目标导向性康复护理方案对重症监护室脑出血患者神经功能、认知功能的影响  

Effect of Goal-oriented Rehabilitation Nursing Program on Neurological Function and Cognitive Function in Patients with Cerebral Hemorrhage in Intensive Care Unit

作　　者：张永培 肖梦 刘雪 ZHANG Yongpei;XIAO Meng;LIU Xue(ICU of Department of Neurology,The Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu,221000,China)

机构地区：[1]徐州医科大学附属医院神经内科ICU,江苏徐州221000

出　　处：《中外医疗》2025年第7期112-116,共5页China & Foreign Medical Treatment

摘　　要：目的分析重症监护室脑出血患者的神经功能、认知功能经目标导向性康复护理后的差异。方法方便选取2021年5月—2023年7月徐州医科大学附属医院重症监护室收治的76例脑出血患者为研究对象,根据不同护理方法分为对照组(n=38)和研究组(n=38)。对照组实施常规护理干预,研究组实施目标导向性康复护理干预,比较两组的神经功能、认知功能、运动功能、日常生活活动能力、精神状态、生活质量及并发症发生情况。结果护理后,两组神经功能评分较低,认知功能评分、运动功能评分、日常生活活动能力评分、精神状态评分均较高,且研究组优于对照组,差异均有统计学意义(P均<0.05)。两组并发症总发生率比较,研究组低于对照组,差异有统计学意义(P<0.05)。护理后,与对照组生活质量评分[(74.31±6.96)分]相比,研究组的(82.27±6.83)分较高,差异有统计学意义(t=5.032,P<0.05)。结论目标导向性康复护理可减轻脑出血患者神经功能缺损程度,促进认知功能、运动功能与日常生活活动能力的恢复,改善精神状态,降低并发症发生风险,提升其生活质量。Objective To analyze the difference of neurological function and cognitive function in patients with cerebral hemorrhage in intensive care unit after goal-oriented rehabilitation nursing.Methods A total of 76 patients with cerebral hemorrhage admitted to the intensive care unit of the Affiliated Hospital of Xuzhou Medical University from May 2021 to July 2023 were conveniently selected as the research objects.Divided into control group(n=38)and study group(n=38)according to different nursing methods.The control group was given routine nursing intervention,and the study group was given goal-oriented rehabilitation nursing intervention.The neurological function,cognitive function,motor function,activities of daily living,mental state,quality of life and complications were compared between the two groups.Results After nursing,two groups of nerve function score was lower,the cognitive function score,movement function score,daily life activities ability score,mental state score were higher,and the study group were better than the control group,the differences were statistically significant(all P<0.05).Overall complication incidence compared two groups,the study group was lower than the control group,the difference was statistically significant(P<0.05).After nursing,compared with the control group quality of life score[(74.31±6.96)points],the study group(82.27±6.83)points higher,and the difference was statistically significant(t=5.032,P<0.05).Conclusion Goaloriented rehabilitation nursing can reduce the degree of neurological deficits in patients with cerebral hemorrhage,promote the recovery of cognitive function,motor function and activities of daily living,improve mental state,reduce the risk of complications,and improve their quality of life.

关 键 词：目标导向性康复护理 脑出血 重症监护室 神经功能 认知功能 精神状态 

分 类 号：R47[医药卫生—护理学]