综合护理干预对急性脑梗死患者身心康复的影响  

Effects of comprehensive nursing intervention on physical and mental rehabilitation of patients with acute cerebral infarction

作　　者：王奚[1] 吴淑芳[1] 潘卫平[1] 顾志贤[1] 徐萍[1] Wang Xi;Wu Shufang;Pan Weiping;Gu Zhixian;Xu Ping.(Department of Neurology, Jiangyin Hospital Affiliated to Southeast University Medical School, Jiangyin 214400, China)

机构地区：[1]东南大学医学院附属江阴医院神经内科,江苏江阴214400

出　　处：《国际护理学杂志》2018年第8期1067-1070,共4页international journal of nursing

摘　　要：目的探讨综合护理干预对急性脑梗死（ACI）患者身心康复的影响。方法选取该院2016年1月-2017年1月ACI患者50例，随机分为对照组和干预组各25例。对照组采取常规护理，干预组给予综合护理干预（对照组基础上实施早期康复护理、情志护理、穴位按摩等中医护理），比较两组功能康复[运动功能评分（FMA）、日常生活活动能力（ADL）]、生活质量[Spitzer生活质量指数量表（QLI）]，记录心理状态[焦虑自评量表（SAS）和抑郁自评量表（SDS）评分]。结果干预前，两组FMA评分、ADL评分比较，差异均无统计学意义（均P〉0．05）；干预后，干预组FMA评分、ADL评分均高于对照组，差异有统计学意义（均P〈0．05）。干预前，两组QLI评分比较，差异无统计学意义（P〉0．05）；干预后，干预组高于对照组，差异有统计学意义（P〈0．05）。干预前，两组SAS、SDS评分比较，差异均无统计学意义（均P〉0．05）；干预后，干预组SAS、SDS评分低于对照组，差异均有统计学意义（均P〈0．05）。结论综合护理干预促进了ACI患者的功能康复，改善了心理状态。Objective To evaluate the effect of comprehensive nursing intervention on the physical and mental rehabilitation of patients with acute cerebral infarction （ACI）. Methods A total of 50 patients with acute cerebral infarction selected from January 2016 to January 2017 were randomly divided into the control group and the intervention group averagely. The control group received routine care. The intervention group was given comprehensive nursing inter- vention （early rehabilitation nursing, emotional nursing, acupoint massage, etc. was given on the basis of the control group）. Fugl-Meyer Assessment （FMA）, Activities of Daily Living （ADL）, Spitzer Quality of Life Index Scale （QLI） of the two groups were compared and Depression Self-rating Scale （SDS） and Anxiety Self-rating Scale （SAS） of the two groups were recorded. Results Before intervention, there was no statistically significant difference between the two groups of FMA scores and ADL scores （P〉0.05）. After intervention, the FMA score and ADL score of the in- tervention group were higher than those of the control group （P〈0.05 ）. The comparison of QLI scores showed no sig- nificant difference between the two groups before intervention （P〉0. 05 ）. After intervention, the intervention group was higher than that of the control group （P〉0. 05）. Before intervention, there was no statistically significant differ- ence between the two groups of SAS and SDS scores （P〉0. 05）. After intervention, the SAS and SDS scores of the in- tervention group were lower than those in the control group （P〈0. 05）. Conclusion Comprehensive nursing interven- tion promotes the function recovery of ACI patients and improves the psychological state.

关 键 词：综合护理干预 急性脑梗死 身心康复 

分 类 号：R473.74[医药卫生—护理学]