24h内康复护理对缺血性脑卒中偏瘫患者神经及肢体功能的影响(1)
[摘要]目的 探讨24 h内康复护理对缺血性脑卒中(CIS)偏瘫患者神经及肢体功能的影响。方法 选择2017年8月～2018年8月我院收治的80例CIS偏瘫患者，按照随机数字法分为对照组和观察组，每组各40例。对照组实施常规护理，观察组实施超早期康复护理，即在发病后24 h内，患者生命体征平稳时进行干预，比较两组干预后生活习惯、干预后两组负面心理状况、统计两组干预前后神经功能欧洲脑卒中(ESS)评分及生活质量改良Barthel指数变化情况。结果 干预后，观察组焦虑、抑郁等负面心理状况的总发生率显著低于对照组(P<0.05)，观察组神经功能ESS评分高于对照组(P<0.05)，观察组生活质量改良Barthel指数高于对照组(P<0.05)。结论 对CIS患者实施超早期(24 h内)康复护理干预，对改善患者心理状况，促进神经功能恢复，提高生活质量有积极意义。
[关键词]超早期;康复护理;缺血性脑卒中;偏瘫;神经功能;肢体功能
[中图分类号] R473.74 [文献标识码] A [文章编号] 1674-4721(2019)6(b)-0248-03
[Abstract] Objective To investigate the effect of 24 h rehabilitation nursing on hemiplegic nerve and limb function with ischemic stroke (CIS). Methods A total of 80 cases with CIS hemiplegia admitted in our hospital from August 2017 to August 2018 were selected and divided into the control group and the observation group according to random number table method， 40 cases in each group. The control group were received routine nursing， the observation group were implemented ultra-early rehabilitation nursing， the intervention of the vital signs within 24 hours after disease， the living habits with the two groups after intervention， the adverse psychological status of the two groups after intervention， and the interventions were compared. Pre-and post-neural function European stroke score (ESS) and changes in life quality of Barthel index were used. Results After intervention， the total proportion of adverse psychological conditions such as anxiety and depression in the observation group were lower than control group(P<0.05). The neurological ESS score in the observation group was higher than that of the control group (P<0.05). The modified Barthel index was higher than that of the control group (P<0.05). Conclusion The implementation of ultra-early (24 hour) rehabilitation nursing intervention for patients with CIS has positive effects to improve patients′ psychological status and promote neurological recovery and improve life quality.
[Key words] Super early; Rehabilitation nursing; Ischemic stroke; Hemiplegia; Nerve function; Limb function
缺血性腦卒中(CIS)后最常见的并发症为肢体偏瘫，患者因肢体功能突发障碍及可能存在语言障碍等[1]，而出现明显的心理、生理变化，甚至导致患者失去生活信心，拒绝治疗，进而产生焦虑、抑郁甚至轻生心理。针对此类患者的护理干预，尤其是早期护理干预对患者预后起到十分重要的影响[2]。康复治疗学理念认为，CIS患者其大脑神经组织的可塑性较强，通过有效的康复干预对重组神经功能，改善患者生活质量[3]，提高其生理功能均有积极影响。建议对CIS患者在其生命体征平稳后12 h内及时开展康复护理干预，以利于扭转患者负面心理情绪，促进神经功能恢复[4]。在实施有效心理护理同时进行早期甚至超早期的康复护理干预已经成为目前研究的重点。本研究主要总结对CIS中偏瘫患者在24 h内实施超早期护理干预的临床经验，现报道如下。, 百拇医药(吴丽华)
[关键词]超早期;康复护理;缺血性脑卒中;偏瘫;神经功能;肢体功能
[中图分类号] R473.74 [文献标识码] A [文章编号] 1674-4721(2019)6(b)-0248-03
[Abstract] Objective To investigate the effect of 24 h rehabilitation nursing on hemiplegic nerve and limb function with ischemic stroke (CIS). Methods A total of 80 cases with CIS hemiplegia admitted in our hospital from August 2017 to August 2018 were selected and divided into the control group and the observation group according to random number table method， 40 cases in each group. The control group were received routine nursing， the observation group were implemented ultra-early rehabilitation nursing， the intervention of the vital signs within 24 hours after disease， the living habits with the two groups after intervention， the adverse psychological status of the two groups after intervention， and the interventions were compared. Pre-and post-neural function European stroke score (ESS) and changes in life quality of Barthel index were used. Results After intervention， the total proportion of adverse psychological conditions such as anxiety and depression in the observation group were lower than control group(P<0.05). The neurological ESS score in the observation group was higher than that of the control group (P<0.05). The modified Barthel index was higher than that of the control group (P<0.05). Conclusion The implementation of ultra-early (24 hour) rehabilitation nursing intervention for patients with CIS has positive effects to improve patients′ psychological status and promote neurological recovery and improve life quality.
[Key words] Super early; Rehabilitation nursing; Ischemic stroke; Hemiplegia; Nerve function; Limb function
缺血性腦卒中(CIS)后最常见的并发症为肢体偏瘫，患者因肢体功能突发障碍及可能存在语言障碍等[1]，而出现明显的心理、生理变化，甚至导致患者失去生活信心，拒绝治疗，进而产生焦虑、抑郁甚至轻生心理。针对此类患者的护理干预，尤其是早期护理干预对患者预后起到十分重要的影响[2]。康复治疗学理念认为，CIS患者其大脑神经组织的可塑性较强，通过有效的康复干预对重组神经功能，改善患者生活质量[3]，提高其生理功能均有积极影响。建议对CIS患者在其生命体征平稳后12 h内及时开展康复护理干预，以利于扭转患者负面心理情绪，促进神经功能恢复[4]。在实施有效心理护理同时进行早期甚至超早期的康复护理干预已经成为目前研究的重点。本研究主要总结对CIS中偏瘫患者在24 h内实施超早期护理干预的临床经验，现报道如下。, 百拇医药(吴丽华)