重度颅脑外伤患者采取早期康复护理对其神经功能及日常生活能力的影响

目的：探讨重度颅脑外伤患者采取早期康复护理对其神经功能及日常生活能力( ADL)的影响。方法选取本院收治的40例重度颅脑外伤患者为研究对象，随机分成观察组和对照组，对照组采取临床常规护理，观察组在常规护理基础上采取早期康复护理，对比两组护理对患者的神经功能、日常生活能力的影响。结果各组经护理干预后的Fugl-Meyer运动功能积分法( FMA)评分、Barthel指数评定量表评分、神经功能缺损程度评分( NIHSS)评分较护理干预前有显著改善( P<0.05)，且观察组FMA、Barthel、NIHSS评分均优于对照组( P<0.05)。护理干预后，观察组患者焦虑自评量表( SAS)、抑郁自评量表( SDS)、SF-36生活质量量表各维度评分及总分评分均优于对照组( P<0.05)。结论针对重度颅脑外伤患者的常规护理基础上，早期实施康复护理可有效改善患者的神经功能、运动功能及日常生活能力，可降低患者心理负性情绪、改善患者生活质量。

Analysis of the effect of early rehabilitation nursing on the nerve function and activi-ties of daily living of patients with severe craniocerebral injury

Objective To explore the effect of early rehabilitation nursing on the nerve function and activities of daily living ( ADL) of patients with severe craniocerebral injury. Methods A total of 40 cases of patients with severe craniocerebral injury in our hospital were collected as the research objects and were randomly divided into observation group and control group, the patients of the control group received clinical conventional nursing, the patients of the ob-servation group received early rehabilitation nursing on the basis of conventional nursing. The nerve function and ADL of the two groups were compared. Results The score of FMA ( Fugl-Meyer Assessment of Motor Function) , the score of Barthel Index Rating Scale and the score of NIHSS ( NIH Stroke Scale) of the two groups after nursing intervention were significantly improved (P<0. 05), and the scores of FMA, Barthel and NIHSS of the observation group were signifi-cantly better than that of the control group (P<0. 05) . After nursing intervention, the score of SAS (Self-Rating Anxi-ety Scale) , the score of SDS ( Self-Rating Depression Scale) and the score of SF-36 quality of life questionnaire of the observation group were significantly better than that of the control group ( P<0. 05 ) . Conclusions Early rehabilitation nursing on the basis of conventional nursing can significantly improve the neurological function, motor function and ac-tivities of daily living of severe craniocerebral injury, and can reduce the psychological negative emotions and improve the quality of life of patients.