脑梗死偏瘫患者应用康复训练护理干预的效果探讨  

Effect of rehabilitation nursing intervention in patients with hemiplegia after cerebral infarction

作　　者：王艳婵[1] 

机构地区：[1]广东省广州市第十二人民医院神经内科,广东广州510620

出　　处：《中西医结合护理（中英文）》2015年第4期26-27,34,共3页Journal of Clinical Nursing in Practice

摘　　要：目的探讨脑梗死偏瘫患者应用康复训练护理干预的效果。方法 90例脑梗死偏瘫患者随机分为观察组和对照组,各45例。对照组实施常规康复护理,观察组实施系统康复训练护理干预。实施干预后6个月,分别运用SF-36简易量表、Fugl-Meyer量表Barthel指数评估2组生活质量、运动功能和日常生活活动能力,并评价2组护理效果。结果实施干预后6个月,2组SF-36量表、Fugl-Meyer量表和Barthel指数均较实施干预前显著增加(P<0.01),且观察组上述指标改善优于对照组,差异有统计学意义(P<0.05或P<0.01)。观察组总有效率为95.56%(43/45),对照组为84.4%(38/45),差异无统计学意义(P>0.05)。结论脑梗死偏瘫患者应用系统康复训练护理干预,能有效改善患者运动能力和生活质量。Objective To investigate the effect of rehabilitation nursing intervention ibr pa- tients with hemiplegia after cerebral infarction. Methods A total of 90 patients with hemiplegia after cerebral infarction were randomly divided into observation group and control group, with 45 cases in each group. The control group was given conventional nursing care and the observation group was ap- plied with systematic rehabilitation nursing intervention. The short form-36 （SF-36）, Fugl-Meyer Scale and Barthel index were used to assess the quality of life, motor ability and activity of daily living 6 months after intervention, respectively. And the nursing efficacy of two groups was compared. Re- sults The outcomes of SF-36, Fugl-Meyer Scale and Barthel index were significant increased in 6 months after intervention （P 〈0.01 ） , and observation group was better improved than those in control group （P 〈0.05 or P 〈0.01 ）. The overall effective rate was 95.56% （43/45） in the observation group and 84.4% （38/45） in the control group, there was no significant difference （P 〉0.05）. Conclusion Systematic rehabilitation nursing intervention for patients with hemiplegia after cerebral in- farction can improve the motor ability and quality of life.

关 键 词：脑梗死 偏瘫 康复护理 运动功能 生活质量 

分 类 号：R473.5[医药卫生—护理学]