康复护理程序在卒中患者偏瘫康复中应用

周金珠

[摘要] 目的 研究康复护理程序在脑卒中患者偏瘫康复中应用的实际价值。 方法 方便选取2018年9月— 2019年4月在该院接受治疗的30例脑卒中患者，根据护理方式差异分为实验组和对照组，对照组（15例）采用常规护理，实验组（15例）给予康复护理程序，比较两组患者的护理效果。 结果 实验组护理有效率为93.3%，明显高于对照组（60.0%），差异有统计学意义（χ2=4.658，P=0.031 <0.05）;经过护理干预以后，实验组神经功能缺损评分和Brunnstrom运动功能评分均明显优于对照组，组间差异有统计学意义（t=15.139，8.225，P=0.000，0.000 <0.05）。 结论 康复护理程序应用在脑卒中患者偏瘫康复中的效果比较显著，能够促进患者肢体功能康复，应该在临床中进行推广。

[关键词] 康复护理;脑卒中;效果

[中图分类号] R249          [文献标识码] A          [文章编号] 1674-0742（2019）11（a）-0131-03

Application of Rehabilitation Nursing Procedure in Hemiplegia Rehabilitation of Stroke Patients

ZHOU Jin-zhu

Department of Nursing， Xiamen Hong'ai Rehabilitation Hospital， Xiamen， Fujian Province， 361004 China

[Abstract] Objective To study the practical value of rehabilitation nursing procedure in hemiplegia rehabilitation of stroke patients. Methods Convenient selected thirty stroke patients who were treated in our hospital from September 2018 to April 2019 were divided into experimental group and control group according to the difference of nursing methods. The control group （15 cases） received routine nursing and the experimental group （15 cases）. The rehabilitation nursing program was given to compare the nursing effects of the two groups of patients. Results The effective rate of the experimental group was 93.3%， which was significantly higher than that of the control group（60.0%）. The difference was statistically significant（χ2=4.658，P=0.031 <0.05）. After the nursing intervention， the neurological deficit score of the experimental group and Brunnstrommotor function scores were significantly better than the control group， and the differences between the groups were statistically significant（t=15.139，8.225，P=0.000，0.000 <0.05）. Conclusion The application of rehabilitation nursing procedure in hemiplegia rehabilitation of stroke patients is significant， which can promote the recovery of limb function in patients and should be promoted in clinical practice.

[Key words] Rehabilitation nursing; Stroke; Effect

脑卒中在中老年患者当中十分常见，其发病后致残率和致死率比较高，会对患者的日常生活造成严重的影响。临床中大多通过脱水、扩血管等进行对症治療。药物以静脉输注为主[1]。脑卒中作为一种神经内科比较常见的脑血管疾病类型之一，大多是由于患者出现急性脑循环障碍所导致的，患者在病情发展过程中会出现全面性或者局限性的脑功能缺损综合征。由于患者治疗的周期比较长，会造成患者生理和心理上的不便，甚至在多种影响因素的共同作用下会出现脑血液循环障碍、肢体瘫痪等不良现象，近年来脑卒中患者的数量在不断增加，如果在病情发展初期不能有效处理会导致患者出现关节痉挛，生活不能自理等现象，导致患者死亡率和致残率不断增长。因此有效的康复护理就显得尤为重要。该次就2018年9月— 2019年4月对该院收治的脑卒中患者偏瘫康复中应用康复护理程序的效果进行研究，现报道如下。

1  资料与方法

1.1  一般资料