循证护理在脑卒中偏瘫患者早期肢体康复中的应用探讨  

Application of evidence based nursing in early limb rehabilitation in stroke patients with hemiplegia

作　　者：张亚琴[1] 

机构地区：[1]江苏省常熟市第一人民医院神经内科,江苏常熟215500

出　　处：《中西医结合护理（中英文）》2015年第1期34-35,41,共3页Journal of Clinical Nursing in Practice

摘　　要：目的探讨脑卒中偏瘫患者早期肢体康复中循证护理应用效果。方法选取脑卒中偏瘫患者80例,随机分成对照组与护理组各40例,对照组采取常规护理,护理组采取循证护理,比较2组肌张力评分与Barthel指数。结果护理前,2组肌张力评分、Barthel指数无明显差异(P>0.05);护理后,护理组肌张力评分、Barthel指数优于对照组(P<0.05)。护理组并发症发生率明显低于对照组(P<0.05)。结论对脑卒中偏瘫患者采取循证护理,可提高患者日常活动能力,促进患者肢体康复,具有临床应用价值。Objective To analyze the effect of evidence- based nursing in early limb rehabilitation in stroke patients with hemiplegia. Methods A total of 80 patients with cerebral apoplexy hemiplegia were randomly divided into control group （40 cases） and nursing group （40 cases）, the control group was treated with routine nursing, and the control group was treated by evidencebased nursing, and the muscle tension score and Barthel index were compared between the two groups. Results Before treatment, there was no significant difference between the two groups （P 〉0.05） ; After nursing, the muscle tension score and Barthel index of the nursing group were bet- ter than that of the control group （P 〈 0.05）. The complication rate in the nursing group was lower than that in the control group （P 〈 0.05）. Conclusion Evidence - based nursing can improve the patients＇ daily activity ability and promote the recovery of patients＇ limbs, which has clinical appli- cation value.

关 键 词：脑卒中偏瘫 循证护理 早期 肢体康复 

分 类 号：R473.5[医药卫生—护理学]