摘要
目的观察急性脑卒中患者采用综合康复护理的临床效果及对并发症的影响.方法选取该院2019年11月-2020年10月收治的98例急性脑卒中患者,按照随机双盲法分为基础组与康复组,每组49例.基础组采用常规基础护理,康复组在此基础上采用综合康复护理.对比两组患者的护理效果及并发症发生情况.结果康复组干预前的Fugl-Meyer评分、Barthel评分分别为(22.26±2.22)分、(32.61±4.34)分,与基础组的(22.13±2.17)分、(32.66±4.22)分比较,组间差异无统计学意义(P<0.05);康复组干预后的Fugl-Meyer评分、Barthel评分分别为(51.51±4.12)分、(59.47±4.15)分,均高于基础组的(35.29±4.08)分、(47.65±3.59)分,组间差异有统计学意义(P<0.05).康复组的并发症发生率10.2%低于基础组的34.7%,差异有统计学意义(P<0.05).康复组干预前的美国国立卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)评分为(17.75±5.06)分,与基础组的(17.64±4.91)分比较,差异无统计学意义(P<0.05);康复组干预后的NIHSS评分为(9.26±3.41)分,明显低于基础组的(14.19±3.29)分,差异有统计学意义(P<0.05).结论对急性脑卒中患者实施综合康复护理,不仅能改善患者肢体功能,提升其日常生活能力,还能有效减少并发症的发生,加速患者身体康复,值得在临床中推广应用.
Objective To observe the clinical effect of early rehabilitation nursing and its influence on complications in patients with acute stroke.Methods A total of 98 acute stroke patients admitted to this hospital from November 2019 to October 2020 were selected and divided into a basic group and a rehabilitation group according to a random double-blind method,with 49 cases in each group.The basic group adopted conventional basic nursing,and the rehabilitation group adapted comprehensive rehabilitation nursing on the basis of the basic group.The nursing effect and complications of the two groups of patients were compared.Results The Fugl-Meyer score and Barthel score of the rehabilitation group before intervention were(22.26±2.22)points and(32.61±4.34)points,respectively,compared with the basic group’s(22.13±2.17)points and(32.66±4.22)points,there were no statistically significant differences between the groups(P<0.05);the Fugl-Meyer score and Barthel score of the rehabilitation group after intervention were higher than those of the basic group,and the differences between the groups were statistically significant(P<0.05).The complication rate of 10.2%in the rehabilitation group was lower than 34.7%in the basic group,and the difference between the groups was statistically significant(P<0.05).The National Institute of Health stroke scale(NIHSS)score of the rehabilitation group before intervention was(17.75±5.06)points,which was not statistically different compared with the(17.64±4.91)points of the basic group(P<0.05);after intervention in the rehabilitation group,the NIHSS score was significantly lower than that of the basic group,and the difference was statistically significant(P<0.05).Conclusion Comprehensive rehabilitation nursing for patients with acute stroke can not only promote the limb function and improve their ability of daily living,but also effectively reduce the occurrence of complications and accelerate the speedy recovery of patients.It is worthy of promotion and application in clinical practice.
作者
魏代香
李莲娜
张霞
WEI Daixiang;LI Lianna;ZHANG Xia(Infection Management Office,Rizhao Central Hospital,Rizhao Shandong,276800,China)
出处
《反射疗法与康复医学》
2021年第13期175-178,共4页
Reflexology And Rehabilitation Medicine
关键词
急性脑卒中
综合康复护理
护理效果
并发症
Acute stroke
Comprehensive rehabilitation nursing
Nursing effect
Complications
