脑卒中肢体延伸康复护理路径的制订与实施  

Formulation and Implementation of Stroke Rehabilitation Nursing Path

作　　者：刘文丽[1] 林勉[1] 肖海燕[1] 余春燕[1] 苏小红[1] 赖耀铭[1] LIU Wen-li LIN Mian XIAO Hal-yah et al(Guangdong Second Traditional Chinese Medicine Hospital, Guangzhou 510405, China)

机构地区：[1]广东省第二中医院,广东广州510405

出　　处：《中国医学创新》2017年第8期79-82,共4页Medical Innovation of China

基　　金：广东省卫生和计划生育委员会项目(A2015275)

摘　　要：目的:更进一步对脑卒中肢体延伸康复护理路径的制定及其实施情况进行探究。方法:选择2015年7月-2016年7月在本院康复科接受治疗的160例脑卒中患者,依据脑卒中患者肢体所行护理手段的不同将其均分为康复科常规护理的A组与康复科常规护理联合康复延伸护理路径的B组,对比分析两组临床疗效的差异,尤其运动功能评价量表(Fugl-Meyer assessment,FMA)及Barthel指数评定量表(MBI)评分差异。结果:A组FMA评分、MBI评分分别为(38.91±16.79)分、(49.76±11.47)分,B组分别为(49.51±15.42)分、(63.49±15.29)分,两组比较差异均有统计学意义(P<0.05)。结论:对于脑卒中患者,制定并实施肢体延伸康复护理路径,不仅能够有效促进运动功能的康复,提升生存质量,而且能够显著提升脑卒中肢体功能康复护理规范化、标准化,提高护理工作效率与成效。Objective： To further extend body stroke formulation and implementation of rehabilitation nursing pathway.Method： From July 2015 tO July 2016 160 cases of stroke patients treated in our hospital were selected.They were divided into A group and B group, A group was given rehabilitation routine nursing, B group was given rehabilitation nursing combined with rehabilitation nursing path.Clinical curative effect, the functional evaluation scale （ Fugl-Meyer assessment, FMA ） and Barthel index rating scale （ MBI ） scores of two groups were compared.Result： FMA score and MBI score of A group were （ 38.91 ± 16.79 ） scores and （ 49.76 ± 11.47 ） scores, B group were （ 49.51 ± 15.42 ） scores and （ 63.49 ± 15.29 ） scores, there were statistical significance （ P〈0.05 ） . Conclusion： For stroke patients, the formulation and implementation of limb extension rehabilitation nursing path not only can effectively promote the rehabilitation of motor function, improve the quality of life of patients with cerebral stroke, and can significantly improve the limb function rehabilitation of stroke complex nursing standardization, standardization, improve nursing efficiency and effectiveness.

关 键 词：脑卒中 康复护理路径 制订 效果 

分 类 号：R473.74[医药卫生—护理学]