延续性语言康复护理在脑卒中运动性失语患者中的应用  

Application of the continuous language rehabilitation nursing in the motor aphasia patients with abrain stroke

作　　者：刘向力[1] 温春娣[1] 官美红 胡娜[1] 汤海燕[1] 何远梅[1] Liu Xiangli Wen Chundi Guan Meihong Hu Na Tang Haiyan He Yuanmei.(Department of Acupuncture Rehabilitation, Guangdong Second Traditional Chinese Medcine Hospital, Guangdong Province Engineering Technology Research Institute of T.C.M, Guangzhou 510095, China)

机构地区：[1]广东省第二中医院针灸康复科广东省中医药工程技术研究院,广州510095

出　　处：《中国实用护理杂志》2017年第18期1365-1369,共5页Chinese Journal of Practical Nursing

基　　金：广东省医学科研基金立项资助管理项目（A2015371）

摘　　要：目的 探讨延续性语言康复护理干预脑卒中运动性失语患者语言功能的临床护理效果.方法 将纳入的60例脑卒中运动性失语的患者,按随机数字表法分为干预组30例和对照组30例,对照组采用中风病中医护理常规护理,干预组在此基础上采用延续性语言康复护理.干预前、治疗3个月后,采用汉语标准失语症检查表观察2组患者语言功能的情况,患者出院时行护理满意度调查.结果 干预组干预前在汉语标准失语症检查表中听理解、复述、说、出声读、阅读理解、抄写、描写、听写、计算9项目正确率分别为（44.35±18.69）、（32.37±22.25）、（21.49±14.91）、（27.63±12.54）、（46.87±15.30）、（14.25±6.11）、（7.33±3.23）、（11.63±4.82）、（18.93±6.82）%,治疗3个月后分别为（62.14±10.81）、（55.36±19.53）、（41.42±13.75）、（59.16±11.05）、（55.57±13.90）、（32.39±7.12）、（9.73±3.92）、（27.45±4.71）、（37.46±6.91）%,除描写外,差异有统计学意义（t=2.096-14.540,P〈0.01或0.05）.对照组干预前分别为（43.86±15.89）、（34.28±20.27）、（22.84±15.40）、（28.63±12.45）、（47.23±11.30）、（13.40±6.24）、（7.27±3.70）、（11.10±4.73）、（19.50±6.80）%,治疗3个月后分别为（49.46±14.27）、（42.36±20.58）、（30.33±13.36）、（40.31±11.88）、（49.97±10.13）、（15.37±5.59）、（8.50±3.74）、（12.83±4.36）、（21.47±7.74）%,只在听理解、复述、说、出声读4项目较干预前明显改善,差异有统计学意义（t=2.263-3.991,P〈0.05或0.01）.2组干预后组间比较,干预组在听理解、复述、说、出声读、抄写、听写、计算7项目提高的幅度较对照组明显改善（t=2.510-10.298,均P〈0.05）.出院时的满意度评分,干预组为（94.36±5.55）分,对照组为（88.25±5.46）分,干预组优于对照组（t=4.299,P〈0.01）.结论 延续性语言康复护理能促进脑卒中运动�Objective To investigate the clinical effect of continuous language rehabilitation nursing on the language function in patients with stroke motor aphasia. Methods A total of 60 motor aphasia patients with a brain stroke were recruited and divided into experimental group and control group with 30 cases each by random digits table method. The control group was treated with the routine stroke care in traditional Chinese medicine, while the experimental group with the continuing language rehabilitation nursing base on the routine stroke care. The language function of both groups were detected by the Chinese Rehabilitation Research Center Standard Aphasia Examination before and after 3 months treatment, and a survey of nursing satisfaction of patients when discharged was conducted. Results The right rate of hear and understand, retelling, say, read aloud, reading comprehension, transcription, description, dictation, calculation in the Chinese Rehabilitation Research Center Standard Aphasia Examination was （44.35 ± 18.69）, （32.37 ± 22.25）, （21.49 ± 14.91）, （27.63 ± 12.54）, （46.87 ± 15.30）, （14.25 ± 6.11）, （7.33±3.23）, （11.63±4.82）, （18.93±6.82）%before the treatment and （62.14±10.81）, （55.36±19.53）, （41.42 ± 13.75）, （59.16 ± 11.05）, （55.57 ± 13.90）, （32.39 ± 7.12）, （9.73 ± 3.92）, （27.45 ± 4.71）, （37.46 ± 6.91）%after the treatment in the experimental group, except for description, the differences were significant （ t=2.096-14.540, P〈0.01 or 0.05）. The right rate of hear and understand, retelling, say, read aloud, reading comprehension, transcription, description, dictation, calculation in the Chinese Rehabilitation Research Center Standard Aphasia Examination was （43.86±15.89）, （34.28±20.27）, （22.84±15.40）, （28.63±12.45）, （47.23±11.30）, （13.40±6.24）, （7.27±3.70）, （11.10±4.73）, （19.50±6.80）%before the treatment and （49.46± 14.27）, （42.36±20.58）, （30.33±13.36）, （40.31

关 键 词：卒中 失语 经皮质运动性 延续性护理 语言康复护理 

分 类 号：R473.74[医药卫生—护理学]