摘要
目的:分析康复护理对脑卒中后偏瘫患者神经功能、日常生活能力和睡眠质量的影响。方法:选取2018年4月至2019年6月蚌埠市第一人民医院神经内科收治的脑卒中后偏瘫患者64例作为研究对象,按照随机数字表法分为观察组和对照组,每组32例,对照组给予常规护理,观察组在对照组的基础上应用康复护理,通过上肢运动功能测评(FMA)比较2组上肢功能的改善情况,通过日常生活活动评分(ADL)比较2组日常活动能力的差异,通过美国国立卫生院神经功能缺损量表(NIHSS)比较2组神经功能改善的情况,采用匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)量表比较2组睡眠改善情况。结果:观察组患者康复总有效率(93.8%)显著高于对照组(68.8%),FMA、ADL评分高于对照组,NIHSS以及PSQI评分低于对照组,足外翻(9.4%)、肩手综合征发生率(6.3%)低于对照组(31.3%、28.1%),2组比较差异均有统计学意义(均P<0.05)。结论:对脑卒中后偏瘫患者实施康复护理有助于提升其治疗效果,利于改善其机体功能,并预防相关后遗症的发生,此护理模式值得临床推广使用。
Objective:To analyze the effects of rehabilitation nursing on neurological function,daily living ability and sleep quality of patients with hemiplegia after stroke.Methods:A total of 64 patients with post-stroke hemiplegia admitted to the Department of Neurology of Benbu First People′s Hospital from April 2018 to June 2019 were selected as the research subjects.They were divided into the observation group and the control group according to the random number table method,with 32 patients in each group.The control group was given routine nursing,and the observation group was given rehabilitation nursing.The improvement of upper limb function between the two groups was compared by Fugl-Meyer Motor Function Assessment(FMA)method,and the difference of daily living ability between the two groups was compared by Activity of Daily Living(ADL)score.The improvement of neurological function between the two groups was compared by the National Institute of Health Stroke Scale(NIHSS).Pittsburgh Sleep Quality Index(PSQI)was used to compare the sleep improvement between the two groups.Results:The total effective rate(93.8%)of the observation group was significantly higher than that of the control group(68.8%),FMA and ADL scores were higher than those of the control group,NIHSS and PSQI scores were lower than those of the control group,and the incidence of foot valgus(9.4%)and shoulder-hand syndrome(6.3%)were lower than that of the control group(31.3%,28.1%).There were statistically significant differences between the two groups(P<0.05).Conclusion:Rehabilitation nursing for patients with hemiplegia after stroke is helpful to improve the therapeutic effect,enhance the body function,and prevent the occurrence of related sequelae.This nursing model is worthy of clinical reference and promotion.
作者
占金玲
ZHAN Jinling(Bengbu First People′s Hospital,Bengbu 233000,China)
出处
《世界睡眠医学杂志》
2021年第11期1995-1997,共3页
World Journal of Sleep Medicine
关键词
神经内科
康复护理
脑卒中
偏瘫
Department of neurology
Rehabilitation nursing
Stroke
Hemiplegia
