早期康复护理对脑梗死患者神经功能缺损及日常生活能力的影响

摘要

Objective: To explore the effect of early rehabilitation nursing on neurological deifcit and daily life ability of patients with cerebral infarction.Methods: From January 2015 to August 2014, 60 cases of cerebral infarction were collected and randomly divided into an experiment group and a control group with 30 cases each. The control group was cared by the routine nursing, including diet guide and safety education. On the basis of the control group, the individualized rehabilitation nursing plan was made for the patients in the experiment group and the early rehabilitation training was carried on. The stroke scale score of the National Institutes of Health in the United States (NIHSS), Barthel index, quality of life and complication occurrence were observed in the patients.Results:The score of NIHSS and Barthel index of the experiment group were (4.55±0.99) and (50.91±8.55) points, respectively, and those of the control group were (10.24±2.22) and (7.41±1.04) points, respectively, and the difference between the groups was statistically signiifcant(P<0.05). The quality of life of the experiment group were higher than that of the control group(P<0.05). The total rate of complication of the experiment group were 13.33%(4/30) lower than that of the control group 43.33%(13/30), (P<0.05).Conclusion:Early rehabilitation nursing has positive effect on neurological deifcit and daily living ability of patients with cerebral infarction, and can improve the patient’s neurological deifcit and daily life ability.%目的：探讨早期康复护理对脑梗死患者神经功能缺损及日常生活能力的影响。方法：收集2014年8月—2015年1月收治的脑梗死患者60例，随机分为试验组和对照组各30例。对照组进行常规护理，包括饮食指导、安全教育等；试验组在对照组基础上，为患者制定个体化的康复护理计划，进行早期康复训练。观察患者美国国家卫生研究院脑卒中量表（NIHSS）评分、Barthel指数、生活质量、并发症发生情况。结果：随访6个月时，试验组NIHSS评分和Barthel指数分别为（4.55±0.99）分和50.91±8.55，对照组分别为（10.24±2.22）分和（7.41±1.04）分，组间差异有统计学意义（P＜0.05）。干预后试验组生活质量高于对照组（P＜0.05），并发症总发生率为13.33%（4/30），低于对照组的43.33%（13/30，P＜0.05）。结论：早期康复护理对脑梗死患者神经功能缺损及日常生活能力有积极影响，可改善患者神经功能缺损情况，提高患者的日常生活能力。