行为策略对脑梗死患者肢体功能恢复、神经功能康复及并发症的影响  

Influences of behavioral strategy on the recovery of limb function,rehabilitation of nerve function and complications in patients with cerebral infarction

作　　者：陈晓[1] 方巧红 张洪[1] CHEN Xiao FANG Qiaohong ZHANG Hong(Department of Neurology, Meishan Hospital of Traditional Chinese Medicine, Sichuan Province, Meishan 612000, China Department of Nursing, Meishan Hospital of Traditional Chinese Medicine, Sichuan Province, Meishan 612000, China)

机构地区：[1]四川省眉山市中医医院神经内科,四川眉山612000 [2]四川省眉山市中医医院护理部,四川眉山612000

出　　处：《中国医药导报》2017年第29期151-154,共4页China Medical Herald

基　　金：四川省眉山市科学技术局科技计划(指导性)项目(眉市科发[2016]22号-43)

摘　　要：目的探讨行为策略对脑梗死患者肢体功能恢复、神经功能康复及并发症的影响。方法回顾性分析眉山市中医医院2014年1月~2016年1月收治的脑梗死患者200例的临床资料,依据护理措施的不同分为对照组(常规护理措施)和观察组(行为策略措施),每组各100例。观察并比较两组生活质量评分、神经功能缺损评分、肢体功能评价,以及并发症发生率。结果护理前两组患者生活质量评分、神经功能缺损评分比较,差异无统计学意义(P>0.05)。护理后两组患者生活质量评分均高于护理前,神经功能缺损评分均低于护理前,观察组上述指标变化更加显著,差异均有统计学意义(P<0.05)。观察组患者肢体功能评价优于对照组(P<0.05)。观察组未见明显并发症发生,对照组患者出现5例压疮、7例泌尿系感染和4例坠积性肺炎。结论行为策略可以改善脑梗死患者的肢体功能和神经功能,降低并发症发生率,值得临床推广应用。Objective To investigate the influences of behavioral strategy on the recovery of limb function, rehabilitation of nerve function and complications in patients with cerebral infarction. Methods The clinical data of 200 cases of patients with cerebral infarction admitted to Meishan Hospital of Traditional Chinese Medicine from January 2014 to January 2016 was analyzed retrospectively, and they were divided into the control group （conventional nursing measure） and the observation group （behavioral strategy measure） according to different nursing measures, with 100 cases in each group. The scores of quality of life and neurologic impairment, evaluation of limb function and the incidence of compli- cations between the two groups were observed and compared. Results Before nursing, there were no statistically signifi- cant differences in the scores of quality of life and neurologie impairment between the two groups （P 〉 0.05）. After nursing, the scores of quality of life in the two groups were all higher than those before nursing, and the scores of neu- rologic impairment were all lower than those before nursing, and the two indicators above in the observation group were changed more remarkably, with statistically significant differences （P 〉 0.05）. The evaluation of limb function in the observation group was better than that of control group （P 〈 0.05）. There were no obvious complications in the observa- tion group, there were 5 cases of pressure sore, 7 cases of urinary system infection and 4 cases of hypostatic pneumonia in the control group. Conclusion The nursing of behavioral strategy can improve limb function and nerve function in patients with cerebral infarction, reduce complication rate, it is worthy of clinical promotion and application.

关 键 词：行为策略 脑梗死 肢体功能 神经功能 并发症 

分 类 号：R473-72[医药卫生—护理学]