协同护理干预联合早期康复运动对脑梗死患者肢体功能恢复的影响

刘丽华

【摘要】 目的：研究協同护理干预联合早期康复运动对脑梗死患者肢体功能恢复的影响。方法：选取笔者所在医院2017年1月-2018年9月诊治的80例脑梗死患者，按随机数字表法将其分为观察组与对照组，各40例。对照组给予早期康复运动护理干预，观察组在对照组的基础上给予协同护理干预。干预3个月后，采用Lovett肌力评定量表评价两组患者肢体功能恢复情况，并运用简化Fugl-Meyer量表（FMA），功能性步行分级（FAC）评价患者肢体运动能力及步行能力，采用脑卒中专用生活质量量表（SS-QOL）评价患者生活质量。结果：干预后，两组患者肌力等级≤2级的病例数均有所减少，肌力等级≥3级的病例数均有所增多（P<0.05），且观察组减少或增多幅度大于对照组，差异有统计学意义（P<0.05）。两组干预后FMA、FAC和SS-QOL均明显高于干预前（P<0.05），且观察组干预后升高幅度明显大于对照组，差异有统计学意义（P<0.05）。结论：协同护理干预联合早期康复运动可有效促进脑梗死患者的肢体功能恢复，提高患者生活质量。

【关键词】 协同护理 早期康复运动 脑梗死 肢体功能

doi：10.14033/j.cnki.cfmr.2019.28.036 文献标识码 B 文章编号 1674-6805（2019）28-00-03

Effects of Collaborative Nursing Intervention Combined with Early Rehabilitation Exercise on Limb Function Recovery in Patients with Cerebral Infarction/LIU Lihua. //Chinese and Foreign Medical Research， 2019， 17（28）： 87-89

[Abstract] Objective： To study the effects of collaborative nursing intervention combined with early rehabilitation exercise on limb function recovery in patients with cerebral infarction. Method： A total of 80 patients with cerebral infarction who were treated in our hospital from January 2017 to September 2018 were selected and divided into the observation group and the control group by random number table method， with 40 cases in each group. The control group was given early rehabilitation exercise nursing intervention， and the observation group was given collaborative nursing intervention on the basis of the control group. After 3 months of intervention， Lovett muscle strength rating scale was performed to compare the recovery of limb function in the two groups. The simplified Fugl-Meyer Assessment （FMA） and functional ambulation category scale （FAC） were performed to evaluate limbs movement ability and walking ability of the patients. The stroke specific quality of life scale （SS-QOL） was performed to assess the patients quality of life. Result： After intervention， the number of cases with muscle strength grade ≤2 was decreased， while the number of cases with muscle strength grade ≥3 was increased in both groups （P<0.05）. The decrease or increase of the observation group were greater than that of the control group， and the differences were statistically significant （P<0.05）. After intervention， scores of FMA， FAC and SS-QOL of the two groups were significantly increased compared with those before intervention （P<0.05）， and the increase of the observation group was significantly greater than that of the control group after intervention， the difference was statistically significant （P<0.05）. Conclusion： Collaborative nursing intervention combined with early rehabilitation exercise can effectively promote limb function recovery of patients with cerebral infarction， and improve the quality of life of patients.

[Key words] Collaborative nursing Early rehabilitation exercise Cerebral infarction Limb function

First-authors address： First Peoples Hospital of Xiaochang County， Xiaochang 432900， China

脑梗死是中老年人常见脑血管疾病，发病原因为由多种原因导致的脑部血液供应不足，从而对脑部组织产生伤害，使脑组组因缺血缺氧发生病变或者坏死[1]。其特点为发病迅速、高致死率及高致残率[2]。有资料显示，70%～80%的脑梗死患者治疗后仍会产生瘫痪、失语等后遗症[3]。给患者的家庭乃至社会造成了巨大的负担，严重影响了患者的生活。有研究报道，早期康复运动护理可有效减少肢体萎缩、畸形等后遗症的发生[4]，但是患者由于主动性不足，导致康复运动效果减半，对于脑梗死患者肢体功能恢复效果不佳。协同护理是将患者及其家属充分调动起来，共同参与护理[5]。本研究旨在探讨协同护理干预联合早期康复运动对脑梗死患者肢体功能恢复的影响，为临床护理提供参考依据，现报道如下。……