ijnr@oajrc.org

国际护理学研究

International Journal of Nursing Research

您当前位置:首页 > 精选文章

International Journal of Nursing Research. 2022; 4: (7) ; 10.12208/j.ijnr.20220350 .

Discussion on the timing and strategy of nursing intervention in super-early and early rehabilitation activities of stroke
脑卒中超早期、早期康复活动护理介入时机策略探讨

作者: 张培, 张亚辉*,

西安大兴医院康复医学/中医四科 陕西西安

*通讯作者: 张亚辉,单位:西安大兴医院康复医学/中医四科 陕西西安;

引用本文: 张培, 张亚辉, 脑卒中超早期、早期康复活动护理介入时机策略探讨[J]. 国际护理学研究, 2022; 4: (7) : 165-167.
Published: 2022/11/18 18:05:48

摘要

目的 分析脑卒中超早期、早期康复活动护理效果。方法 回顾性分析80例脑卒中患者临床资料,入院时间2020年1月~2022年4月,随机分两组,甲组40例患者,采用超早期、早期康复活动护理,乙组40例患者,采用常规护理,比较甲组及乙组患者的护理效果。结果 甲组ApacheⅡ评分与 GCS 评分从表1看出明显优于乙组,两组有统计学意义(P<0.05)。甲组NIHSS评分与乙组比较区别较小,两组无统计学意义(P>0.05);护理后,甲组与乙组患者的NIHSS评分均有所改善,甲组NIHSS评分从表2看出明显低于乙组,两组有统计学意义(P<0.05)。甲组Fugl-Meyer评分与乙组比较区别较小,两组无统计学意义(P>0.05);护理后,甲组与乙组患者的Fugl-Meyer评分均有所改善,甲组Fugl-Meyer评分从表3看出明显高于乙组,两组有统计学意义(P<0.05)。结论 脑卒中超早期、早期康复活动护理效果尤为突出,值得临床推广利用。

关键词: 脑卒中;早期介入;康复训练;护理

Abstract

Objective To analyze the nursing effect of super-early and early rehabilitation activities for stroke.
Methods The clinical data of 80 patients with stroke were retrospectively analyzed. The admission time was from January 2020 to April 2022, and they were randomly divided into two groups. Group A (40 patients) received super-early and early rehabilitation nursing, while group B (40 patients) received routine nursing. The nursing effects of group A and group B were compared.
Results The ApacheⅡ ⅱ score and GCS score of group A were significantly better than those of group B from Table 1, and there was statistical significance between the two groups (P<0.05). Compared with group B, the difference of NIHSS score in group A was small, and there was no statistical significance between the two groups (P > 0.05). After nursing, the NIHSS scores of patients in Group A and Group B were improved, and the NIHSS scores in Group A were significantly lower than those in Group B as shown in Table 2, with statistical significance (P<0.05). There was little difference in Fugl-Meyer score between group A and group B, but there was no statistical significance between the two groups (P > 0.05). After nursing, the Fugl-Meyer scores of patients in group A and group B were improved. The Fugl-Meyer scores in group A were significantly higher than those in group B from Table 3, and there was statistical significance between the two groups (P<0.05).
Conclusion   The nursing effect of ultra-early and early rehabilitation activities for stroke is particularly prominent, which is worthy of clinical application.

Key words: Stroke; Early intervention; Rehabilitation training; nurse

参考文献 References

[1] 李冰华.脑卒中超早期、早期康复活动护理介入时机研究进展[J].贵州医药,2022,46(06):858-860.

[2] 杨新萍.超早期康复护理干预对老年缺血性脑卒中患者临床疗效的影响[J].医学食疗与健康,2022,20(13): 99-102.

[3] 孙艳.老年缺血性脑卒中患者应用超早期康复护理干预对其自我护理能力及生活质量的影响[J].国际护理学杂志, 2022,41(06):1108-1112.

[4] 宋娜,陈慧玲,王攀君,陈晓欢.超早期康复护理在缺血性脑卒中患者中的应用效果[J].福建医药杂志,2021, 43(05): 159-161.

[5] 苏馨.超早期康复护理对脑卒中患者运动功能的影响[J].中国实用医药,2021,16(27):178-180.

[6] 祖琳.超早期康复护理对脑卒中偏瘫患者日常生活能力及满意度的影响[J].黑龙江中医药,2021,50(04):445-446.

[7] 林红梅,朱秀平,王亚芹.基于Snyder希望理论的早期康复护理对脑卒中患者神经功能、日常生活活动能力及生活质量的影响[J].国际护理学杂志,2021, 40(12): 2275-2277.

[8] 方钰铃.超早期康复护理对缺血性脑卒中合并高血压患者的临床疗效研究[J].心血管病防治知识,2021, 11(01): 58-60.

[9] 张明.早期康复护理对脑卒中偏瘫患者认知功能及肢体活动能力的影响[J].河南医学研究,2020, 29(34): 6507-6509.

[10] 黎藜,曾云香,欧阳姗.老年缺血性脑卒中护理中超早期康复护理的应用分析[J].系统医学,2020,5(15):169-171.

[11] 王晓亮.超早期康复护理对改善老年缺血性脑卒中患者神经功能和生活质量的影响[J].系统医学,2020,5(14): 136-138.

[12] 汤之梅.超早期康复护理对缺血性脑卒中患者肢体功能恢复及自护行为的影响[J].国际护理学杂志,2020,39(12): 2210-2213.