路径式早期康复护理对脑卒中后偏瘫患者患肢功能恢复及生活质量的影响

摘要

目的:探讨路径式早期康复护理对脑卒中后偏瘫患者患肢功能恢复及生活质量的影响.方法:以我院康复科收治的84例脑卒中后偏瘫患者为研究对象,采用随机数字表等分为对照组和观察组,对照组采用常规康复护理,观察组采用路径式早期康复护理,均干预12周.采用美国国立卫生院神经缺损评分量表(NIHSS)及Fugl-Meyer运动功能评分评估干预前后两组患者患肢功能恢复情况,并根据Barthel指数评分评价干预前后两组患者的生活质量,记录两组患者的治疗效果、住院时间及住院费用.结果:观察组患者临床疗效优于对照组(P<0.05).干预后观察组患者的NIHSS评分、Fugl-Meyer评分明显优于对照组(P<0.05),Barthel指数明显高于对照组(P<0.05).观察组患者住院时间短于对照组(P<0.05),住院费用低于对照组(P<0.05).结论:路径式早期康复护理可有效改善脑卒中后偏瘫患者神经功能缺损症状,缩短住院时间,促进其患侧肢体功能恢复,提高其日常生活能力,改善生活质量.%Objective: To explore the effect of path-type early rehabilitation nursing on affected limb ' s functional recovery and life quality of the hemiple-gic patients after stroke.Methods:Selected 84 cases of hemiplegic patients after stroke admitted to Rehabilitation Department of our hospital as the objects of study, and they were equally divided into control group and observation group according to random number table method .Routine rehabilitation nursing was given to the control group, path-type early rehabilitation nursing was given to the observation group , and both had an intervention period of 12 weeks. The patients from the two groups were evaluated for their affected limb ' s functional recovery conditions with National Institute of Health stroke scale ( NIH-SS) and Fugl-Meyer before and after the intervention, and for their life quality with Barthel before and after the intervention, and also the therapeutic effect, hospital stay and hospital fees of the patients from two groups were recorded .Results:The patients from the observation group were superior to those from the control group in clinical curative effect(P<0.05).After the intervention, the patients from the observation group were superior to those from the control group in NIHSS score and Fugl -Meyer score(P<0.05), and the patients from observation group had a significantly Barthel value than those from the control group(P<0.05).The patients from observation group had shorter hospital stay (P<0.05)and lower hospital fees than those from control group ( P<0 .05 ) .Conclusion: Path-type early rehabilitation nursing could effectively improve the neurologic impairment symptoms of the hemiplegic patients after stroke, shorten their hospital stay, promote their affected limb's functional recovery, improve their activity of daily living, and improve their life quali-ty.