康复护理对脑卒中恢复期患者神经、认知功能及生活质量的影响  

The effect of rehabilitation nursing on neurological,cognitive function and life quality of convalescent stroke patients

作　　者：潘贤妃[1] 方志红 

机构地区：[1]浙江省新昌县人民医院神经内科,浙江新昌312500 [2]浙江省台州市恩泽医疗中心(集团)内科,浙江台州318050

出　　处：《中国现代医生》2013年第13期105-107,共3页China Modern Doctor

基　　金：浙江省医药卫生科技项目(2011ZHA011)

摘　　要：目的探讨康复护理对脑卒中恢复期患者神经、认知功能及生活质量的影响。方法 70例脑卒中恢复期患者,随机分为康复护理组和常规护理组。两组患者就诊后均予以控制颅内压、血压、血糖和保护、营养脑细胞等常规对症治疗。常规护理组在此基础上予以常规护理,康复护理组在此基础上予以康复护理,均连用8周。结果治疗8周后,康复护理组患者神经功能恢复的临床总有效率明显高于常规护理组(χ2=8.10,P<0.01);康复护理组患者认知功能的临床总改善率明显高于常规护理组(χ2=6.29,P<0.05);两组患者生活质量各项目评分均有明显上升(P<0.05或P<0.01),且康复护理组上升幅度明显高于对照组(P<0.05)。结论康复护理干预能明显改善脑卒中恢复期患者的神经及认知功能,促进神经功能的恢复,延缓患者认知功能下降,提高患者的生活质量,改善患者的预后。Objective To investigate the effect of rehabilitation nursing on neurological, cognitive function and life quality of convalescent stroke patients. Methods Seventy convalescent stroke patients were randomly divided into re- habilitation nursing group and conventional nursing group. Conventional symptomatic treatment such as controlling in- tracranial pressure,blood pressure, blood sugar, protecting and nourishing brain cells and so on were taken in both groups of patients. Conventional nursing group were given routine nursing care on this basis for 8 weeks. Rehabilita- tion nursing group were given rehabilitative nursing on this basis for 8 weeks. Results After 8 weeks of treatment,the total clinical effective rate of recovery of neurological functions in rehabilitation nursing group was significantly higher than that in the conventional nursing group （χ2=8.10,P 〈 0.01 ） ;the total clinical improvement rate of cognitive func- tion in rehabilitation nursing group was significantly higher than that of conventional nursing group （χ2=6.29, P 〈 0.05 ） ; The scores of quality life in both groups were significantly increased（P 〈 0.05 or P 〈 0.01 ） ,and the rise of rehabilita- tion nursing group was significantly higher than that of conventional nursing group（P 〈 0.05 ）. Conclusion Rehabilita- tion nursing intervention can significantly improve neurological, cognitive function of convalescent stroke patients ,pro- mote the recovery of neurological function, delay the decline in of life and prognosis of patients. cognitive function of patients, and improve the quality

关 键 词：脑卒中恢复期 康复护理 认知功能 神经功能 

分 类 号：R473.74[医药卫生—护理学]