脑卒中患者的早期护理干预对中远期康复效果的影响

目的:探讨早期护理干预对于脑卒中患者的中远期康复效果的影响。方法:入院接受康复治疗的52例脑卒中患者随机分成治疗组(n=26)和对照组(n=26),两组患者均接受常规治疗,对照组进行常规康复护理,治疗组制定早期介入康复护理计划实施。分别于治疗前、治疗后3个月,12个月和24个月采用Fugl-Meyer量表对两组患者运动能力的恢复进行评定,采用SF-36简易评定量表,对患者生活质量进行评分,并将所得结果进行比较。结果:与治疗前相比较,治疗后两组Fugl-Meyer评分均明显提高(P<0.05);治疗组和对照组第3个月、12个月和24个月Fugl-Meyer评分两组分别为(67.55±19.21)、(52.14±20.33),(89.65±7.12)、(68.48±15.11),(91.13±6.56)、(74.56±19.33)。治疗组康复状况明显优于对照组(P<0.05);治疗组治疗后SF-36评分较对照组和治疗前明显改善(P<0.01)。结论早期介入康复护理有利于脑卒中患者的中远期康复,可以提高患者的康复运动能力和生活质量。

Effect of early nursing intervention on long-term rehabilitation for stoke patients

Objective: To investigate the influence of the early nursing intervention on long-term rehabilitation for stoke patients.Methods:A total of 52 stroke patients were randomly divided into treatment group(n=26) and control group(n=26).ALL patients received conventional treatment,and patients in treatment group also had early intervention rehabilitation care.Respectively,before treatment,3 months,12 months and 24 months after treatment,exercise capacity was assessed by using Fugl-Meyer scale,and life quality was assessed by SF-36 summary rating scale.Results: Compared with those before treatment,after treatment,Fugl-Meyer scores in two groups were significantly improved(P<0.05);at 3 months,12 months and 24 months after treatment,Fugl-Meyer score of two groups were 67.55 ±19.21,52.14 ± 20.33,89.65 ± 7.12,68.48 ± 15.11,91.13 ± 6.56,74.56 ± 19.33,respectively.The rehabilitation status of the treatment group was significantly better than the control group(P<0.05);and SF-36 scores was significantly improved after treatment in both two groups(P<0.01).Conclusions: Early rehabilitation care can improve exercise capacity and quality of life,and has satisfactory long-term rehabilitation effect for stroke patients.