早期系统化康复护理对脑卒中偏瘫患者的影响分析  

The Impact of Early Systematic Rehabilitation Nursing on Patients with Hemiplegia After Stroke

作　　者：陈晓娅 CHEN Xiaoya(Department of Rehabilitation,The Ninth People's Hospital of Zhengzhou,Zhengzhou Henan 450000,China)

机构地区：[1]河南省郑州市第九人民医院康复科,河南郑州450000

出　　处：《临床研究》2024年第12期152-154,共3页Clinical Research

摘　　要：目的探讨早期系统化康复护理对脑卒中偏瘫患者的影响。方法回顾性分析对河南省郑州市第九人民医院康复科2021年1月至2023年12月接收的80例脑卒中偏瘫患者的临床资料进行回顾性分析,并根据接受护理方法的不同将其分为对照组(常规康复护理)与早期组(早期系统化康复护理),各40例,比较两组肢体功能与心理状况。结果干预前,两组Fugl-Meyer运动功能评定量表(FMA)评分比较,差异无统计学意义(P>0.05);干预1个月、干预2个月后,早期组FMA评分均高于对照组,差异有统计学意义(P<0.05)。干预前,两组汉密顿抑郁量表(HAMD)、汉密顿焦虑量表(HAMA)评分比较,差异无统计学意义(P>0.05);干预1个月、干预2个月后,早期组HAMD、HAMA评分均低于对照组,差异有统计学意义(P<0.05)。结论将早期系统化康复护理应用于脑卒中偏瘫患者,有助于改善患者肢体功能,调节心理状况。Objective To explore the impact of early systematic rehabilitation nursing on patients with hemiplegia after stroke.Methods A retrospective analysis was conducted on the clinical data of 80 patients with hemiplegia after stroke who were admitted to the Rehabilitation Department of The Ninth People's Hospital of Zhengzhou from January 2021 to December 2023.Patients were divided into two groups based on the nursing methods received:the control group(conventional rehabilitation nursing)and the early group(early systematic rehabilitation nursing),with 40 patients in each group.The limb function and psychological status of both groups were compared.Results Before intervention,there was no statistically significant difference in the Fugl-Meyer Assessment(FMA)scores between the two groups(P>0.05).However,after 1 month and 2 months of intervention,the FMA scores in the early group were significantly higher than those in the control group(P<0.05).Prior to intervention,there were no significant differences in the Hamilton Depression Scale(HAMD)and the Hamilton Anxiety Scale(HAMA)scores between the two groups(P>0.05).After 1 month and 2 months of intervention,the HAMD and HAMA scores in the early group were lower than those in the control group,with statistically significant differences(P<0.05).Conclusion The application of early systematic rehabilitation nursing for patients with hemiplegia after stroke is beneficial for improving limb function and regulating psychological status.

关 键 词：脑卒中偏瘫 肢体功能 心理状况 早期系统化康复护理 焦虑 抑郁 

分 类 号：R473[医药卫生—护理学]