早期康復(fù)護(hù)理在提高腦卒中偏癱患者運(yùn)動(dòng)功能和日常生活活動(dòng)中的作用

鄒艷輝　崔麗萍　彭菊華　黃定玉

[摘要] 目的 研究早期康復(fù)護(hù)理在提高腦卒中偏癱患者運(yùn)動(dòng)功能和日常生活活動(dòng)中的作用。 方法 方便選取2018年1—12月期間于該院進(jìn)行治療的腦卒中偏癱464例患者，按隨機(jī)數(shù)表法分為實(shí)驗(yàn)組和對(duì)照組，每組232例，對(duì)照組予患者常規(guī)護(hù)理，實(shí)驗(yàn)組予患者早期康復(fù)護(hù)理，對(duì)比兩組患者肢體功能評(píng)分、生活自理能力、生存質(zhì)量評(píng)分及不良反應(yīng)發(fā)生率。 結(jié)果 實(shí)驗(yàn)組患者經(jīng)治療后肢體功能評(píng)分、生活自理能力、生存質(zhì)量評(píng)分高于對(duì)照組，兩組比較差異有統(tǒng)計(jì)學(xué)意義（P<0.05）;且實(shí)驗(yàn)組不良反應(yīng)發(fā)生率7.76%顯著低于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（χ2=12.585，P<0.05）。 結(jié)論 早期康復(fù)護(hù)理腦卒中偏癱患者能改善患者肢體運(yùn)動(dòng)功能，提高患者生活自理能力，進(jìn)而提高患者的生存質(zhì)量，且安全有效，值得臨床應(yīng)用。

[關(guān)鍵詞] 早期康復(fù)護(hù)理;腦卒中偏癱;運(yùn)動(dòng)功能;生活自理能力

[中圖分類號(hào)] R473.74 ? ? ? ? ?[文獻(xiàn)標(biāo)識(shí)碼] A ? ? ? ? ?[文章編號(hào)] 1674-0742（2020）04（c）-0127-03

The Role of Early Rehabilitation Nursing in Improving Motor Function and Daily Life Activities of Patients with Stroke and Hemiplegia

ZOU Yan-hui， CUI Li-ping， PENG Ju-hua， HUANG Ding-yu

Shenzhen Nanshan People's Hospital， Shenzhen， Guangdong Province， 518052 China

[Abstract] Objective To study the role of early rehabilitation nursing in improving motor function and daily life activities of patients with stroke and hemiplegia. Methods A total of 464 patients with stroke and hemiplegia who were treated in our hospital from January to December 2018 were convenient selected and divided into experimental group and control group according to the random number table method， with 232 cases in each group. The control group was given routine care， the experimental group was given early rehabilitation and nursing care. The limb function scores， self-care ability， quality of life score， and incidence of adverse reactions were compared between the two groups. Results The scores of limb function， self-care ability， and quality of life of the experimental group were higher than those of the control group after treatment， and the differences between the two groups were statistically significant （P<0.05）. The incidence of adverse reactions in the experimental group was 7.76%， which was significantly lower than the control group （χ2=12.585， P<0.05）. Conclusion Early rehabilitation nursing of patients with stroke and hemiplegia can improve the patient's limb movement function， improve the patient's self-care ability， and then improve the patient's quality of life. It is safe and effective and worthy of clinical application.

[Key words] Early rehabilitation nursing; Stroke hemiplegia; Motor function; Life self-care ability

腦卒中是由于腦血管阻塞或破裂導(dǎo)致的腦部血液循環(huán)障礙，進(jìn)而引起的局部或全腦功能異常，可導(dǎo)致偏癱等功能障礙，影響患者的運(yùn)動(dòng)功能和日常生活自理能力，嚴(yán)重者可導(dǎo)致死亡[1]。近年來(lái)隨著社會(huì)經(jīng)濟(jì)的不斷發(fā)展，腦卒中的治療水平不斷提高，死亡率隨之下降[2]，但臨床中對(duì)于早期康復(fù)護(hù)理的認(rèn)識(shí)較差，影響患者預(yù)后，增加患者的致殘率，進(jìn)而給患者生活帶來(lái)諸多不便[3]。近年來(lái)，早期康復(fù)護(hù)理凸顯出其優(yōu)勢(shì)，因此該院方便選取2018年1—12月收治的464例患者為研究對(duì)象，采用早期康復(fù)護(hù)理腦卒中偏癱患者取得了較好的效果，現(xiàn)報(bào)道如下。

1 ?資料與方法

1.1 ?一般資料

方便選取該院進(jìn)行治療的腦卒中偏癱464例患者為研究對(duì)象。納入標(biāo)準(zhǔn)：①根據(jù)臨床表現(xiàn)、頭CT或MRI檢查，符合腦卒中診斷標(biāo)準(zhǔn)者;②均為首次發(fā)病，伴肢體功能障礙者;③格拉斯昏迷量表評(píng)分≥8分;④患者既往無(wú)認(rèn)知功能障礙;⑤患者依從性好。……