超早期康复护理对缺血性卒中患者运动功能恢复影响的分析

目的 分析超早期康复护理对缺血性卒中患者运动功能恢复及护理依从性影响。 方法 选取杭州师范大学附属医院神经内科收治确诊的病情稳定脑卒中患者162例，随机分为观察组(超早期护理)与对照组(普通神经内科护理)，观察入院时及出院前Barthel指数及Fegl-Mevyer评分情况，并对比2组患者护理依从性。 结果 入院时，2组患者Barthel指数在小于40分(χ2=0.15，P＝0.70)、40～60分(χ2=0.04，P＝0.83)及大于60分(χ2=0.15，P＝0.70)组间数据差异均无统计学意义，具有可比性；出院前观察组患者大于60分的患者多于对照组(χ2=19.56，P<0.01)。入院时，2组患者Fegl-Mevyer评分在小于50分(χ2=0.10，P＝0.75)、50～84分(χ2=0.65，P＝0.42)、85～95分(χ2=0.15，P＝0.70)及96～99分组间数据差异均无统计学意义，具有可比性；出院前观察组患者小于50分的患者少于对照组(χ2=4.84，P＝0.03)。2组患者在服药方面，依从性差异不具有统计学意义(χ2=1.22，P＝0.27)，但在康复运动方面，观察组患者依从性高于对照组，差异具有统计学意义(χ2=10.06，P＝0.02)。 结论 对卒中患者采用超早期护理干预能够促进患者运动功能及生活能力的恢复，且能够提高患者康复治疗的依从性，对患者的康复具有积极意义。 

Effect of super-early rehabilitation nursing on motor function recovery and nursing compliance of stroke patients

Objective To analyze the effects of super-early rehabilitation nursing on motor function recovery and nursing compliance of stroke patients. Methods Totally 162 patients with stable stroke were randomly divided into observation group(super-early nursing care) and control group(general neurology nursing).The Barthel index and Fegl-Mevyer Score were recorded after admission and before discharge.We compared care compliance in both groups. Results On admission,the Barthel index of the two groups lower than 40(χ2=0.15,P=0.70),40-60(χ2=0.04,P=0.83) and more than 60(χ2=0.15,P=0.699) which had no significant difference between the two groups (P>0.05).There were more patients in the observation group than in the control group(χ2=19.56,P<0.01).On admission,the Fegl-Mevyer scores of the two groups were less than 50(χ2=0.10,P=0.75),50-84(χ2=0.65,P=0.42),85-95(χ2=0.15,P=0.70).And 96-99 data were not different between the groups;pre-discharge observation group less than 50 were more than that in the control group(χ2=4.84,P=0.028).There was no statistically significant difference between the two groups in terms of medication compliance(χ2=1.22,P=0.27),but in the rehabilitation exercise group,and the patients in the high compliance group were higher than the control group,with statistical significance(χ2=10.06,P=0.02). Conclusion The use of super-early nursing intervention in stroke patients can promote the recovery of motor function and life ability of patients,and can improve the compliance of patients with rehabilitation therapy,thus providing positive significance for the rehabilitation of patients.