早期康复护理对急性脊髓炎患者日常生活活动能力的影响  

Effect of Early Rehabilitation Nursing on the Activity of Daily Living in Patients with Acute Myelitis

作　　者：王靳君[1] 李滨辛[2] 刘君怡[3] 王莹[3] 

机构地区：[1]牡丹江医学院附属红旗医院神经内二科,黑龙江牡丹江157011 [2]牡丹江医学院附属红旗医院手术室,黑龙江牡丹江157011 [3]牡丹江医学院附属红旗医院静配中心,黑龙江牡丹江157011

出　　处：《中国当代医药》2017年第7期195-196,F0003,共3页China Modern Medicine

摘　　要：目的探讨早期康复护理对急性脊髓炎患者日常生活活动能力的影响。方法选取2015年10月~2016年10月我院进行治疗的急性脊髓炎患者72例作为研究对象,将其分为对照组和观察组,各36例。对照组给予常规护理,观察组给予早期康复护理。护理前后采用Barthel指数和护理后采用生活质量量表分别评估患者的日常生活活动能力和生活质量,比较两组患者的日常生活活动能力、双下肢肌力和生活质量。结果入院时两组患者的日常生活活动能力比较,差异无统计学意义(P>0.05),出院时两组患者的日常生活活动能力均优于治疗前(P<0.05),且观察组的改善程度更大(P<0.05);护理后观察组患者的双下肢肌力和生活质量明显优于对照组(P<0.05)。结论早期康复护理是改善急性脊髓炎患者日常生活活动能力的有效护理模式,有助于患者双下肢肌力和生活质量的提高,临床推广价值高。Objective To explore the effect of early rehabilitation nursing on the activities of daily living in patients with acute myelitis.Methods 72 patients with acute myelitis were treated in our hospital from October 2015 to October 2016 as the object of study and were divided into control group and observation group,36 cases in each groups.The control group was given routine care,the observation group was given early rehabilitation care.Before and after nursing, Barthel index was used to evaluate the living activity and quality of life of the patients.The ability of daily living activi- ties,the strength of both lower limbs and the quality of life were compared between the two groups of patients.Results There was no significant difference in the activity of daily living between two groups on admission （P〉0.05）.The ability of daily activities of two groups when out of the hospital was better than that on admission （P〈0.05）,and the improve- ment of the observation group was more obvious （P〈0.05）.The strength and quality of life of the patients with acute myelitis after nursing were better than those of the control group （P〈0.05）.Conclusion Early rehabilitation nursing is an effective nursing model to improve the living ability of patients with acute myelitis.It is helpful to improve the muscle strength and quality of life of patients with lowerlimbs,and the clinical value is high.

关 键 词：急性脊髓炎 早期康复护理 日常生活活动能力 

分 类 号：R744.3[医药卫生—神经病学与精神病学]