延续性康复护理对脑梗死患者康复预后的影响分析  

Influence of Continuous Rehabilitation Nursing on the Prognosis of Cerebral Infarction Patients

作　　者：程俊霞 Cheng Junxia(Zunyi Daozhen Autonomous County People's Hospital,Zunyi 563500,Guizhou Province,China)

机构地区：[1]遵义市道真自治县人民医院,贵州遵义563500

出　　处：《中外医药研究》2024年第21期58-60,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探究延续性康复护理对脑梗死患者康复预后的影响。方法:选取2021年8月—2022年12月遵义市道真自治县人民医院收治的脑梗死患者90例作为研究对象,以抽签方式分为参照组(常规护理)、研究组(延续性康复护理),各45例。比较两组患者生活质量评分,神经及肢体功能、自我管理能力评分,后遗症发生率。结果:出院半年后,两组躯体功能、社会功能、心理功能、物质状况评分均高于护理前,研究组高于参照组,差异有统计学意义(P<0.05);出院半年后,两组美国国立卫生研究院卒中量表评分低于护理前,上肢肢体运动功能评定量表(FMA)、下肢FMA、自我管理能力评分高于出院前,研究组优于参照组,差异有统计学意义(P<0.05);研究组后遗症发生率低于参照组,差异有统计学意义(P=0.001)。结论:对脑梗死患者进行延续性康复护理,可以有效提高患者的生活质量,改善其神经及肢体功能,增强其自我管理能力,降低后遗症发生率。Objective:To explore the influence of continuous rehabilitation nursing on the prognosis of cerebral infarction patients.Methods:A total of ninety patients with cerebral infarction treated in Zunyi Daozhen Autonomous County People's Hospital from August 2021 to December 2022 were selected as the research objects and divided into the reference group(routine nursing)and the research group(continuous rehabilitation nursing)by drawing lot,with forty-five cases each.The score of quality of life,nerve and limb function,self-management ability and incidence of sequelae were compared between the two groups.Results:Six months after discharge,the scores of physical function,social function,psychological function and material status of the two groups were higher than before nursing,and the research group was higher than the reference group,the difference was statistically significant(P<0.05);six months after discharge,the scores of the national institutes of health stroke scale were lower than before nursing,and the scores of the upper limb motor function rating scale(FMA),lower limb FMA and self-management ability were higher than before discharge,and the research group was better than the reference group,the difference was statistically significant(P<0.05);the incidence of sequelae in the research group was lower than that in the reference group,and the difference was statistically significant(P=0.001).Conclusion:Continuous rehabilitation nursing for cerebral infarction patients can effectively improve their quality of life,improve their neurological and limb functions,enhance their self-management ability,and reduce the incidence of sequelae.

关 键 词：延续性康复护理 脑梗死 预后 生活质量 自我管理 

分 类 号：R473.5[医药卫生—护理学]