個性化康復護理對腦梗死患者的效果及對其神經功能、生活質量的影響評價

黃小惠　林清蘭　陳冬桂

【摘要】 目的 探討個性化康復護理對腦梗死患者的效果及對其神經功能、生活質量的影響。

方法 140例腦梗死患者， 隨機分為對照組和觀察組， 每組70例。對照組患者采取常規護理， 觀察組患者在常規護理的基礎上采取個性化康復護理。比較兩組患者干預前后生活自理能力、生活質量、神經功能缺損情況。結果 護理后1、2、3個月， 兩組患者Barthel指數（MBI）評分均高于本組護理前， 且觀察組患者高于對照組， 差異具有統計學意義（P<0.05）。護理后1、2、3個月， 兩組患者生活質量量表（QOL）評分均高于本組護理前， 且觀察組患者高于對照組， 差異具有統計學意義（P<0.05）。護理后3個月， 兩組患者美國國立衛生研究院卒中量表（NIHSS）評分均低于本組護理前， 且觀察組患者（10.00±3.60）分低于對照組的（19.90±3.20）分， 差異具有統計學意義（P<0.05）。結論 個性化康復護理對腦梗死患者神經功能的改善效果顯著， 對提高患者的生活質量起著重要的作用， 應用價值高。

【關鍵詞】 個性化康復護理;腦梗死;神經功能;生活質量;效果

DOI：10.14163/j.cnki.11-5547/r.2019.20.066

Evaluation on effect of individualized rehabilitation nursing on cerebral infarction patients and its influence on neurological function and quality of life? ?HUANG Xiao-hui， LIN Qing-lan， CHEN Dong-gui. Guangdong Leizhou Peoples Hospital， Leizhou 524200， China

【Abstract】 Objective? ?To discuss the effect of individualized rehabilitation nursing on cerebral infarction patients and its influence on neurological function and quality of life. Methods? ?A total of 140 cerebral infarction patients were randomly divided into control group and observation group， with 70 cases in each group. The control group received conventional nursing， and the observation group received individualized rehabilitation nursing on the basis of conventional nursing. Comparison were made on self-care ability， quality of life and neurological deficits before and after intervention between the two groups. Results? ?After 1， 2 and 3 months of nursing， both groups had higher modified Barthel index （MBI） score score than those before nursing， and the observation group was higher than the control group. Their difference was statistically significant （P<0.05）. After 1， 2 and 3 months of nursing， both groups had higher quality of life （QOL） score than those before nursing， and the observation group was higher than the control group. Their difference was statistically significant （P<0.05）. After nursing， both groups had lower National Institutes of Health stroke scale （NIHSS） score than that before nursing， and the observation group had lower score as （10.00±3.60） points than （19.90±3.20） points in the control group. Their difference was statistically significant （P<0.05）. Conclusion? ?Individualized rehabilitation nursing has a significant effect on improving neurological function of patients with cerebral infarction， and it plays an important role in improving the quality of life of patients. It has high application value.