基于护理过程指标的早期运动康复方案在脑卒中病人运动功能及神经康复中的应用价值  

Application value of early exercise rehabilitation program based on nursing process index in motor function and neurological rehabilitation of stroke patients

作　　者：周立恒 李阿敏 李梦 王艳梅[1] 胡凤英 年玉 ZHOU Li-heng;LI A-min;LI Meng;WANG Yan-mei;HU Feng-ying;NIAN Yu(Department of Nursing,The People′s Hospital of Taihe,Taihe Anhui 236600,China)

机构地区：[1]安徽省太和县人民医院护理部,236600

出　　处：《蚌埠医学院学报》2022年第7期962-965,970,共5页Journal of Bengbu Medical College

基　　金：安徽省阜阳市科技局科研项目(FK202081105)。

摘　　要：目的:探讨基于护理敏感指标之过程指标的早期运动康复方案在脑卒中病人早期运动功能及神经康复中的应用效果。方法:选取脑卒中病人60例,随机分为观察组和对照组,各30例。对照组实施常规护理,观察组在对照组基础上实施《脑卒中患者早期运动康复的护理方案》的护理过程指标监控。比较2组干预前后美国国立卫生研究院卒中量表(NIHSS)评分和Fugl-Meyer运动功能评定量表(FMA)评分。结果:2组干预前NIHSS评分差异无统计学意义(P>0.05);2组干预后NIHSS评分均明显低于干预前(P<0.01),且观察组干预后NIHSS评分明显低于对照组(P<0.01)。2组干预前FMA评分差异无统计学意义(P>0.05);2组干预后FMA评分均明显高于干预前(P<0.01),且观察组干预后FMA评分明显高于对照组(P<0.01)。结论:借助护理质量敏感指标的过程指标,在脑卒中病人早期运动护理方案的指导下,有助于脑卒中病人神经功能及运动功能的恢复,改善病人的临床结局。Objective:To explore the application effect of early exercise rehabilitation program based on process index of nursing sensitive index in the early motor function and neurological rehabilitation of stroke patients.Methods:Sixty stroke patients were selected and randomly divided into the observation group and control group, with 30 cases in each group.The control group implemented routine nursing, and the observation group implemented the nursing process index monitoring of "nursing program for early motor rehabilitation of stroke patients" on the base of the control group.The scores of National Institutes of Health stroke scale(NIHSS) and Fugl-Meyer motor function assessment(FMA) were compared between the two groups before and after intervention.Results:There was no significant difference in NIHSS score between the two groups before intervention(P>0.05);the NIHSS score in the two groups after intervention was significantly lower than that before intervention(P<0.01),and the NIHSS score in the observation group after intervention was significantly lower than that in the control group(P<0.01).There was no significant difference in FMA score between the two groups before intervention(P>0.05);the FMA score in the two groups after intervention was significantly higher than that before intervention(P<0.01),and the FMA score in the observation group after intervention was significantly higher than that in the control group(P<0.01).Conclusions:With the help of the process index of nursing quality-sensitive index and under the guidance of the early exercise nursing program of stroke patients, it is helpful to restore the neurological and motor function of stroke patients and improve the clinical outcome of patients.

关 键 词：脑卒中 早期康复 护理敏感指标 过程指标 

分 类 号：R743[医药卫生—神经病学与精神病学]