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综合性护理干预在脑卒中偏瘫患者中的应用效果
引用本文:郑春喜,;陈松芳.综合性护理干预在脑卒中偏瘫患者中的应用效果[J].中国现代医生,2014(14):89-91.
作者姓名:郑春喜  ;陈松芳
作者单位:[1]宁波市第四医院内科,浙江宁波315700; [2]温州医科大学附属第二医院内科,浙江温州325000
基金项目:浙江省医学会临床研究基金(2011ZYC-B9)
摘    要:目的:探讨综合性护理干预在脑卒中偏瘫患者中的应用效果。方法80例脑卒中随机分为观察组和对照组。两组均予降颅压、控制血压和血糖、活化脑细胞和改善脑微循环等治疗。对照组和观察组分别予以常规护理和综合性护理干预8周。结果观察组干预8周后神经功能恢复、总有效率和日常生活能力改善率均较对照组升高(χ2=6.05、7.00, P<0.05);同时两组生活质量各项目评分均有明显上升(P<0.05或P <0.01),且观察组上升值更明显(P<0.05)。结论综合性护理干预用于脑卒中偏瘫患者可改善其神经功能、日常生活自理能力和生活质量,有利于偏瘫肢体的康复,减少患者致残率,促进患者早日康复。

关 键 词:脑卒中  偏瘫  综合性护理干预  日常生活能力  生活质量

The effect of comprehensive nursing intervention on patients with hemi-paresis of cerebral apoplexy
Institution:ZHENG Chunxi, CHEN Songfang (1.Department of Medicine, the Fourth Hospital of Ningbo City, Ningbo 315700, China; 2.Department of Medicine, the 2nd Affiliated Hospital of Wenzhou Medical University, Wenzhou 325200, China)
Abstract:Objective To discuss the application and effect of Comprehensive Nursing Intervention on Patients with Hemiparesis of Cerebral Apoplexy. Methods A total of 80 cases of patients with hemiparesis of cerebral apoplexy were selected and divided into observation group and control group at random. The patients in two groups were given medicine treatment such as the control of intracranial pressure, blood pressure and blood sugar, brain cells nutrition, cerebral microcirculation improvement and etc. The patients in control group were given routine nursing intervention for 8 weeks, while the patients in observation group were additionally given comprehensive nursing intervention for 8 weeks. Results After 8 weeks’ nursing intervention, the total effective rate of recovery of neurological functions and the activity of daily living of patients in observation group was improved much better than that in control group(χ2=6.05 and 7.00,P〈0.05). Meanwhile, the scores of life quality obviously were rose than before (P〈0.05 or P〈0.01), and the rising rate of patients in observation group was much higher than that in control group (P〈0.05). Conclusion The comprehen-sive nursing intervention can obviously improve the recovery of neurological function, the activity of daily living and the life quality with hemiparesis of cerebral apoplexy, reduce the disability rate, and it is beneficial to the early recovery.
Keywords:Cerebral apoplexy  Hemiparesis  Comprehensive nursing intervention  Activity of daily living  Life quality
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