,研究组在对照组干预的基础上实施医学护理整合。观察并比较两组患者的国立卫生研究院卒中量表(NIHSS)评分、巴氏指数、改良巴氏指数(MBI)评分、格拉斯哥昏迷量表(GCS)评分、爱丁堡言语量表(ESS)评分、Fugl-Meyer 评分、日常生活能力(ADL)评分和疗效评价的差异。
护理后,两组患者的 Fugl-Meyer 评分和巴氏指数评分均明显高于护理前,研究组评分高于对照组(P<0.05)。护理前两组患者肢体运动功能评分差异无统计学意义(P>0.05)。综合护理干预后,两组患者的 NIHSS 和 ADL 评分均明显高于护理前,研究组评分高于对照组(P<0.05)。
将医学护理与针对性功能训练干预相结合,可显著改善脑出血患者的认知功能、神经功能和日常活动参与度,从而提高其整体生活质量。