急性脑血栓早期康复护理对降低脑血栓患者致残率的作用分析  

Effect of Early Rehabilitation Nursing on Reducing Disability Rate of Patients with Acute Cerebral Thrombosis

作　　者：于欣 林华晶 江景珠 YU Xin;LIN Huajing;JIANG Jingzhu(Fujian Geriatric Hospital,Fuzhou,Fujian Province,350001 China)

机构地区：[1]福建省老年医院,福建福州350001

出　　处：《中外医疗》2023年第5期180-184,189,共6页China & Foreign Medical Treatment

摘　　要：目的 分析急性脑血栓早期康复护理对降低脑血栓患者致残率的作用。方法 从2019年7月—2021年5月在福建省老年医院治疗的急性脑血栓患者中随机选取66例进行研究,根据电脑中排序单双号的原则将其分为对照组和观察组,每组33例。给两组患者实施相同的治疗方式,对照组配合应用常规护理,观察组配合应用早期康复护理。护理前后,采用《简化运动功能评分法》评价两组患者运动功能(Fugl-Meyer评分),采用《日常生活活动能力评定量表》评价两组患者日常生活活动能力(ADL评分)。护理结束后,采用本院自制的调查表,调查所有患者对护理工作的满意度,并比较两组致残率。结果 护理后,观察组Fugl-Meyer评分、ADL评分均高于对照组,差异有统计学意义(t=11.527、9.021,P<0.05)。与对照组护理满意度(78.79%)相比较,观察组(96.97%)更高,差异有统计学意义(χ^(2)=5.121,P<0.05)。观察组致残率(3.03%)较对照组(24.24%)更低,差异有统计学意义(χ^(2)=6.304,P<0.05)。结论 临床上对急性脑血栓患者实施早期康复护理,能够有效改善患者肢体运动功能,提高其日常生活活动能力,还能有效降低患者致残率,效果较好,患者及家属对护理工作的满意度较高。Objective To analyze the effect of early rehabilitation nursing on reducing the disability rate of patients with acute cerebral thrombosis.Methods 66 patients with acute cerebral thrombosis treated in Fujian Geriatric Hospital from July 2019 to May 2021 were randomly selected for this study.According to the principle of odd-even ranking in the computer,they were divided into control group and observation group,with 33 patients in each group,and the same treatment was given to both groups.Control group with routine nursing,observation group with early rehabilitation nursing.Before and after nursing,"simplified motor function scoring method"was used to evaluate the motor function of the two groups(Fugl-Meyer score),and"activities of daily living ability rating scale"was used to evaluate the activities of daily living(ADL score).After the end of nursing,the questionnaire made by hospital was used to investigate the satisfaction of all patients to the nursing work,and the disability rate of the two groups were compared.Results After nursing,Fugl-Meyer score and ADL score in the observation group were higher than those in the control group,the difference was statistically significant(t=11.527,9.021,P<0.05).Compared with the control group(78.79%),the nursing satisfaction of the observation group(96.97%)was higher,the difference was statistically significant(χ^(2)=5.121,P<0.05).The disability rate of the observation group(3.03%)was lower than that of the control group(24.24%),the difference was statistically significant(χ^(2)=6.304,P<0.05).Conclusion Clinical implementation of early rehabilitation nursing for patients with acute cerebral thrombosis,can effectively improve the patient´s limb movement function,improve their daily living activities,but also effectively reduce the rate of disability of patients,the effect is good,patients and their families on the nursing work of high satisfaction.

关 键 词：急性脑血栓 早期康复护理 脑血栓 致残率 作用分析 

分 类 号：R5[医药卫生—内科学]