基于目标导向的循序渐进式康复护理对脑梗死患者神经功能及生活质量的影响  

Effect of Goal-oriented Progressive Rehabilitation Nursing on Neurological Function and Quality of Life in Patients with Cerebral Infarction

作　　者：孙悦[1] 王水雨 杨棕普 汪婷婷 SUN Yue;WANG Shui-yu;YANG Zong-pu;WANG Ting-ting(Zhengzhou University First Affiliated Hospital Neurointensive Care Unit,Zhengzhou 450000,Henan Province,China)

机构地区：[1]郑州大学第一附属医院神经重症监护病房,河南郑州450000

出　　处：《罕少疾病杂志》2024年第2期134-136,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的探究基于目标导向的循序渐进式康复护理对脑梗死患者神经功能及生活质量的影响。方法收集我院2020年5月-2023年5月收治的120例脑梗死患者临床资料。按照护理方法的不同分为2组,观察组72例为实施基于目标导向的循序渐进式康复护理的患者,对照组48例为常规护理患者。比较患者恢复情况、神经功能、肢体功能、生活质量。结果观察组卧床时间(4.81±1.24)天、住院时间(9.58±2.25)天均低于对照组(5.45±1.31)天、(11.25±2.54)天,差异有统计学意义(P<0.05)。与干预前对照组相比,观察组神经功能缺损评分无显著变化(P>0.05),与干预后相比,两组神经功能缺损评分均显著降低,(t=20.136,P=0.000;t=14.680,P=0.000),且干预后的观察组评分(19.13±2.61)分低于对照组(21.44±2.82)分,差异有统计学意义(P<0.05)。与干预前对照组相比,观察组上肢、下肢功能评分无显著变化(P>0.05),与干预后相比,两组上肢、下肢功能评分均显著增加(t=43.599,P=0.000;t=23.703,P=0.000)、(t=29.546,P=0.000;t=15.362,P=0.000),且干预后的观察组评分高于对照组,差异显著(P<0.05)。与干预前对照组相比,观察组生活质量评分无显著变化(P>0.05),与干预后相比,两组生活质量评分均增加,差异显著(t=38.240,P=0.000;t=23.184,P=0.000),且干预后的观察组评分(68.78±3.85)分高于对照组(63.38±4.11)分,差异有统计学意义(P<0.05)。结论基于目标导向的循序渐进式康复护理能够改善脑梗死患者的神经功能缺损,提高生活质量,促进恢复。Objective The purpose of this study is to investigate the impact of goal-oriented progressive rehabilitation nursing on neurological function and quality of life in patients with cerebral infarction.Methods From May 2020 to May 2023,clinical data on 120 patients with cerebral infarction admitted to our hospital were collected.They were placed into two groups based on their nursing approaches.The observation group included 72 patients who received goal-oriented progressive rehabilitative nursing,while the control group included 48 patients who received routine nursing.The recovery,neurological function,limb function,and quality of life of the patients were all compared.Results The bed time(4.81±1.24)days and hospital stay(9.58±2.25)days in the observation group were lower than those in the control group(5.45±1.31)days and(11.25±2.54)days,the difference was statistically significant(P<0.05).Compared with the control group before intervention,the neurological impairment score of the observation group had no significant change(P>0.05),and the neurological impairment score of the two groups was significantly decreased compared with that after intervention(t=20.136,P=0.000;t=14.680,P=0.000).After intervention,the score of the observation group(19.13±2.61)was lower than that of the control group(21.44±2.82),and the difference was statistically significant(P<0.05).Compared with the control group before intervention,the upper limb and lower limb function scores of the observation group had no significant changes(P>0.05).Compared with the intervention group,the upper limb and lower limb function scores of the two groups were significantly increased(t=43.599,P=0.000;t=23.703,P=0.000),(t=29.546,P=0.000;t=15.362,P=0.000),and the score of the observation group after intervention was higher than that of the control group,the difference was significant(P<0.05).Compared with the control group before intervention,the quality of life score of the observation group had no significant change(P>0.05),but compared with the interv

关 键 词：目标导向 循序渐进 康复 护理 脑梗死 神经功能 生活质量 

分 类 号：R47[医药卫生—护理学]