脑卒中患者的早期护理干预对中远期康复的影响  

The effect of early nursing intervention for stroke patients on long-term rehabilita-tion

作　　者：童莉[1] 

机构地区：[1]武汉大学中南医院综合医疗科,湖北武汉430071

出　　处：《国际护理学杂志》2015年第15期2100-2102,共3页international journal of nursing

摘　　要：目的：探讨早期护理干预对于脑卒中患者中远期康复效果的影响。方法将入院接受康复治疗的52例脑卒中患者随机分成治疗组和对照组各26例,两组患者均接受常规治疗,对照组进行常规康复护理,治疗组制定早期介入康复护理计划实施。分别于治疗前、治疗后3个月,12个月和24个月采用Fugl- Meyer 量表对两组患者运动能力的恢复进行评定,采用SF-36简易评定量表对患者生活质量进行评分,并将所得结果进行比较。结果与治疗前相比较,治疗后两组Fugl- Meyer评分均明显提高（ P〈0.05）；治疗组和对照组第3个月、12个月和24个月 Fugl- Meyer 评分分别为（67.55±19.21）、（52.14±20.33）,（89.65±7.12）、（68.48±15.11）,（91.13±6.56）、（74.56±19.33）。治疗组康复状况明显优于对照组（P〈0.05）；治疗组治疗后SF-36评分较对照组和治疗前明显改善（ P〈0.01）。结论早期介入康复护理有利于脑卒中患者的中远期康复,可以提高患者的康复运动能力和生活质量。Objective To investigate the influence of the early nursing intervention for stroke patients in long-term effect of rehabilitation. Methods Admitted for rehabilitation of 52 stroke patients were randomly divided into treat-ment group （ n=26 ） and control group （ n=26 ） , patients received conventional treatment control group of conventional rehabilitation care, and treatment group adopted early intervention rehabilitation care plan implementation. Respectively, before treatment, after treatment, 3 months, 12 months and 24 months using the Fugl-Meyer scale to assess the recovery of the two sets of exercise capacity in patients using the SF-36 summary rating scale, rating the quality of life in patients with and the results were compared. Results Compared with those before treatment, after treatment, two groups of Fugl-Meyer scores were significantly improved （P〈0. 05）;treatment group and control group 3 months, 12 months and 24 months, Fugl-Meyer score two groups respectively （ 67. 55 ± 19. 21 ） , （ 52. 14 ± 20. 33 ） （ 89. 65 ±7. 12 ） （68. 48 ±15. 11） （91. 13 ±6. 56） （74. 56±19. 33） . The rehabilitation status of the treatment group than the control group （ P〈0. 05 ）;significantly improved SF-36 scores than the control group and treatment group after treatment （ P〈0. 01 ） . Conclusions Early intervention rehabilitation care of stroke patients in long-term rehabilitation can improve exercise capacity and quality of life of the patient＆#39;s rehabilitation.

关 键 词：脑卒中 早期护理 康复 

分 类 号：R473.74[医药卫生—护理学]