早期康复护理对吉兰-巴雷综合征患者肌力及日常生活活动能力的影响  

Effect of Early Rehabilitation Care on Muscle Strength and Activities of Daily Living in Patients with Guillain-Barré Syndrome

作　　者：位亚娟 王静[1] 张新勋 WE Ya-juan;WAG Jing;ZH Xin-xun(intensive care unit(ICU),The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,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450052

出　　处：《罕少疾病杂志》2024年第8期148-149,158,共3页Journal of Rare and Uncommon Diseases

基　　金：河南省医学科技攻关计划项目(LHGJ20210086)。

摘　　要：目的探究早期康复护理在吉兰-巴雷综合征(GBS)患者中的应用效果。方法选取2021年1月~2023年12月本院收治的GBS患者72例,根据护理方案进行分组,对照组40例患者进行常规护理,观察组32例患者进行早期康复护理。比较两组的四肢肌力、日常生活活动能力、自我效能感以及生活质量。结果干预前两组患者各项指标之间均无显著性差异(P>0.05);干预后,观察组上、下肢近端及远端肌力、改良Barthel指数(MBI)、一般自我效能感量表(GSES)、简明健康状况问卷(SF-36)评分较对照组均明显升高(P<0.05)。结论在GBS患者中,应用早期康复护理可明显改善其四肢肌力,显著提升患者的日常生活活动能力,有效提高患者的自我效能感及生活质量,值得临床推广。Objective To investigate the effectiveness of early rehabilitative care in patients with Guillain-Barrésyndrome(GBS).Methods 72 cases of GBS patients admitted to our hospital from January 2021 to December 2023 were selected and grouped according to the nursing program;40 patients in the control group underwent conventional nursing care,and 32 patients in the observation group underwent early rehabilitation nursing care.The limb muscle strength,activities of daily living ability,self-efficacy and quality of life of the two groups were compared.Results Before the intervention,there was no significant difference between the two groups(P>0.05).After the intervention,the scores of proximal and distal muscle strength,improved Barthel index(MBI),General Self-efficacy Scale(GSES)and Brief Health Status Questionnaire(SF-36)in the observation group were significantly higher than those in the control group(P<0.05).Conclusion In GBS patients,the application of early rehabilitation nursing can significantly improve their limb muscle strength,significantly improve their ability to perform activities of daily living,and effectively improve their sense of self-efficacy and quality of life,which is worthy of clinical promotion.

关 键 词：早期康复护理 GBS 肌力 日常生活活动能力 

分 类 号：R472[医药卫生—护理学]