早期康复护理模式在脑梗死患者的临床护理中的应用效果评价

夏结婷　罗碧嫦　黎绮仪

【摘要】 目的：分析研討早期康复护理模式在脑梗死患者的临床护理中的应用效果。方法：随机从本院2015年8月-2017年4月收治的脑梗死患者中，抽取80例纳入讨论中，采用随机数字表法将其分为对照组和研究组，每组40例，对照组接受常规护理，研究组接受早期康复护理模式，观察比较两组患者的护理状况，如神经功能缺损程度、C反应蛋白含量、SF-36评分、护理满意度。结果：研究组总满意度为92.50%，高于对照组的77.50%，差异有统计学意义（P<0.05）。护理后两组患者生活质量评分对比，包含社会功能、躯体疼痛、生理职能、精神健康、情感职能、生活活力、一般健康、生理功能，研究组均高于对照组，差异均有统计学意义（P<0.05）。护理前，两组的NIHSS评分、C反应蛋白对比，差异均无统计学意义（P>0.05）；护理后，研究组的NIHSS评分、C反应蛋白均低于对照组，差异均有统计学意义（P<0.05）。结论：脑梗死患者应用早期康复护理模式，可明显改善其康复状况，提高肢体和语言功能，进而改善其生活质量，值得临床推广应用。

【关键词】 脑梗死； 早期康复护理模式； 生活质量

Evaluation of Application Effect of Early Rehabilitation Nursing Model in Clinical Nursing of Patients with Cerebral Infarction/XIA Jieting，LUO Bichang，LI Qiyi.//Medical Innovation of China，2018，15 （14）：103-106

【Abstract】 Objective：To analyze and discuss the application effect of early rehabilitation nursing model in clinical nursing of patients with cerebral infarction.Method：A total of 80 patients with cerebral infarction who accepted treatments in our hospital from August 2015 to April 2017 were randomly selected and included in the discussion.According to the random number table method，they were divided into control group and study group，40 cases in each group.The control group was received routine nursing，the study group was received early rehabilitation nursing mode.The nursing status of the two groups were observed and compared，such as the degree of neurological deficit，the content of C reactive protein，SF-36 score and nursing satisfaction.Result：The total satisfaction rate of the study group was 92.50%，which was higher than 77.50% of the control group，the difference was statistically significant（P<0.05）.The quality of life scores included social function，physical pain，role physical，mental health，emotional function，vitality of life，general health，physiological function of the study group were higher than those of the control group，the differences were statistically significant（P<0.05）.Before nursing，there were no significant differences in NIHSS scores and C reactive protein between the two groups（P>0.05）；after nursing，the NIHSS scores and C reactive protein in the study group were lower than those of the control group，the differences were statistically significant（P<0.05）.Conclusion：The application of early rehabilitation nursing model in patients with cerebral infarction can obviously improve the rehabilitation status，improve the function of limb and language，and improve the quality of life，it is worthy of clinical application.

【Key words】 Cerebral infarction； Early rehabilitation nursing mode； Quality of life

First-authors address：Foshan Sanshui District Peoples Hospital，Foshan 528100，China

doi：10.3969/j.issn.1674-4985.2018.14.025

脑梗死（cerebral infarction，CI）属于缺血性卒中疾病的总称，多为突发性发病，往往开始于一侧上肢，此后几个小时或2 d内，其神经功能障碍进行性会牵涉到侧肢体其余部分[1-2]。早期发病会有部分预兆，如患者眼前变黑，几秒后恢复，并合并肢体瘫痪、意识障碍、呕吐、恶心等症状，此类症状均为颅内微小血栓或血流量降低干扰到视网膜动脉。一旦发生脑梗死疾病，患者身体和心理均会受到较大痛苦，对其生活和工作造成严重影响，患者和其家庭也需承受相应经济压力，而日常生活避免患者脑梗死疾病的关键则在于主动预防，但若已患脑梗死疾病，需给予积极有效的治疗。近年来，本院将早期康复护理模式应用到脑梗死患者中，其效果明显，现具体报道如下。

1 资料与方法

1.1 一般资料 从本院2015年8月-2017年4月收治的脑梗死患者中，抽取80例纳入讨论中，采用随机数字表法将其分为对照组和研究组，每组40例。……