摘要
目的:探讨早期功能训练联合刺激性干预在脑挫裂伤患者护理中的应用效果。方法:便利选取2022年1月1日~2024年2月29日收治的98例脑挫裂伤患者作为研究对象,按入院顺序将2022年1月1日~2023年1月31日收治的49例患者作为对照组,将2023年2月1日~2024年2月29日收治的49例患者作为观察组,对照组行常规护理,观察组行早期功能训练联合刺激性干预;比较两组清醒情况、不良事件发生情况,两组干预前、干预15 d后日常生活能力[采用日常生活能力量表(ADL)]、神经功能恢复情况[采用格拉斯哥昏迷量表(GCS)]及肢体运动功能[采用Fugl-Meyer上肢运动功能评估量表(FMA-UE)]。结果:干预15 d后,观察组GCS、ADL及FMA-UE评分均高于对照组(P<0.01);观察组清醒率高于对照组(P<0.01),不良事件发生率低于对照组(P<0.01)。结论:早期功能训练联合刺激性干预应用于脑挫裂伤患者中可促进清醒,提高日常生活能力,促进神经及运动功能恢复,降低相关不良事件发生率。
Objective:To explore the effect of early functional training combined with stimulation intervention in nursing care of patients with cerebral contusion and laceration.Methods:A total of 98 patients with cerebral contusion and laceration,admitted from January 1,2022 to February 29,2024,were conveniently selected as the research objects.According to the order of admission,49 patients admitted from January 1,2022 to January 31,2023 were selected as the control group,and the other 49 patients admitted from February 1 to February 29,2024 were selected as the observation group.The control group was given routine nursing care,and the observation group was provided early functional training combined with stimulation intervention.The waking state and the occurrence of adverse events,and the activities of daily living(ADL),neurological function recovery(GCS)and limb motor function(FMA-UE)before intervention and 15 days after intervention were compared between the two groups.Results:After 15 days of intervention,the GCS,ADL and FMA-UE scores in the observation group were higher than those in the control group(P<0.01).The awakening rate of the observation group was higher than that of the control group(P<0.01),and the incidence of adverse events was lower than that of the control group(P<0.01).Conclusion:Application of early functional training combined with stimulation intervention in patients with cerebral contusion and laceration can promote wakefulness,improve activity of daily living,promote the recovery of nerve and motor function,and can reduce the incidence of related adverse events.
作者
高娜
王井荣
张红彦
姜桂玲
郑红玉
Gao Na;Wang Jingrong;Zhang Hongyan(The Second Affiliated Hospital of Shandong First Medical University,Tai′an Shandong 271000,China)
出处
《齐鲁护理杂志》
2024年第20期34-37,共4页
Journal of Qilu Nursing
基金
泰安市科技创新发展项目(编号:2022NS272)。
关键词
早期功能训练
刺激性干预
脑挫裂伤
功能障碍
Early functional training
Stimulating intervention
Cerebral contusion and laceration
Dysfunction
