脑梗死后遗症患者的康复护理方法和效果分析  

Rehabilitation nursing method and effect of patients with sequela of cerebral infarction

作　　者：孙卓 SUN Zhuo(Dalian Central Hospital,Dalian 116021,China)

机构地区：[1]大连市中心医院,116021

出　　处：《中国实用医药》2022年第8期197-199,共3页China Practical Medicine

摘　　要：目的分析脑梗死后遗症患者的康复护理方法和效果。方法50例脑梗死后遗症患者,随机分为康复护理组与对照组,各25例。对照组患者给予常规护理,康复护理组患者给予早期康复护理模式。比较两组患者干预前后的简式Fugl-Meyer运动功能(FMA)评分、Barthel指数评分、吞咽造影检查(VFSS)评分、美国国立卫生研究院卒中量表(NIHSS)评分、生活质量评分及压疮发生情况。结果干预前,两组FMA、Barthel指数、VFSS、NIHSS、生活质量评分比较,差异无统计学意义(P>0.05);干预后,康复护理组FMA评分(82.12±3.12)分、VFSS评分(6.51±1.21)分、Barthel指数(72.55±3.01)分、生活质量评分(92.46±5.21)分高于对照组的(72.24±1.67)、(5.23±0.61)、(63.56±2.12)、(83.67±3.29)分,NIHSS评分(8.24±1.71)分低于对照组的(10.12±2.29)分,差异有统计学意义(P<0.05)。康复护理组压疮发生率0低于对照组的24.00%,差异有统计学意义(P<0.05)。结论早期康复护理模式对脑梗死后遗症患者具有较高的护理价值,可改善运动功能和脑功能,并促进患者生活质量和生活能力的改善,并改善患者的吞咽功能,减少压疮发生,是一种值得推广的护理模式。Objective To analyze the rehabilitation nursing method and effect of patients with sequela of cerebral infarction.Methods A total of 50 patients with sequelae of cerebral infarction were randomly divided into rehabilitation nursing group and control group,with 25 cases in each group.Patients in the control group received conventional nursing,and patients in the rehabilitation nursing group received the early rehabilitation nursing mode.Both groups were compared in terms of simplified Fugl-Meyer motor assessment(FMA)score,Barthel index score,video fluoroscopic swallowing study(VFSS)score,National Institutes of Health stroke scale(NIHSS)score,quality of life score before and after intervention,and the occurrence of pressure ulcers.Results Before intervention,there was no statistically significant difference in FMA,Barthel index,VFSS,NIHSS and quality of life scores between the two groups(P>0.05).After intervention,the FMA score(82.12±3.12)points,the VFSS score(6.51±1.21)points,the Barthel index(72.55±3.01)points and the quality of life score(92.46±5.21)points in the rehabilitation nursing group were higher than(72.24±1.67),(5.23±0.61),(63.56±2.12),and(83.67±3.29)points in the control group,and the NIHSS score(8.24±1.71)points was lower than(10.12±2.29)points of the control group.All the differences were statistically significant(P<0.05).The incidence of pressure ulcers 0 in the rehabilitation nursing group was lower than 24.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion Early rehabilitation nursing mode has high nursing value for patients with sequelae of cerebral infarction,which can improve motor function,brain function,quality of life,ability of life,swallowing function and reduce the occurrence of pressure ulcers.it is a nursing model worth popularizing.

关 键 词：脑梗死后遗症 康复护理 效果 

分 类 号：R473.74[医药卫生—护理学]