康复护理对偏瘫患者院外恢复的效果研究  

Effect of rehabilitation nursing on out-of-hospital recovery of hemiplegia patients

作　　者：林翠峰 何爱娟[1] 张海花[1] 郭静[1] 

机构地区：[1]福建医科大学附属第一医院康复科,福州350005

出　　处：《国际医药卫生导报》2017年第20期3266-3269,共4页International Medicine and Health Guidance News

摘　　要：目的探究不同康复护理方法对偏瘫患者院外恢复的效果。方法选择2015年4月至2016年4月本院接收的54例脑中风导致的偏瘫患者为观察对象，分为观察组和对照组。对照组患者进行常规的出院指导，而观察组患者根据患者的病情，除了常规的出院指导外，还进行跟踪护理指导。两组患者出院后的积极性、恢复效果以及病情复发等情况比较。结果（1）观察组患者对于护理需求程度、配合情况、听从指导意见情况、面对困难的态度以及对鼓励的反馈等方面比对照组好。（2）出院后3个月的Barthel指数：对照组为（71．81±5．21），观察组为（79．92±6．05），可见观察组患者日常生活能力恢复比对照组好。出院后3个月的Fugl—Meyer评分：对照组为（75．88±5．38），观察组为（79．43±6．54），可见观察组患者肢体功能恢复比对照组好。（3）两组患者出院后的复发情况具有差异，对照组有4例复发，复发率为14．81％，而观察组没有复发病例。结论康复护理用于偏瘫患者院外恢复不仅可以帮助患者恢复肢体功能、认知功能与语言功能，还可以帮助患者树立积极的生活态度，恢复正常的生活，防止病情复发。Objective To explore the effect of different rehabilitation nursing methods on the out-of- hospital recovery of hemiplegia patients. Methods Fifty-four patients with hemiplegia caused by stroke were selected from April 2015 to April 2016. The patients were divided into observation group and control group. The patients in the control group were given routine discharge guidance, and the patients in the observation group were given tracking nursing guidance according to the patients＇ condition in addition to routine discharge guidance. The initiative of patients after discharge, recovery, disease recurrence and so on of the two groups were compared. Results （1） The observation group was better than the control group in terms of the degree of care needs, the situation of the match, the opinions of the instructions, the attitudes towards the difficulties, and the feedback to the encouragement. （2） The Barthel index 3 months after discharge was （71.81±5.21） in the control group and （79.92±6.05） in the observation group. The recovery of daily living ability of the observation group was better than that of the control group. The Fugl-Meyer score 3 months after discharge was （75.88±5.38） in the control group and （79.43±6.54） in the observation group. The recovery of limb function in the observation group was better than that in the control group. （3） There was a significant difference in recurrence between the two groups after treatment, and the recurrence rate was 14.81% in the control group, but there was no recurrence in the observation group. Conclusion Rehabilitation nursing for patients with hemiplegia can not only help patients recover limb function, cognitive function, and language function, but also can help patients to establish a positive attitude to life, to restore normal life, to prevent recurrence of the disease.

关 键 词：康复护理 偏瘫 院外恢复 

分 类 号：R473.74[医药卫生—护理学]