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早期康复护理对脑出血患者术后神经功能恢复及生活质量的影响分析 被引量:14

Effect of Early Rehabilitation Nursing on Neurological Recovery and Quality of Life in Patients with Cerebral Hemorrhage
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摘要 目的分析评价早期康复护理对脑出血患者术后神经功能恢复及生活质量的影响。方法该次将在该院接受治疗的脑出血患者100例纳入研究,入选时间为2018年2月—2019年1月,按随机数字表法分成两组,对照组50例采取常规护理方法,观察组50例采取早期康复护理方法,进一步对两护理效果进行比较。结果①在神经功能缺损量表(NIHSS)评分方面,护理前观察组为(20.85±2.46)分、护理后为(9.26±1.34)分;护理前对照组为(20.83±2.48)分、护理后为(14.58±1.32)分;两组护理前NIHSS评分差异无统计学意义(t=1.293,P>0.05);护理后,观察组明显低于对照组,两组之间的数据差异有统计学意义(t=5.276,P<0.05)。②经积极护理后,在活动能力、自理能力、情绪、思维、精力5项生活质量指标评分方面,观察组为(90.81±1.21)分、(91.65±1.34)分、(93.45±0.50)分、(92.60±1.32)分、(90.80±1.35)分,和对照组的(80.32±1.20)分、(82.45±1.36)分、(84.00±1.00)分、(81.68±1.46)分、(81.58±1.32)分对比均显著更高,两组之间的数据差异有统计学意义(t=10.283、9.278、8.764、8.256、8.276,P<0.05)。③观察组护理总满意度的94.00%和对照组的60.00%比较明显要高,两组数据差异有统计学意义(χ^2=12.375,P<0.05)。结论在临床中,针对脑出血手术患者,给予早期康复护理,能够使患者的术后神经功能得到有效恢复,并使患者的生活质量得到有效改善,进一步使患者对护理服务的满意度提升;因此,值得采纳及应用。 Objective To analyze and evaluate the effect of early rehabilitation nursing on postoperative neurological recovery and quality of life in patients with cerebral hemorrhage.Methods A total of 100 patients with cerebral hemorrhage who were treated in the hospital were included in the study.The enrollment time was from February 2018 to January 2019.They were divided into two groups according to the random number table method,and 50 patients in the control group were treated with conventional nursing methods.50 patients were treated with early rehabilitation nursing methods to further compare the effects of the two nursing methods.Results 1.In terms of neurological deficit scale(NIHSS)score,the observation group before nursing was(20.85±2.46)points,the nursing was(9.26±1.34)points;the control group before nursing was(20.83±2.48)points,nursing(14.58±1.32)points;there was no significant difference in the NIHSS scores between the two groups before nursing(t=1.293,P>0.05);after the nursing,the observation group was significantly lower than the control group,and the data between the two groups were significantly different(t=5.276,P<0.05).2.After active care,the observation group scored(90.81±1.21)points,(91.65±1.34)points,and(93.45±0.50)points in terms of five quality of life indicators for activity ability,self-care ability,emotion,thinking,and energy,(92.60±1.32)points,(90.80±1.35)points,and(80.32±1.20)points,(82.45±1.36)points,(84.00±1.00)points,(81.68±1.46)points,(81.58±1.32)points in the control group were significantly higher,and the data between the two groups were significantly different(t=10.283,9.278,8.764,8.256,8.276,P<0.05).394.00%of the total satisfaction of the nursing group in the observation group was significantly higher than 60.00%in the control group.There was a significant difference between the two groups of data statistically(χ^2=12.375,P<0.05).Conclusion In the clinic,early rehabilitation care for patients with cerebral hemorrhage surgery can effectively restore the patient's postoperative neurological function and effectively improve the patient's quality of life,further improving patient satisfaction with nursing services;It is worth adopting and applying.
作者 刘冬梅 LIU Dong-mei(Linyi Hot Spring Sanatorium of Coal,Shandong Province(Linyi Hedong Central Hospital),Linyi,Shandong Province,276000 China)
出处 《系统医学》 2020年第7期175-177,共3页 Systems Medicine
关键词 早期康复护理 脑出血 术后神经功能恢复 生活质量 影响 Early rehabilitation nursing Cerebral hemorrhage Postoperative neurological recovery Quality of life Impact
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