摘要
目的观察早期良肢位摆放标识联合分期Brunnstrom康复训练在脑卒中偏瘫患者中的护理效果。方法选择2019年6月—2020年12月该院收治的60例脑卒中偏瘫患者,根据护理方法不同将其分为两组,每组30例。对照组采用常规护理和康复训练,观察组采用早期良肢位摆放标识联合分期Brunnstrom康复训练。比较两组患者干预前后的美国国立卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)评分、肢体运功功能评定量表(Fugl-Meyer assessment,FMA)评分、Brunnstrom分期运动功能及健康调查简表(the MOS item short from health survey,SF-36)评分,比较两组并发症总发生率。结果干预后,观察组的NIHSS评分低于对照组,FMA评分高于对照组,组间差异有统计学意义(P<0.05)。干预后,观察组的BrunnstromⅠ~Ⅱ期患者比例低于对照组,而Ⅲ~Ⅳ期及Ⅴ~Ⅵ期患者比例均高于对照组,组间差异有统计学意义(P<0.05)。干预后,观察组的SF-36评分高于对照组,差异有统计学意义(P<0.05)。干预后,观察组并发症总发生率为6.67%,低于对照组的43.33%,差异有统计学意义(P<0.05)。结论早期良肢位摆放标识联合分期Brunnstrom康复训练能有效提高脑卒中偏瘫患者的肢体能力,改善其运动功能,预防并发症,提高生存质量。
Objective To observe the nursing effect of early stage good limb placement signs combined with staged Brunnstrom rehabilitation training in stroke hemiplegic patients.Methods 60 patients with stroke hemiplegia admitted to the hospital from June 2019 to December 2020 were selected.They were divided into two groups according to different nursing methods,with 30 cases in each group.The control group used conventional nursing and rehabilitation training,and the observation group used early stage good limb position placement signs combined with staged Brunnstrom rehabilitation training.The National Institute of Health stroke scale(NIHSS)scores,Fugl-Meyer assessment(FMA)scores,Brunnstrom staging motor function,and the MOS item short from health survey(SF-36)scores were compared before and after the intervention in the two groups,and the total incidence of complications was compared between the two groups.Results After the intervention,the NIHSS score of the observation group was lower than that of the control group,while the FMA score was higher than that of the control group,and the differences between the groups were statistically significant(P<0.05).After the intervention,the proportion of patients with Brunnstrom stage I-II was lower than that of the control group,while the proportion of patients with stage III-IV and V-VI were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).After the intervention,the SF-36 score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After the intervention,the total incidence of complications was 6.67%in the observation group,which was lower than that of 43.33%in the control group,and the difference was statistically significant(P<0.05).Conclusion Early stage good limb placement signs combined with staged Brunnstrom rehabilitation training intervention can effectively improve limb capacity,improve motor function,prevent complications,and improve the quality of survival in stroke patients with hemiplegia.
作者
刘庆
彭帅芳
盛妮
LIU Qing;PENG Shuaifang;SHENG Ni(Department of acupuncture,massage and rehabilitation,Zhaoqing Hospital of Traditional Chinese medicine,Zhaoqing Guangdong,526020,China)
出处
《反射疗法与康复医学》
2021年第6期166-169,共4页
Reflexology And Rehabilitation Medicine
作者简介
刘庆(1981-),女,湖南常德人,本科,主管护师,研究方向:康复医学。
