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早期康复护理对脑卒中偏瘫患者满意度及生活能力的影响观察
引用本文:宣惠清,周敏亚▲,陈丽艳,梁小鸽.早期康复护理对脑卒中偏瘫患者满意度及生活能力的影响观察[J].中国现代医生,2020,58(1):165-168.
作者姓名:宣惠清  周敏亚▲  陈丽艳  梁小鸽
作者单位:1.浙江省丽水市第二人民医院二病区,浙江丽水 323000;2.浙江省丽水市第二人民医院五病区,浙江丽水 323000
基金项目:浙江省公益技术应用研究计划项目(LGF19H17 0006)
摘    要:目的探讨对脑卒中偏瘫患者采用早期康复护理干预的治疗效果及对患者生活能力的影响,观察患者对护理的满意度。方法随机选取2017年12月~2018年12月来我院就诊的86例脑卒中偏瘫患者作为研究对象,按照患者的就诊时间将其分为对照组和实验组,各43例,对照组患者行基础常规护理,实验组患者则在此基础上行早期康复护理,观察两组患者生活质量评分、FMA评分、ADL评分以及护理满意度。结果不同护理干预后,实验组43例患者的生活质量(思维反应、社会健康、躯体健康、心理健康)及FMA和ADL评分分别为(75.39±10.12)分、(79.62±12.47)分、(79.25±14.65)分、(80.62±13.12)分、(67.31±9.81)分、(75.85±11.62)分,远高于对照组的(61.15±9.61)分、(65.12±11.26)分、(66.19±12.36)、(67.29±12.32)分、(38.45±9.68)分、(51.59±11.38)分。且其护理满意度为97.68%,远高于对照组的67.44%,差异有统计学意义(P0.05)。结论对脑卒中偏瘫患者采用早期康复护理具有较好的临床效果,能有效提升患者对护理的满意度,对患者生活能力的改善程度也较高,值得临床推广。

关 键 词:早期康复护理  脑卒中偏瘫  生活能力  满意度

Effect of rarly rehabilitation nursing on aatisfaction and living ability of stroke patients with hemiplegia
Authors:XUAN Huiqing ZHOU Minya CHEN Liyan LIANG Xiaoge
Institution:1.Second Ward,Lishui Second People''s Hospital in Zhejiang Province,Lishui 323000,China;2.Fifth Ward,Lishui Second People''s Hospital in Zhejiang Province,Lishui 323000,China
Abstract:Objective To explore the effect of early rehabilitation nursing intervention on stroke patients with hemiplegia and the impact on patients'' ability to live,and to observe the patient''s satisfaction with nursing.Methods 86 stroke patients with hemiplegia treated in our hospital from December 2017 to December 2018 were randomly selected and divided into control group and experimental group,each with 43 cases.Patients in the control group were given routine nursing and patients in the experimental group were additionally given early rehabilitation nursing.The quality of life score,FMA score,ADL score,and care satisfaction were compared between the two groups.Results After different nursing interventions,the quality of life(thinking response,social health,physical health,and mental health)and FMA and ADL scores of the 43 patients in the experimental group were(75.39±10.12),(79.62±12.47),(79.25±14.65),(80.62±13.12),(67.31±9.81),and(75.85±11.62)points,much higher than those in the control group(61.15±9.61),(65.12±11.26),(66.19±12.36),(67.29±12.32),(38.45±9.68),and(51.59±11.38)points].And the nursing satisfaction in the experimental group was 97.68%,much higher than the 67.44% of the control group.The differences were statistically significant(P<0.05).Conclusion Early rehabilitation care for stroke patients with hemiplegia has a good clinical effect,which can effectively improve the patients'' satisfaction with nursing,and the degree of improvement of patients'' living ability is also higher,which is worthy of clinical promotion.
Keywords:Early rehabilitation nursing  Stroke hemiplegia  Living ability  Satisfaction
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