早期体位护理对高血压脑出血患者生活能力及肢体功能状态的影响  

Influence of Early Posture Nursing for Living Ability and Limb Function Status of Patients with Hypertensive Cerebral Hemorrhage

作　　者：李俊蕾[1] 李春玲[1] 陆蓉[1] 任艺 陈婷 LI Junlei;LI Chunling;LU Rong;REN Yi;CHEN Ting(Sichuan Academy of Medical Sciences·Sichuan Provincial People’s Hospital,Chengdu 610072,China)

机构地区：[1]四川省医学科学院·四川省人民医院,四川成都610072

出　　处：《中外医学研究》2021年第4期101-103,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：四川省卫生和计划生育委员会科研课题项目(18PJ304)。

摘　　要：目的:探究早期体位护理对高血压脑出血患者生活能力及肢体功能状态的影响。方法:将2018年2月-2019年12月的86例高血压脑出血患者,随机分为对照组(常规护理)和观察组(早期体位护理),每组43例。比较两组护理前后的生活能力(Barthel指数)、肢体功能(Fugl-Meyer量表)及自护能力(ESCA量表)评分。结果:护理前两组的Barthel指数、Fugl-Meyer量表及ESCA量表评分比较,差异无统计学意义(P>0.05),护理后观察组的Barthel指数极重、重度、中度、轻度及无功能缺陷分别为2例(4.65%)、5例(11.63%)、15例(34.88%)及21例(48.84%),Fugl-Meyer量表严重、明显、中度及轻度肢体功能障碍分别为2例(4.65%)、8例(18.60%)、10例(23.26%)及23例(53.49%),ESCA量表自我概念、健康认知、自护技能及责任感评分分别为(23.63±2.21)、(39.79±3.93)、(25.65±2.31)、(25.03±2.39)分,上述各方面评分显著优于对照组,差异均有统计学意义(P<0.05)。结论:早期体位护理有助于改善高血压脑出血患者的生活能力及肢体功能状态,可显著提升其自护能力,因此在高血压脑出血患者中的应用价值较高。Objective:To investigate the influence of early posture nursing for living ability and limb function status of patients with hypertensive cerebral hemorrhage.Method:A total of 86 patients with hypertensive cerebral hemorrhage from February 2018 to December 2019 were randomly divided into the control group (conventional nursing) and the observation group (early posture nursing) with 43 cases in each group.Then the living ability (Barthel index),limb function (Fugl-Meyer scale) and self-nursing ability (ESCA scale) of two groups before and after the nursing were compared.Result:The scores of Barthel index,Fugl-Meyer scale and ESCA scale of two groups before the nursing were compared,there were no statistically significant differences (P>0.05).The Barthel index for very severe,severe,moderate,mild and no functional defect of the observation group after the nursing were respectively 2 cases (4.65%),5 cases (11.63%),15 cases (34.88%) and 21 cases (48.84%);Fugl-Meyer scale for severe,significant,moderate and mild limb dysfunction were respectively 2 cases (4.65%),8 cases (18.60%),10 cases (23.26%) and 23 cases (53.49%);the ESCA self concept,health cognition,self-care skills and sense of responsibility were respectively (23.63±2.21) points,(39.79±3.93) points,(25.65±2.31) points and (25.03±2.39) points,and they were all significant better than those of the control group,there were statistically significant differences (P<0.05).Conclusion:The early posture nursing is helpful to the improvement of living ability and limb function status,and it can significantly improve the self-nursing ability,so its application value in the patients with hypertensive cerebral hemorrhage is higher.

关 键 词：早期体位护理 高血压脑出血 生活能力 肢体功能状态 

分 类 号：R473.74[医药卫生—护理学]