出 处:《中国医药指南》2022年第29期34-37,共4页Guide of China Medicine
摘 要:目的研究对脑梗死恢复期患者配合康复护理的要点和应用价值。方法应用随机掷骰子的方法将2019年3月至2020年4月到我院进行治疗的90例脑梗死恢复期患者分为观察组与对照组,每组45例。分别对两组患者配合康复护理和常规护理,对两组患者经过不同护理后的治疗有效率、并发症发生率、Barthel指数、神经功能、肢体运动功能、焦虑和抑郁心理等进行比较。结果①观察组(43例,占比为95.56%)在治疗有效率方面取得的效果明显优于对照组(37例,占比为82.22%),差异有统计学意义(P<0.05)。②在并发症发生率方面观察组(3例,占比为6.67%)出现的概率相比对照组(13例,占比为28.89%)更低,差异有统计学意义(P<0.05)。③护理之前,两组患者在生活质量、神经和肢体功能等方面差异无有统计学意义(P>0.05),护理后,观察组的生活质量、神经和肢体功能等改善效果比对照组更好,差异有统计学意义(P<0.05)。④护理前两组患者未出现严重的负面心理(P>0.05),护理后,观察组的负面心理改善情况比对照组更好,差异有统计学意义(P<0.05)。结论脑梗死患者恢复期开展康复护理可以使疾病的康复有效率得到提升,减轻机体出现并发症的可能,实现对患者生活质量、神经功能和肢体功能的改善,也能缓解患者的负面心理状态,为患者的进一步康复奠定基础。Objective To study the key points and application value of cooperating with rehabilitation nursing for patients with cerebral infarction in the convalescent period.Methods A total of 90 patients with cerebral infarction in convalescent period who came to our hospital for treatment from March 2019 to April 2020 were randomly divided into observation group and control group,with an average of 45 cases in each group.The two groups of patients were treated with rehabilitation nursing and routine nursing,respectively,and the treatment efficacy rate,complication rate,Barthel index,neurological function,limb motor function,anxiety and depression psychology of the two groups of patients after different nursing were compared.Results(1)The observation group(43 cases,accounting for 95.56%)was significantly better than the control group(37 cases,accounting for 82.22%)in terms of treatment efficiency,with a statistical difference(P<0.05).(2)The incidence of complications in the observation group(3 cases,accounting for 6.67%)was lower than that in the control group(13 cases,accounting for 28.89%),and there was a statistical difference(P<0.05).(3)Before nursing,there was no significant difference in quality of life,nerve and limb function between the two groups(P>0.05),and after nursing,the improvement effect of quality of life,nerve and limb function in the observation group was better than that in the control group,there is a statistical difference(P<0.05).(4)Before nursing,the two groups of patients did not have serious negative psychology(P>0.05);after nursing,the improvement of negative psychology in the observation group was better than that in the control group,and there was a statistical differences(P<0.05).Conclusion Rehabilitation nursing during the recovery period of patients with cerebral infarction can improve the recovery efficiency of the disease,reduce the possibility of complications in the body,improve the quality of life,nerve function and limb function of patients,and relieve the negative psychological state
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