综合康复护理干预对颅脑外伤患者功能恢复和预后的影响  

Effect of Integrated Rehabilitation Nursing Interventions on Functional Recovery and Prognosis in Brain Injury

作　　者：林白云[1] 刘平[1] 

机构地区：[1]湖南省桃江县人民医院,湖南桃江413400

出　　处：《中国现代医生》2009年第17期69-71,共3页China Modern Doctor

摘　　要：目的探讨综合康复护理对颅脑外伤患者功能恢复及预后的影响。方法将180例颅脑外伤患者随机分为对照组和观察组各90例。对照组接受常规治疗和护理;观察组在此基础上实施包括体位护理、康复训练、认知行为干预和心理护理在内的综合康复护理干预。比较两组患者干预前后的神经功能缺损程度(NFD)、Fugl-Meyer量表(FMA)和改良Barthel指数(MBI),并随访两组患者颅脑损伤6个月内并发症的发生情况。结果干预后观察组患者的NFD评分明显低于对照组,而FMA和MBI明显高于对照组,差异有统计学意义(t=7.577,6.860,8.090,P<0.01)。随访期间观察组肺部感染、应激性溃疡和褥疮等并发症发生率明显低于对照组,差异有统计学意义(χ2=11.025,4.472,7.843,P<0.05)。结论综合康复护理干预可改善颅脑外伤患者的神经和肢体运动功能,提高日常生活的活动能力,减少并发症的发生。Objective To explore the effect of the integrated rehabilitation nursing interventions on functional recovery and prognosis in brain injury. Methods A total of 180 cases of brain injury were randomly assigned to the control and observation group,each consisting of 90 cases. The former received routine therapy and nursing care, while the latter received combined nursing care including position nursing care, rehabilitation training,cognitive behavior therapy and mental nursing in addtion. The pre- and post-interventional neurologic function defects （NFD）, Fugl-Meyer（FMA） scale and modified Barthel index（ MBI ）were compared between two groups, and the incidence rates for the complications occurred within 6 months were followed. Results Post-interventional NFD scores were markedly higher in the observation group than in the control group, while the scores of FMA and MBI were much lower, with significant dfffereces between two groups, all P 〈 0.01 （t = 7.577, 6.860, and 8.090 respectively）. And the incidence rates for pulmonary infection, stress ulcer and sore were considerably lower in the observa- tion group than in the control group, all P 〈 0.05（ X 2= 11.025,4.472, and 7.843 resepectively）. Conclusion The comprehensive nursing care can improve the neurologie and limb function, raise the activities of daily living, and incidence of the complication in patients with brain injury.

关 键 词：颅脑损伤 肢体功能 神经功能 预后 护理 

分 类 号：R473[医药卫生—护理学]