综合康复护理对脑卒中患者神经功能及生活质量的影响
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内蒙古自治区自然科学基金项目(2016MS0866)


The influence of comprehensive rehabilitation nursing mode on the quality of life and neural function of in patients with cerebral infarction
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    【摘要】 目的 探讨综合康复护理对脑卒中患者的临床效果和对其神经功能及生活质量的影响。方法 选择2013年4月~2015年5月我院收治的脑卒中患者80例,采用随机数字表法分为对照组和观察组,每组各40例。观察组患者采用综合康复护理干预,对照组患者进行常规护理治疗。比较两组患者对护理的满意度、神经功能恢复的临床总有效率、Barthel指数(MBI)评分、中国卒中量表(CSS)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分及生活质量评定量表(SF-36)评分。结果 经不同护理模式干预后,观察组患者神经功能恢复的临床总有效率明显高于对照组(P<0.05),观察组对护理的总满意度高于对照组(P<0.05)。干预后,两组患者的CSS评分均较干预前降低(P<0.05),两组患者的MBI评分均较干预前上升(P<0.05),观察组患者的CSS评分低于对照组,MBI评分高于对照组,差异均具有统计学意义(P<0.05)。干预后,两组患者SAS、SDS评分均较干预前降低(P<0.05),干预后观察组SAS和SDS评分均低于对照组(P<0.05)。干预后,两组SF36量表评分中生理机能、生理职能、精神健康、情感职能、生命活力、一般健康状况及社会职能均较干预前升高(P<0.05),躯体疼痛得分显著降低(P<0.05);干预后,两组各生活质量评分差异具有统计学意义(P<0.05)。结论 综合康复护理可以明显改善预脑卒中患者的神经功能和生活质量。

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    【Abstract】 Objective To analyze the influence of comprehensive rehabilitation nursing mode on neural function in patients with cerebral infarction and the influence of the quality of life. Methods 80 patients with cerebral infarction were selected as clinical nursing subjects admitted in our hospital during April 2013 to May 2015, using the random number method. The patients were divided into observation group and the control group, each group of 40 cases. Observation group was treated with comprehensive rehabilitation nursing intervention. Control group was treated with routine nursing treatment. The patients' satisfaction to nursing, clinical total effective rate of neural functional recovery, Barthel index (MBI) score, Chinese stroke scale (CSS) evaluation and selfevaluation of anxiety scale (SAS), depression self rating scale (SDS) score and SF36 life quality evaluation scale score were observed.Results After different intervention nursing mode, the total clinical effective rate of recovery of neurological functions in rehabilitation nursing group was significantly higher than that in the conventional nursing group (P<005). The total satisfaction of nursing of observation group was obviously higher than that of control group (P<005). After intervention, CSS scores of the two groups were lower (P<005), and MBI scores were increased (P<005). CSS score of the observation group was lower than that of the control group (P<005). MBI scores of the observation group was higher than that of the control group (P<005). SAS and SDS scores after intervention were lower than that before intervention (P<005). SAS and SDS score of the intervention group were lower than that of control group (P<005). After the intervention, SF36 scale scores of physiological function, physical function, mental health, emotional function, vitality and general health status and social functions were increased (P<005).The quality of life score was different before and after intervention (P<005).Conclusion The treatment of patients with comprehensive rehabilitation nursing can significantly improve patients with nerve function and quality of life.

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  • 在线发布日期: 2017-06-20
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