舒适护理干预对脑卒中患者神经功能早期康复的效果观察  

Effect of Comfort Care on Cerebral Apoplexy Nerve Function Rehabilitation

作　　者：王敏[1] 董英[1] 孙永霞[1] 郑翠萍[1] 

机构地区：[1]滨州市中心医院神经内科,山东滨州251700

出　　处：《解放军护理杂志》2006年第3期1-3,共3页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的观察舒适护理在脑卒中患者神经功能早期康复中的应用效果,提高患者生活和生存质量。方法选取脑卒中患者82例,随机分为康复组(n=42)和对照组(n=40),康复组采用舒适护理加常规护理模式对患者进行早期神经功能康复训练,对照组应用常规护理模式。分别于入院时和入院后4周对患者进行Barthel指数评定和Fegl-M eyer积分对比。结果康复组在日常生活能力(P<0.05)和运动功能(P<0.01)方面明显优于对照组,两组对比有显著性差异。结论脑卒中患者入院后及早实施舒适护理干预,并贯穿于环境、心理、生理、社会等多个方面,可最大程度地提高护理质量,促进患者康复。Objective To investigate the effect of comfort care on the early rehabilitation of nerve function of patients with cerebral apoplexy, so as to improve the clients＇ quality of life. Methods Eighty-two patients with cerebral apoplexy were randomly divided into 2 groups ： the rehabilitation group （ n = 42） and the control group （ n =40）. The comfortable nursing mode matching the routine nursing mode was used in the rehabilitation group to facilitate early rehabilitation of nerve function ; while only the routine nursing mode was used in the control group. Both groups were evaluated with Barthel index and Fegl-Meyer overall score when the patients admitted into the hospital and 4 weeks after admission. Results The activity of daily living （ P 〈 0.05 ） and motor function （ P 〈 0.01 ） of the patients in the rehabilitation group were significantly better than those in the control group. And there was a significant difference between the two groups . Conclusion Early comfort care could benefit to promote the nerve function rehabilitation for patients with cerebral apoplexy and to improve the patients＇ activity of daily living and quality of life.

关 键 词：舒适护理干预 脑卒中 神经功能 早期康复 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]