早期康复护理干预在脑卒中偏瘫患者中的应用  

The application of the early rehabilitation nursing intervention in patients with cerebral apoplexy hemiplegia

作　　者：陈丙坤[1] 张伟滨[1] 吕政[1] 罗洋[1] 王红娟[1] 

机构地区：[1]哈尔滨医科大学附属第一医院康复科,黑龙江哈尔滨150001

出　　处：《中国医药导报》2017年第8期156-159,共4页China Medical Herald

基　　金：黑龙江省教育厅科学技术研究项目(11551216)

摘　　要：目的探究与分析早期康复护理干预对脑卒中偏瘫患者肢体功能及生活质量的影响。方法选取哈尔滨医科大学附属第一医院2014年5月~2016年5月收治的90例脑卒中偏瘫患者,按随机数字表法分为常规护理组与早期康复护理干预组,每组各45例。对比两组患者护理前后日常生活能力评级量表(Barthel指数)评分、髋关节Harris评分、汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分及生活质量。结果两组患者护理前Barthel评分及Harris评分差异无统计学意义(P>0.05)。与护理前比较,两组患者护理后Barthel评分及Harris评分均明显提高,早期康复护理干预组提高更加显著,差异有统计学意义(P<0.05)。两组患者护理前HAMA评分及HAMD评分差异无统计学意义(P>0.05)。与护理前比较,两组患者护理后HAMA评分及HAMD评分均降低,早期康复护理干预组降低更加显著,差异有统计学意义(P<0.05)。与常规护理组相比,早期康复护理干预组躯体功能、角色功能、情感功能、认知功能及社会功能评分均较高,差异有统计学意义(P<0.05)。结论将早期康复护理干预应用于脑卒中偏瘫患者中可有效促进患者肢体功能的恢复,降低焦虑抑郁情绪,改善生活质量。Objective To explore the influence of early rehabilitation nursing intervention in patients with cerebral apoplexy hemiplegia on limb function and life quality. Methods 90 cases with cerebral apoplexy hemiplegia treated at the First Affiliated Hospital of Harbin Medical University from May 2014 to May 2016 were selected. All the patients were divided into routine nursing group and early rehabilitation nursing intervention group, according to random number table, with 45 cases in each group. The Barthel index, Harris score, HAMA scores, HAMD scores and quality of life of the two groups were compared. Results The Barthel index and the Harris score of the two groups before nursing had no statistically significant difference（P 〉 0.05）. And the Barthel index and the Harris score of the two groups after nursing were increased observably, the increase of the early rehabilitation nursing intervention group was more remarkable than that of the routine nursing group, with statistically significant difference（P 〈 0.05）. The HAMA scores and HAMD scores of the two groups before nursing had no statistically significant difference（P 〉 0.05）. And the HAMA score and HAMD scores of the two groups after nursing were decreased observably, the decrease of the early rehabilitation nursing intervention group was more remarkable than the routine nursing group, with statistically significant difference（P 〈0.05）. The scores of physical function, role function, emotional function, cognitive function and social function of the early rehabilitation nursing intervention group were higher than routine nursing group, with statistically significant difference（P 〈 0.05）. Conclusion The early rehabilitation nursing intervention applied to patients with cerebral apoplexy hemiplegia can effectively promote the recovery of limb function, reduce anxiety depression, improve the quality of life.

关 键 词：早期康复护理干预 脑卒中 偏瘫 肢体功能 生活质量 

分 类 号：R743.305[医药卫生—神经病学与精神病学]