康复护理干预对老年脑卒中病人日常生活活动的影响  

Influence of rehabilitative nursing intervention on activities of daily living of senile cerebral apoplexy patients

作　　者：朱建玲[1] 廖亮华[2] 陈树丹[1] 张丽君[1] 江兴妹[2] 

机构地区：[1]广东省惠州市中心人民医院,516001 [2]广东省惠州市中心医院,516001

出　　处：《护理研究（上旬版）》2006年第4期890-892,共3页Chinese Nursing Researsh

基　　金：广东惠州市卫生局科研项目(2005;No;162-12)。

摘　　要：[目的]探讨早期康复护理治疗对老年脑卒中病人运动功能、日常生活活动(ADL)能力恢复的影响。[方法]随机将70例脑卒中病人分为干预组和对照组各35例,两组病人采用相同的药物治疗,干预组在病人生命体征稳定3d^7d后进行康复护理治疗,采用Bobath和Rood技术训练。采用Brunnstrom分级评定、简式Fugl-Meyer(FMA)运动评分、改良的巴式指数(MBI)进行康复评价。[结果]Brunnstrom、FMA、MBI评分在治疗前两组病人差异无统计学意义(P>0.05),治疗后较治疗前改善明显(P<0.01),干预组优于对照组(P<0.05)。[结论]康复护理治疗可明显促进运动功能、ADL能力恢复,但干预组疗效优于对照组。Objective： To probe into the influence of early rehabilitative nursing care and treatment on the recovery of both motor function and activities of dai- ly living （ADL） of senile cerebral apoplexy patients. Method： A total of 70 cerebral apoplexy patients were divided into test and control group randomly and equally （35 cases each）. Patients of both groups were accepted the same drug therapy. While patients of the test group were offered rehabilitative nursing therapy after 3 to 7 days of vital signs stable, as well as Bobath and Rood skill training. Rehabilitations of all cases were evaluated by adopting Brunnstrom grading scale, simplified Fugl- Meyer motion scoring and modified Barthel index （MBI）. Result： In terms of the Brunnstrom grading scale, FMA and MBI of patients, there was no significant difference between the two groups before treatment （P 〉0.05）. The Brunnstrom grading scale, FMA and MBI of both groups patients had been improved obviously after the therapy compared with that of before treatment （P 〈 0.01 ）. Brunnstrom grading scale, FMA and MBI in test group cases were better than that of control patients （P 〈 0.05 ）. Conclusion： Rehabilitative nursing therapy could promote both the motor function and the recovery of ADL for senile cerebral apoplexy patients.

关 键 词：康复护理 脑卒中 日常生活 活动能力 

分 类 号：R473.74[医药卫生—护理学]