分期康复护理模式对急性脑卒中患者生活质量的影响

摘要

目的：探讨分期康复护理模式对脑卒中患者神经功能恢复及日常生活能力的影响。方法选取神经内科收治的脑卒中患者30例随机分为对照组和试验组各15例，2组患者均接受神经内科的脑卒中常规治疗和护理，试验组患者除接受常规护理外，还接受三期十步法的早期康复护理干预。分别在入院时、干预1周和干预2周后进行资料收集，并运用日常生活活动能力量表（Barthel 指数）、美国国立卫生院神经功能缺损评分（NIHSS）对患者的神经功能缺损情况和日常生活能力进行分析。结果2组患者 NIHSS、Barthel 指数评分在入院时比较差异无统计学意义（P ＞0．05）。干预1周、2周后2组的NIHSS 评分相比，差异均具有统计学意义（P ＜0．05或 P ＜0．01）。2组的 Barthel 指数在干预1周、2周后比较差异均具有统计学意义（P ＜0．01）。结论分期康复护理模式能够显著促进脑卒中患者的神经功能恢复和日常生活能力的提高。%Objective To explore the influence of phased rehabilitation nursing mode on quality of life of patients with stroke.Methods Thirty patients with stroke were selected and ran-domly divided into control group(n =15)and experimental group(n =15).Patients in both groups were conducted with conventional treatment and nursing for stroke,and the experimental group was treated with early rehabilitation nursing by the method of three phases and ten steps.Clinical materials were collected on admission,one and two weeks after the intervention.NIH neurological deficits (NIHSS)score and Activities of Daily Living Scale (Barthel Index)were used to evaluate the patients’neurological function defect situation and ability of daily living.Results There were no significant differences in Barthel Index and NIHSS score on admission between the two groups (P >0.05).There were significant differences in NIHSS score and Barthel Index after one and two weeks of intervention between two groups(P <0.05 or P <0.01).Conclusion Phased reha-bilitation nursing mode can significantly improve neurological function and ability of daily living in patients with stroke.