超早期康复护理对脑梗死患者神经功能肢体功能恢复及情绪改善的影响

目的 探讨超早期康复护理对脑梗死患者神经功能、肢体功能恢复及情绪改善的影响.方法 选取我院2014-01-2016-06收治的脑梗死患者139例,随机分为2组,对照组63例采用常规护理措施,研究组76在对照组的基础上采取超早期康复护理干预措施,在入组时与干预后4周应用中国卒中量表(CSS)评定治疗前后的神经功能,Fugl-Meyer运动功能评估量表(FMA)评定运动功能,改良Barthel指数(MBI)评定日常生活活动能力,SDS、SAS量表分别评定抑郁、焦虑状况.结果 2组入组时CSS评分、FMA评分、MBI评分、SDS评分、SAS评分比较,差异均无统计学意义(P>0.05).干预后4周,2组CSS评分、FMA评分、MBI评分、SDS评分、SAS评分较入组时均明显改善,但研究组改善情况显著优于对照组,差异均有统计学意义(P<0.05).结论 脑梗死患者在常规治疗的同时给予超早期康复护理干预,可显著改善神经功能缺损症状,消除其不良情绪,促进其肢体运动功能的恢复,提升生活质量与预后康复水平.

The influence of ultra early rehabilitation nursing on neurological function,limb function recovery and emotional improvement on patients with cerebral infarction

Objective To explore the effect of ultra early rehabilitation nursing on neurological function,limb function recovery and emotional improvement in patients with cerebral infarction.Methods 139 patients with cerebral infarction treated in our hospital from January 2014 to June 2016 were selected and assigned two groups.The control group (63 cases) received routine nursing measures,and the study group (76 cases) was treated with additional super-early rehabilitation nursing intervention.We used CSS to assess neurological function before and after intervention,FMA to assess motor function,MBI to assess daily living function,and SDS/SAS to assess the depression and anxious status,respectively.Results There was no significant difference between the two groups in the CSS,FMA,MBI,SDS and SAS scores at the start of this study (P>0.05).Four weeks after the intervention,the CSS,FMA,MBI,SDS and SAS scores of the two groups were both significantly improved compared with that from the start of this study,respectively.But the study group showed significantly better improvement than that of the control group (P<0.05).Conclusion Patients with cerebral infarction should receive super early rehabilitation nursing intervention at the same time when getting routine treatment.Super early rehabilitation nursing intervention can significantly decrease neurological defect,eliminate negative emotion,promote recovery of the limb motor function,improve life quality and the rehabilitation prognosis in patients with cerebral infarction.