分期针对性护理干预对脑梗死偏瘫病人肌力、生活质量及依从性的影响

目的:探讨分期针对性护理干预对脑梗死偏瘫病人肌力、生活质量及依从性的影响.方法 :脑梗死偏瘫病人120例,采用随机数表法分为对照组和观察组,各60例.对照组病人给予常规康复护理,观察组病人给予分期针对性护理干预.比较2组病人干预前后的肌力、美国国立卫生研究院卒中量表(NIHSS)评分、Barthel指数评分、生活质量和治疗依从性.结果 :2组病人干预前肌力、NIHSS和Barthel指数评分差异均无统计学意义(P>0.05);干预后2组的肌力和Barthel指数评分均较干预前明显上升,NIHSS评分明显下降(P<0.01),且观察组病人各指标的改善均较显著优于对照组(P<0.01).2组病人干预前的总依从率差异无统计学意义(P>0.05),2组病人干预后的治疗依从率均上升,且观察组病人的总依从率为95.00%,明显高于对照组的83.33%(P<0.01).2组病人干预前的生活质量各项评分差异均无统计学意义(P>0.05);2组病人干预后的生活质量评分均较干预前明显上升(P<0.01),且观察组病人的各项生活质量评分均较对照组升高更明显(P<0.01).结论 :分期针对性护理干预有助于改善脑梗死偏瘫病人的肌力、神经功能和日常生活能力,并可提高其生活质量和治疗依从性.

Effect of staging pertinent nursing intervention on muscle strength,quality of life and treatment compliance in hemiplegia patients with cerebral infarction

Objective:To explore the effects of staging pertinent nursing intervention on muscle strength,quality of life and treatment compliance in hemiplegia patients with cerebral infarction. Methods:One hundred and twenty hemiplegia patients with cerebral infarction were randomly divided into control group and observation group using the random number table method ( 60 cases each group) . The control group and observation group were given the conventional rehabilitation nursing and staging pertinent nursing intervention,respectively. The muscle strength, NIHSS score, Barthel index score, quality of life and treatment compliance between before and after invention in two groups were compared. Results:The differences of the muscle strength,NIHSS score and Barthel index score before intervention between two groups were not statistically significant(P>0. 05). Compared with before intervention,the muscle strength and Barthel index score significantly increased(P <0. 01),the NIHSS score significantly decreased in two groups after intervention(P<0. 01),and the improvement of which in observation group was significantly better than that in control group(P<0. 01). The difference of the total compliance rate before intervention between two groups was not statistically significant(P>0. 05). Compared with before intervention,the treatment compliance rate in two groups increased after intervention,and the total compliance rate in observation group(95. 00%) was significantly higher than that in control group(83. 33%)(P<0. 01). The difference of the quality of life score before intervention between two groups was not statistically significant(P > 0. 05). Compared with before intervention,the quality of life score in two groups significantly increased after intervention(P<0. 01),and the increasing degree of the quality of life score in observation group was more obvious than that in control group(P<0. 01). Conclusions:The staging pertinent nursing intervention can significantly improve the muscle strength,neurological function,ability of daily life,quality of life and treatment compliance in hemiplegia patients with cerebral infarction.