摘要
目的观察早期康复与护理对急性脑卒中偏瘫患者牛津残障评分(OHS)、日常生活活动能力(ADL)、肢体运动功能(FM)、神经功能缺损(AS)、抑郁水平(SDS)的影响。以及患者和家属对护理工作的满意度。方法 90例急性脑卒中患者随机分为治疗组与对照组,均接受神经内科常规治疗与护理,对照组在此基础上进行早期康复与康复护理;比较两组1个月后的社会功能评价(OHS评分)、日常生活能力评价(ADL评分采用Barthel指数)、肢体运动功能(FM)、神经功能缺损(AS)、抑郁水平(SDS)及患者和家属对护理工作的满意度。结果两组患者BI、OHS、FM、AS评分对照组改善优于治疗组;SDS得分明显低于治疗组;在满意度方面对照组明显有余治疗组。结论早期康复训练与康复护理能促进患者康复,有助于提高患者的自理能力,改善护患关系,值得临床推广。
Objective To observe the early rehabilitation and care of acute stroke patients with hemiplegia Oxford disability score (OHS), activities of daily living ability(ADL),limb motor function (FM),neurological deficit (AS),the level of depression (SDS).As well as patient and family satisfaction with nursing work.Methods 90 cases of acute stroke patients were randomly divided into a treatment group and the control group underwent conventional treatment and care of the Department of Neurology,the control group on the basis of early rehabilitation and rehabilitation care;Were compared between the two groups after a social function evaluation (OHS score),daily living skills evaluation (ADL was assessed with the Barthel Index),limb motor function (FM),neurological deficit(AS),the level of depression (SDS) and the patients.Results The two groups of patients BI,OHS,FM,the AS score control group improved better than the treatment group;The SDS score significantly lower than the treatment group;Satisfaction control group was significantly more than the treatment group.Conclusion Early rehabilitation training and rehabilitation care to promote the rehabilitation of patients,and help to improve the ability of the patient 's self-care,and to improve the nurse-patient relationship,worthy of promotion.
出处
《求医问药(下半月)》
2013年第6期257-259,共3页
Seek Medical and Ask The Medicine
关键词
脑卒中
偏瘫
早期康复
康复护理
Stroke hemiplegia Early rehabilitation Rehabilitation care