康复护理干预对神经内科脑出血后遗症患者的康复影响  

Effect of Rehabilitation Nursing Intervention on Patients with Sequelae of Cerebral Hemorrhage in Neurology Department

作　　者：刘晓静 LIU Xiaojing(The Second People's Hospital of Fuxin City(Fuxin Gynecology and Obstetrics Hospital),Fuxin 123000,China)

机构地区：[1]辽宁省阜新市第二人民医院(阜新市妇产医院),辽宁阜新123000

出　　处：《中国医药指南》2021年第16期203-204,共2页Guide of China Medicine

摘　　要：目的探讨康复护理干预对神经内科脑出血后遗症患者的康复影响。方法入组对象选自2019年1月至2021年1月本院神经内科诊治的脑出血后遗症患者,共88例,根据护理方式不同对患者进行分组,采用常规护理的44例患者为对照组,在常规护理基础上采用康复护理干预的44例患者为观察组,对比两组患者护理前后神经功能缺损评分、肢体运动能力评分以及生活质量评分变化情况,明确康复护理干预的临床应用价值。结果干预前两组NIHSS评分对比无明显差异(P>0.05),干预后均明显下降,且观察组低于对照组(P<0.05);干预前两组FMA评分对比无明显差异(P>0.05),干预后均明显升高,且观察组明显高于对照组(P<0.05);干预前两组Barthel指数评分对比无明显差异(P>0.05),干预后两组患者Barthel指数评分较治疗前明显提高(P<0.05)。结论对神经内科脑出血后遗症患者实施康复护理干预效果好,可以有效改善患者神经功能,提高患者肢体运动能力,进而提升患者的生活质量。Objective To explore the effects of rehabilitation nursing intervention on patients with sequelae of cerebral hemorrhage in the Department of Neurology.Methods The enrolled subjects were selected from the patients with sequelae of cerebral hemorrhage diagnosed and treated by the Department of Neurology of our hospital from January 2019 to January 2021,a total of 88 patients were divided into groups according to different nursing methods,and 44 cases patients with routine care were used as the control group,the observation group's 44 patients were treated with rehabilitation nursing intervention on the basis of routine nursing.The scores of neurological deficits,motor performance scores and quality of life scores of the two groups were compared before and after nursing,and the clinical application value of rehabilitation nursing intervention was clarified.Results There was no significant difference in the comparison of NIHSS scores between the two groups before the intervention(P>0.05),and both decreased significantly after the intervention,and the observation group was lower than the control group(P<0.05);there was no significant difference in the comparison of the FMA scores between the two groups before the intervention(P>0.05),the observation group was significantly higher than the control group(P<0.05);there was no significant difference in the Barthel Index scores between the two groups before the intervention(P>0.05);after the intervention,the Barthel Index scores of the two group of patients was significantly higher than before treatment,and the observation group was significantly higher than the control group(P<0.05).Conclusion Rehabilitation nursing intervention for patients with sequelae of cerebral hemorrhage in the Department of Neurology has a good effect.It can effectively improve the patient's neurological function,improve the patient's limb motor ability,and then improve the patient's quality of life.

关 键 词：脑出血后遗症 神经内科 康复护理干预 NIHSS评分 FMA评分 Barthel指数评分 

分 类 号：R473.74[医药卫生—护理学] R743.3[医药卫生—临床医学]