高血压合并脑梗死偏瘫患者早期康复健康管理与护理  

Nursing experience of early rehabilitation health management for hypertensive patients with hemiplegia after cerebral infarction

作　　者：周在霞[1] 张学娥[1] 岳丽华[1] 王倩[1] 赵琳琳[1] Zhou Zaixia;Zhang Xue′e;Yue hua;Wang Qian;Zhao Linlin

机构地区：[1]山东省滨州市中心医院神经内科,251700

出　　处：《中国实用护理杂志》2020年第6期419-423,共5页Chinese Journal of Practical Nursing

摘　　要：目的分析高血压合并脑梗死偏瘫患者早期康复健康管理的护理方法及效果。方法将86例高血压合并脑梗死偏瘫患者以随机数字表法分组,每组43例。对照组行常规护理,观察组行早期康复健康管理护理,比较2组患者护理干预前后肢体运动功能、日常生活能力评分(ADL)及生命质量。结果护理后,观察组患者医学研究委员会评分(MRC)为(50.25±3.37)分,高于对照组的(40.28±3.38)分,观察组患者Fugl-Meyer评分(上肢)为(65.44±1.08)分,高于对照组的(53.38±1.22)分,Fugl-Meyer评分(下肢)为(28.15±1.13)分,高于对照组的(26.52±1.17)分,生活活动能力Barthel指数(88.65±4.73)分,显著高于对照组的(80.27±4.69)分,以上差异均有统计学意义(t值为6.571~48.536,P值均<0.01)。护理后观察组生命质量评分中记忆与思维、情绪、交流、移动能力、日常生活能力、手功能、力气及参与评分分别为(74.58±3.27)、(75.87±4.06)、(72.31±5.08)、(72.13±5.06)、(69.75±4.41)、(78.56±5.13)、(64.17±3.50)、(68.95±5.03)分,均明显高于对照组的(69.27±3.66)、(66.35±4.17)、(63.59±5.41)、(58.95±4.22)、(59.67±4.30)、(63.49±5.07)、(59.74±3.15)、(54.09±5.10)分,以上差异均有统计学意义(t值为6.144~13.701,P值均<0.01)。结论为高血压合并脑梗死偏瘫患者实施早期康复健康管理护理,有助于改善患者肢体运动功能与生活活动能力,可明显提高患者生命质量,值得推广。Objective To analyze the nursing methods and effects of early rehabilitation and health management for hypertensive patients with cerebral infarction and hemiplegia.Methods Totally 86 patients with hypertension and cerebral infarction with hemiplegia were randomized to a random number table,with 43 patients in each group.The control group received routine nursing,and the observation group underwent early rehabilitation health management care,and the recovery of the two groups was compared.Results After treatment,the patient medical research committee score(MRC)in the observation group was(50.25±3.37)points,higher than the control group(40.28±3.38)points,and the Fugl-Meyer score(upper limb)of the observation was(65.44±1.08)points,which was higher than that of the control group(53.38±1.22)points,and the Fugl-Meyer score(lower limb)was(28.15±1.13)points,significantly higher than the control group(26.52±1.17)points,the living activity ability Barthel index(88.65±4.73)was significantly higher than the control group(80.27±4.69)(t values were 6.571-48.536,P<0.01).After nursing,the scores of memory and thinking,emotion,communication,mobility,daily living ability,hand function,strength and participation in the quality of life in the observation group were(74.58±3.27)points,(75.87±4.06)points,(72.31±5.08)points,(72.13±5.06)points,(69.75±4.41)points,(78.56±5.13)points,(64.17±3.50)points and(68.95±5.03)points.The scores of the observation group were significantly higher than those of the control group,which were(69.27±3.66)points,(66.35±4.17)points,(63.59±5.41)points,(58.95±4.22)points,(59.67±4.30)points,(63.49±5.07)points,(59.74±3.15)points,(54.09±5.10)points(t values were 6.144-13.701,P<0.05).Conclusion Early rehabilitation health management and nursing for hypertensive patients with cerebral infarction and hemiplegia is helpful to improve the limb motor function and life activity ability of patients,and can significantly improve the quality of life of patients,which is worthy of promotion.

关 键 词：高血压 脑梗死偏瘫 早期康复健康管理护理 生活质量 

分 类 号：R473[医药卫生—护理学]