摘要
目的研究对脑卒中(CS)偏瘫患者给予早期康复护理干预的临床效果,以及对其肢体功能恢复的影响。方法自2019年1月至2021年1月在驻马店市中心医院选取122例CS偏瘫患者,使用随机数字表法将患者分为A、B两组,各61例,采取早期康复护理干预为A组,采取常规护理干预为B组,干预后以汉密尔顿焦虑、抑郁(HAMA、HAMD)量表评估两组患者心理状态,日常活动能力(ADL)评估两组患者自理能力,Fugl-Meyer运动功能评定量表(FMA)分析肢体功能,脑卒中专用生活质量量表(SS-QOL)对比两组生活质量,功能性步行量表(FAC)分析步行能力,并观察两组患者并发症发生情况。结果干预前A、B两组患者HAMA、HAMD、ADL、FMA、SS-QOL评分与FAC分级对比差异无统计学意义(P>0.05);干预后与B组相比,A组指标均优,差异具有统计学意义(P<0.05)。两组患者并发症包括足内翻、肩手综合征以及关节半脱位等。A组并发症发生率明显低于B组,差异有统计学意义(P<0.05)。结论CS偏瘫患者早期给予康复护理干预能有效改善患者心理状态,显著提升患者自理能力,改善其肢体功能,促使其步行功能改善,进而改善预后,提高患者生活质量,减少并发症,值得借鉴。
Objective Research on the clinical effect of intervention by early recovery nursing on hemiplegic patients with cerebral stroke(CS)and the influence on the functional recovery of limbs and trunks.Methods 122 cases of CS hemiplegic patients are selected from the central hospital of Zhumadian City from January 2019 to January 2021,apply the method of random numbers to divide the patients into two groups of A and B with 61 cases in each group,apply the intervention of early recovery nursing for group A,apply intervention of regular nursing for group B,evaluate the mental status of the patients in the two groups with the HANA and HAMD scale after intervention,evaluate the self-help skills of patients in the two groups with ADL,analyze the limb function with the FMA of Fugl-Meyer movement,compare the life quality of the two groups with the SS-QOL,analyze the walking ability with FAC and observe the occurrence rate of complication for patients in the two groups.Results There is no statistical significance for the difference by the comparison of the scores of HAMA,HAMD,ADL,FMA,SS-QOL for the patients in the two groups of A and B and the FAC classification(P>0.05)before intervention;There is statistical significance for the difference as the indexes of group A are all better than that of group B after intervention.(P<0.05).The complications of the patients in the two groups include strephenopodia,shoulder-hand syndrome,and subluxation of joint.The occurrence rate of complications in group A is apparently lower than that in group B for which there is statistical significance for the difference(P<0.05).Conclusion The intervention of early recovery nursing for CS hemiplegic patients effectively improves the mental status of the patients,significantly improves their self-help ability and their limb function so that their walking function can be improved which further improves their prognosis and the life quality of patients and reduces the complications for which it is worthwhile to reference.
作者
李萌
LI Meng(Department of rehabilitation medicine,Zhumadian Central Hospital,Zhumadian Henan 463700,China)
出处
《临床研究》
2021年第12期136-139,共4页
Clinical Research
关键词
早期康复护理干预
脑卒中
偏瘫
intervention by early recovery nursing
cerebral stroke
hemiplegic
作者简介
李萌(1989-),女,汉族,河南驻马店人,护师,本科。研究方向:康复护理。
