摘要
目的 探讨康复护理在神经外科重症患者中的应用效果.方法 选取2019年1月—2020年8月该院神经外科收治的79例重症患者,随机分为对照组(39例)和康复组(40例).对照组患者采用常规护理,康复组患者在此基础上采用康复护理.对比两组患者干预前、干预4周后的肢体功能、神经功能缺损程度和生活能力改善情况.结果 干预4周后,康复组的Fugl-Meyer运动功能评定上肢评分(57.36±4.58)分、下肢评分(26.98±5.87)分与总分(84.38±9.52)分均显著高于对照组,组间差异有统计学意义(P<0.05).干预4周后,康复组的美国国立卫生研究院卒中量表评分(19.26±6.25)分显著低于对照组,卡式功能状态评分标准评分(86.36±8.57)分显著高于对照组,组间差异有统计学意义(P<0.05).结论 神经外科重症患者采用康复护理,可有效降低患者的神经功能缺损程度,提升肢体功能和生活能力,有助于患者预后改善.
Objective To explore the application effect of rehabilitation nursing in critical patients of neurosurgery.Methods 79 critical patients of neurosurgery admitted in the neurosurgery department of the hospital from January 2019 to August 2020 were selected and randomly divided into a control group(39 cases)and a rehabilitation group(40 cases).Patients in the control group received routine nursing,and patients in the rehabilitation group received rehabilitation nursing on this basis.The improvement of limb function,neurological deficit and living ability of the two groups of patients before intervention and 4 weeks after intervention were compared.Results After 4 weeks of intervention,the upper limbs(57.36±4.58)points,lower limbs(26.98±5.87)points and total scores(84.38±9.52)points of the Fugl-Meyer assessment scores in the rehabilitation group were significantly higher than those in the control group,the differences between the groups were statistically significant(P<0.05).After 4 weeks of intervention,the score of the National Institute of Health stroke scale(19.26±6.25)points of the rehabilitation group was significantly lower than that of the control group,and the score of Karnofsky(86.36±8.57)points was significantly higher than that of the control group,the differences between the groups were statistically significant(P<0.05).Conclusion Rehabilitation nursing for critical patients of neurosurgery can effectively reduce the degree of neurological deficits,improve limb function and living ability,and help improve the prognosis of patients.
作者
刘素华
LIU Suhua(ICU of Zhengdong Campus of Zhengzhou People's Hospital,Zhengzhou Henan,450003,China)
出处
《反射疗法与康复医学》
2021年第14期168-171,共4页
Reflexology And Rehabilitation Medicine
关键词
神经外科
重症
康复护理
常规护理
神经功能缺损程度
生活能力
Neurosurgery
Critical nursing
Rehabilitation nursing
Routine nursing
Degree of neurological impairment
Living ability
作者简介
刘素华(1992-),女,河南驻马店人,本科,护师,研究方向:重症护理。
