脑卒中肢体康复延伸护理路径的运用效果分析  

Effect analysis on the application of extended nursing path for limb rehabilitation of cerebral apoplexy

作　　者：刘文丽[1] 吴玉玲[1] 吕丽琼[1] 肖海燕[1] 余春燕[1] LIU Wen - li WU Yu-ling LV Li-qiong et al(Guangdong Second Hospital of Traditional Chinese Medicine,Guangzhou 510405)

机构地区：[1]广东省第二中医院,广州市510405

出　　处：《护理实践与研究》2017年第5期147-150,共4页Nursing Practice and Research

摘　　要：目的:探讨构建肢体康复延伸护理路径对脑卒中肢体恢复的影响。方法:选取2015年2月~2016年4月我科收治的脑卒中恢复期患者120例(已剔除不符合研究的患者),将全部入选患者随机等分为观察组和对照组,对照组给予康复科常规护理和常规康复治疗;观察组则在此基础上加入康复延伸护理路径。分别采用Spitzer生存质量指数评定量表、改良Barthel指数评定量表(MBI)、功能综合评定量表(FCA)对两组患者治疗前后肢体功能进行详细评估并进行比较,统计并比较两组患者在整个康复过程中所需费用和对此次康复护理的满意情况。结果:两组患者Spitzer评分、MBI评分、FCA评分在出院时和出院后2个月均明显升高,且差异均有统计学意义(P<0.05)。与对照组比较,观察组康复过程中费用明显减少,但其对护理工作的满意度明显增高,且两者差异均有统计学意义(P<0.05)。结论:应用康复延伸护理路径可有效改善患者的肢体功能和生存质量,大大降低康复过程中的费用,同时提高护患满意度。Objective ： To discuss the influence of construction of extended nursing path of limb rehabilitation on the limb recovery of cerebral apoplexy. Methods：Selected 120 patients in the recovery period of cerebral apoplexy admitted in our department from February 2015 to April 2016 （the patients not conforming to the research have been excluded）, and all included patients were equally divided into observation group and control group at random, where rehabilitation department conventional nursing and conventional rehabilitation treatment were given to the patients in the control group, and rehabilitation ex- tended nursing route was added to the test group on the basis of the control group. The limb functions of patients in the two groups before and after treatment were evaluated and compared in details with Spitzer survival quality index rating scale, modified Barthcl index rating scale （MBI）, functional comprehen- sive assessment scale （FCA）, counting and comparison were made on the expenses spent by patients in both groups in the whole rehabilitation process and their satisfaction to the rehabilitation nursing. Results：The Spitzer score, MBI score and FCA score of patients in both groups increased significantly at the time of discharge and 2 months after discharge, and the difference was statistically significant （ P 〈 0. 05 ）. Compared with the control group, the expense spent by the patients in the observation group in the process of rehabilitation was significantly decreased, but their satisfaction to the nursing work increased significantly, and the difference of the two groups was statistically significant （ P 〈 0.05 ）. Conclusion ： The application of nursing extended nursing path could effectively improve the patients＇ limb functions and survival quality, greatly reduce the expenses spent in the process of rehabilitation, while increas- ing the patients＇ satisfaction.

关 键 词：康复延伸护理路径 脑卒中 肢体功能 

分 类 号：R473.74[医药卫生—护理学]