系统化康复护理对脑梗死病人肢体运动功能及自理能力恢复的影响

目的:探讨系统化康复护理对脑梗死病人肢体运动功能及自理能力恢复的影响。方法:随机选取脑梗死病人106例，采用随机数字表法将病人分为观察组与对照组，各53例，对照组采用常规护理，观察组在对照组基础上采用系统化康复护理，比较2组肢体运动功能及自理能力恢复的情况。结果:观察组肢体运动功能恢复效果显著高于对照组（P<0.01）。入院时，2组病人Barthel评分、欧洲卒中量表评分和诺丁汉健康调查表评分比较差异均无统计学意义（P>0.05）；入院6周后，2组病人Barthel评分、欧洲卒中量表评分均显著高于入院时，诺丁汉健康调查表评分显著低于入院时（P<0.01），且观察组各项评分均显著优于对照组（P<0.01）。结论:系统化康复护理有助于明显恢复脑梗死病人肢体运动功能及自理能力，从而明显提高护理质量，值得临床推广应用。

Effect of systematic rehabilitation nursing on the recovery of limb movement function and self-care ability in patients with cerebral infarction

Objective:To investigate the effects of systematic rehabilitation nursing on the recovery of limb movement function and self-care ability in patients with cerebral infarction.Methods:One hundred and six patients with cerebral infarction were divided into the observation group and control group according to radom number table method(53 cases each group).The control group was nursed with conventional care,and the observation group was nursed with systematic rehabilitation nursing based on the control group.The recovery of limb movement function and self-care ability between two groups were compared.Results:The recovery of limb movement function in observation group was obviously higher than that in control group(P<0.01).On admission,the differences of the Barthel score,ESS score and NHP score between two groups were not statistically significant(P>0.05).After six weeks of admission,the Barthel score and ESS score in two groups were significantly higher than those on admission,the NHP score in two groups were significantly lower than that on admission(P<0.01),and the each item score in observation group was significantly better than that in control group(P<0.01).Conclusions:The systematic rehabilitation nursing can significantly improve the limb movement function and self-care ability in patients with cerebral infarction,and enhance the nursing quality.It is worthy of popularization and application in clinic.