心肺康复护理对急救后脑卒中患者自理能力恢复的影响  

The Impact of Cardiopulmonary Rehabilitation Nursing on the Recovery of Self-Care Ability in Post-Emergency Stroke Patients

作　　者：刘秋云 唐善梅 唐倩 张驰 陈爱丽 钱云苏 LIU Qiuyun;TANG Shanmei;TANG Qian;ZHANG Chi;CHEN Aili;QIAN Yunsu(Jiangsu Provincial People's Hospital Suqian Hospital(Suqian First People's Hospital)Department of Rehabilitation Medicine,Suqian 223800,China)

机构地区：[1]江苏省人民医院宿迁医院(宿迁市第一人民医院)康复医学科,江苏宿迁223800

出　　处：《中华灾害救援医学》2024年第12期1486-1489,共4页Chinese Journal of Disaster Medicine

基　　金：宿迁市2022年市级指导性科技计划项目(项目编号:Z2022093)。

摘　　要：目的探讨对于脑卒中患者尽早采取心肺康复护理对患者自理能力的影响。方法选取2021年6月至2024年6月经江苏省人民医院宿迁医院急诊急救,且目前病情已稳定转入康复科的80例脑卒中患者为研究对象进行回顾性分析,根据是否实施心肺康复护理分为对照组与观察组,对照组仅实施常规护理,观察组在常规护理的基础上实施心肺康复护理,每组各40例。比较两组患者的肢体功能、自理能力、心理状态、神经功能以及护理满意度。结果干预前,两组患者上下肢运动功能(FuglMeyerAssessment,FMA)评分、自理能力Barthel评分、心理状态焦虑自评量表(Self-rating Anxiety Scale,SAS)评分和抑郁自评量表(Self-rating Depression Scale,SDS)评分、神经功能美国国立卫生研究院卒中量表(National Institute of Health Stroke Scale,NIHSS)评分,均无显著差异。干预后,两组患者上下肢FMA评分、Barthel评分均升高(P<0.001),SAS评分、SDS评分、NIHSS评分均降低(P<0.001);且和对照组患者相比,观察组患者上下肢FMA评分、Barthel评分更高(P<0.001),SAS评分、SDS评分、NIHSS评分更低(P<0.001)。结论对于脑卒中患者,实施心肺康复护理有利于改善患者肢体功能、自理能力、心理状态、神经功能,提高了患者对护理工作的满意程度。Objective This study aims to investigate the impact of early cardiopulmonary rehabilitation nursing on the self-care abilities of patients with stroke.Methods A retrospective analysis was conducted on 80 stroke patients who were admitted to the emergency department of Suqian Hospital,Jiangsu Province People's Hospital,from June 2021 to June 2024 and whose conditions had stabilized and were transferred to the rehabilitation department.The patients were divided into an observation group and a control group,with 40 patients in each group,based on whether cardiopulmonary rehabilitation nursing was implemented.The limb function,selfcare ability,psychological status,neurological function,and nursing satisfaction were compared between the two groups.Results Prior to the intervention,there were no significant differences in the Fugl-Meyer Assessment(FMA)scores for upper and lower limbs,Barthel Index scores for self-care ability,Self-Rating Anxiety Scale(SAS)scores,Self-Rating Depression Scale(SDS)scores,and National Institutes of Health Stroke Scale(NIHSS)scores between the two groups.After the intervention,both groups showed significant increases in FMA and Barthel scores(P<0.001),along with significant decreases in SAS,SDS,and NIHSS scores(P<0.001).Furthermore,the observation group exhibited significantly higher FMA and Barthel scores(P<0.001)and significantly lower SAS,SDS,and NIHSS scores(P<0.001)compared to the control group.Conclusion Implementing cardiopulmonary rehabilitation nursing for stroke patients is beneficial in enhancing limb function,self-care ability,psychological status,and neurological function,while also improving patient satisfaction with nursing care.

关 键 词：康复护理 心理过程 急救 病人满意度 

分 类 号：R473.6[医药卫生—护理学]