早期康复护理干预对脑卒中偏瘫患者平衡功能和日常生活功能的影响

目的:探讨早期康复护理干预对脑卒中偏瘫患者3个月和6个月后平衡功能和日常生活功能(ADL)的影响.方法:将62例脑卒中偏瘫患者随机分成康复组(31例)和对照组(31例)进行对照研究,两组均按神经内科常规药物治疗,康复组施加早期康复护理功能训练,对照组按神经内科常规护理,对每例患者在入组时、病程3个月、6个月分别采用Fugl-Meyer测试平衡功能和Barthel指数(MBI)测试ADL能力.结果:康复组3次平衡功能积分分别为(2.73±2.40)分、(8.72±2.00)分、(10.27±2.22)分;MBI分别为(23.63±13.45)分、(67.72±18.80)分、(80.25±16.32)分.对照组平衡功能分别为(3.42±2.88)分、(7.17±2.30)分、(8.40±2.50)分;MBI分别为(24.30±16.18)分、(54.16±17.67)分、(70.68±20.30)分.两组前后比较和组间比较均有显着性差异(P<0.05);两组的变化均数比较为康复组6个月后平衡功能和ADL恢复优于对照组(P<0.05).平衡功能和ADL呈正相关(r=0.780).结论:早期康复治疗对脑卒中患者的平衡功能和日常生活能力有良好的促进作用.

Effect of early rehabilitation nursing intervention on balance function and ADL ability of stroke patients.

Objective：To study the effect of early rehabilitation nursing intervention on balance function and ADL ability of stroke patients after 3 and 6 months.Methods：62 stroke patients were randomly divided into rehabilitation group and control group,31 patients in each group.Neurological routine medical treatment were given for the two groups,additional early rehabilitation nursing function training was given for the rehabilitation group,and neurological routine nursing was given for the control group.Then Fugl-Meyer and Barthel were used for balance function and ADL ability to each patient after 3 and 6 months.Results：The balance function score of the rehabilitation group for 3 times were（2.73±2.4）,（8.72±2.00）,（10.27±2.22）.MBI were（23.63±13.45）,（67.72±18.80）,（80.25±16.32）.The score in control group were（3.42±2.88）,（7.17±2.30）,（8.40±2.50）.The MBL were（24.30±16.18）,（54.16±17.67）,（70.68±20.30）.There was a significant difference between the two groups（P0.05）.The balance function and ADL ability of the rehabilitation group were better than that of the control group after 6 months（P0.05）.Conclusion：Early rehabilitation treatment was helpful to improve the balance function and ADL ability of stroke patients.