全程康复护理干预对脑卒中偏瘫患者的效果观察

目的 探讨护理人员对脑卒中偏瘫患者实施全程康复护理干预的效果,为今后护理干预提供指导和依据.方法 92例脑卒中偏瘫患者分为实验组和对照组各46例,2组患者均给予常规神经内科治疗和护理.实验组实施全程康复护理干预包括评估,康复护理教育和指导,出院前后持续教育和随访.分别在住院后1周内和干预后3个月进行复查,包括血三酰甘油(TG)、总胆同醇(TC)和同型半胱氨酸(Hcy)指标值及日常生活能力(ADL)和生理/心理健康的测评.结果 与对照组相比较,实验组患者TC、TG、Hcy水平均明显下降.实验组患者干预后的生理健康和心理健康领域得分高于干预前.对照组患者干预后生理健康领域得分高于干预前,但心理健康领域得分的变化无差异.结论 全程康复护理干预能够有效地降低脑卒中患者的TC、TG、Hcy水平;有效地提高脑卒中偏瘫患者的日常生活能力和生活质量.

Effects of whole course rehabilitation nursing intervention for stroke patients with hemiplegia

Objective To explore the effects of whole course rehabilitation nursing intervention on stroke patients with hemiplegia, so as to provide evidence for the future nursing intervention for these pa-tients. Methods 92 stroke patients with hemiplegia were randomly assigned into the experimental group and the control group with 46 patients in each group. All patients in both groups received routine neurologic medical therapy and the routine care. The patients in the experimental group also received whole course re-habilitation nursing intervention including health assessment, rehabilitation consultation, health education before and after discharge and also received follow-up. Data were collected when the patients were in hos-pital within the first week and the following 3 months after discharge including the level of TC, TC, Hey, the ability of daily living, and the physical/psychological health evaluation. Results Compared with the con-trel group, the level of blood TC, TC, Hey decreased in the experimental group. In the experimental group, patients" scores of the physical health and mental health after the intervention were higher than those before the intervention. In the control group, the score in physical health domain increased compared with that be-fore intervention, but the score in psychological health domain remained unchanged. Conclusions The whole course rehabilitation nursing intervention designed by the investigator in the study can effectively de-crease the blood level of TC, TG, Hey of stroke patients, improve the ability of daily living and the quality of llfe of these patients.