康复治疗及护理干预对脑出血术后患者运动功能的影响  

Motor function effect in post-operative patients with cerebral hemorrhage by rehabilitation treatment and nursing intervention

作　　者：梁燕飞[1] 叶碎林[1] 

机构地区：[1]浙江省丽水市人民医院神经外科,浙江丽水323000

出　　处：《中国现代医生》2014年第11期73-75,共3页China Modern Doctor

基　　金：浙江省医药卫生科技计划(2010KYB134)

摘　　要：目的研究康复训练配合实施护理干预对脑出血术后患者运动功能的恢复的促进效果。方法将我院所选78例脑出血患者按照随机法分为两组,观察组与对照组各39例。对照组实施常规治疗法与常规性护理。观察组则在常规治疗基础上配合康复训练与护理干预,对两组患者在行治疗护理前后的肢体运动能力与日常生活功能(ADL)情况进行比较分析。结果通过4周的治疗,观察组患者的焦虑程度(SAS评分)与对照组相比显著降低,差异有统计学意义(P<0.05)。日常生活功能采用Barthel指数进行评定,肢体运动能力采用Fugl-Meyer评分进行评定,两组比较,这两项指标均显著升高,差异有统计学意义(P<0.05)。而治疗12周后,两项指标仍显著较高(P<0.05)。结论通过对患者实施康复治疗配合护理干预可有效减轻患者焦虑,并能够明显提高患者的肢体运动功能,并能够改善患者的日常生活能力,值得临床广泛推广应用。Objective To study the effect on motor function recovery in post-operative patients with cerebral hemorrhage by rehabilitation training and nursing intervention. Methods A total of 78 cases were divided into observation group（39 cases）and control group（39 cases） by randomly methods. The control group were intervened by routine treat- ment and nursing. The observation group were intervened by routine therapy and rehabilitation training nursing. The bodily movement and ADL were analyzed before and after treatment in the two groups. Results After 4 weeks of treat- ment, the scores of anxiety were lower in the observation group than that in the control group, the scores of ADL （Barthel index）and l＇imb movement ability （Fugl-Meyer）were higher in the observation group than that in the control group. After 12 weeks of treatment, the scores of ADL and limb movement ability were still significantly higher （P〈 0.05）. Conclusion The rehabilitation treatment and nursing intervention can reduce the anxiety emotion, increase the limb movement ability, improve daily living ability in patients with cerebral hemorrhage, is worthy be applied in the clinical work.

关 键 词：脑出血 康复训练 护理干预 肢体运功功能 

分 类 号：R473.74[医药卫生—护理学]