运动神经元病康复护理模式的构建与应用  

Construction and application of rehabilitation nursing model of motor neuron disease

作　　者：孙小惠[1] 王欢[1] 季衍丽[1] 

机构地区：[1]解放军总医院神经内科二病区,北京100853

出　　处：《中华现代护理杂志》2014年第9期1037-1040,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨运动神经元病康复护理模式对患者生活质量的影响。方法选取运动神经元病住院患者140例，按照随机原则分为观察组72例和对照组68例。对照组给予常规治疗和护理，观察组在常规治疗和护理基础上实施康复护理模式，运用肌萎缩侧索硬化症功能评分量表（ALSFRS）和焦虑自评量表（SAS）评分，对比两组患者出院时各项机体功能和心理状态改善情况。结果入院时，两组患者的AKSFRS评分和SAS评分差异均无统计学意义（P〉0．05）；出院时观察组ALSFRS评分为（34．064±2．28）分，明显高于对照组的（31．744-2．20）分，差异有统计学意义（t=-6．132，P〈0．05）；观察组SAS评分为（51．76±4．84）分，明显低于对照组的（56．79±6．05）分，差异有统计学意义（t：5．447，P〈0．05）。结论康复护理模式为患者提供了一种缓和、安全的运动方式，能有效提高运动神经元病患者的生活质量。Objective To evaluate the effect of rehabilitation nursing model of on life quality of patients with motor neuron disease. Methods A total of 140 patients with motor neuron disease were randomly divided into control group （ n = 68 ） that received routine treatment and nursing, and experimental group （ n = 72 ） that received rehabilitation nursing model on the basis of routine treatment and nursing. ALS Functional Rating Scale （ALS FRS） and Self-rating Anxiety Scale （SAS）were used to assess the physical and mental states of patients. Results No significant differences was found in the scores of ALS FRS and SAS between control group and experimental group when they were admitted to the hospital （P 〉 0.05 ）. When they were discharged, the score of ALS FRS in experimental group was significantly higher than that in control group （ 34.06 ±2.7!8 vs 31.74 ± 2.20,t = -6. 132;P 〈 0.05）. And the SAS score in experimental group was significantly lower than that in control group （51.76 ±4.84 vs 56.79 ±6.05,t =5.447;P 〈0.05）. Conclusions Rehabilitation nursing model provides an ease and safe exercise mode for the patients with motor neuron disease, and it can effectively improve their life quality.

关 键 词：康复护理 运动神经元病 生活自理能力 

分 类 号：R47[医药卫生—护理学]