早期康复护理在脑卒中偏瘫患者200例中的应用

摘要

Objective:To investigate the effect of clinical nursing, limb function rehabilitation andability of daily life ( ADL) on early rehabilitation nursing in stroke patients with hemiplegia.To improve the self-care ability of patients, to reduce the distress of patients and their families, and to improve the quality of life of patients.Methods:The study was performed retrospectivelyto 200 cases of patients with hemiplegia caused by stroke from 2009 September to 2013 July in our hospital.,Male 120 cases and female 80 cases were divided randomly into control groupand rehabilitation group.In the two groups after the treatment the recovery of daily life ability;Barthel index at the time of admission,1 weeks later and in 2 monthsand early clinical efficacy of rehabilitation treatment were compared.Results:There was no difference in two groups at the time of admission.The scale scores of ADL comparisons in rehabilitation group was better than in control group after treatment(P<0.05).The Barthel index in rehabilitation group after1 weeks and 2 months was better than in control group after treatment ( P<0.05 ).The total efficiency of early rehabilitation group was better than that of control group ( P <0.05 ).Conclusion:The early rehabilitation nursing can help to improve the self-care ability of stroke patients with hemiplegia,to enhance the patient's self-confidence,to alleviate the suffering of patients,to improve the quality of life of patients,and early rehabilitation nursing has a good effect for hemiplegic patients, is worthy of clinical popularization.%目的：探讨早期康复护理对脑卒中致偏瘫患者的患肢功能康复、日常生活能力状况及临床护理效果，提高患者的自理能力，减轻患者及家庭的痛苦，提高患者的生活质量。方法：选取2009年9月至2013年7月我院神经内科收治的脑卒中致偏瘫患者200例进行回顾性对比研究。按随机、对照的原则分为对照组、康复组，分别比较2组患者治疗康复后的日常生活能力量表评分，入院时及康复1周后、康复2个月后患者Barthel指数评分，早期康复治疗后的临床疗效。结果：2组除入院时Barthel指数评分无显著性差异外，康复组脑卒中偏瘫患者经早期康复护理后的日常生活能力量表评分及康复1周后、康复2个月后Barthel指数评分均显著高于对照组（ P＜0.05）；总有效率康复组显著高于对照组（ P＜0.05）。结论：对脑卒中偏瘫患者施行早期康复临床护理干预有利于提高患者的自理能力，增强患者的自信心，减轻患者的痛苦，提高患者的生活质量，值得临床推广。