中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2009年
17期
69-71
,共3页
颅脑损伤%肢体功能%神经功能%预后%护理
顱腦損傷%肢體功能%神經功能%預後%護理
로뇌손상%지체공능%신경공능%예후%호리
Brain injury%Extremity function%Neurologic function%Prognosis%Nursing
目的 探讨综合康复护理对颅脑外伤患者功能恢复及预后的影响.方法 将180例颅脑外伤患者随机分为对照组和观察组各90例.对照组接受常规治疗和护理;观察组在此基础上实施包括体位护理、康复训练、认知行为干预和心理护理在内的综合康复护理干预.比较两组患者干预前后的神经功能缺损程度(NFD)、Fugl-Meyer量表(FMA)和改良Barthel指数(MBI),并随访两组患者颅脑损伤6个月内并发症的发生情况.结果 干预后观察组患者的NFD评分明显低于对照组,而FMA和MBI明显高于对照组,差异有统计学意义(t=7.577,6.860,8.090,P<0.01).随访期间观察组肺部感染、应激性溃疡和褥疮等并发症发生率明显低于对照组,差异有统计学意义(χ2=11.025,4.472,7.843,P<0.05).结论 综合康复护理干预可改善颅脑外伤患者的神经和肢体运动功能,提高日常生活的活动能力,减少并发症的发生.
目的 探討綜閤康複護理對顱腦外傷患者功能恢複及預後的影響.方法 將180例顱腦外傷患者隨機分為對照組和觀察組各90例.對照組接受常規治療和護理;觀察組在此基礎上實施包括體位護理、康複訓練、認知行為榦預和心理護理在內的綜閤康複護理榦預.比較兩組患者榦預前後的神經功能缺損程度(NFD)、Fugl-Meyer量錶(FMA)和改良Barthel指數(MBI),併隨訪兩組患者顱腦損傷6箇月內併髮癥的髮生情況.結果 榦預後觀察組患者的NFD評分明顯低于對照組,而FMA和MBI明顯高于對照組,差異有統計學意義(t=7.577,6.860,8.090,P<0.01).隨訪期間觀察組肺部感染、應激性潰瘍和褥瘡等併髮癥髮生率明顯低于對照組,差異有統計學意義(χ2=11.025,4.472,7.843,P<0.05).結論 綜閤康複護理榦預可改善顱腦外傷患者的神經和肢體運動功能,提高日常生活的活動能力,減少併髮癥的髮生.
목적 탐토종합강복호리대로뇌외상환자공능회복급예후적영향.방법 장180례로뇌외상환자수궤분위대조조화관찰조각90례.대조조접수상규치료화호리;관찰조재차기출상실시포괄체위호리、강복훈련、인지행위간예화심리호리재내적종합강복호리간예.비교량조환자간예전후적신경공능결손정도(NFD)、Fugl-Meyer량표(FMA)화개량Barthel지수(MBI),병수방량조환자로뇌손상6개월내병발증적발생정황.결과 간예후관찰조환자적NFD평분명현저우대조조,이FMA화MBI명현고우대조조,차이유통계학의의(t=7.577,6.860,8.090,P<0.01).수방기간관찰조폐부감염、응격성궤양화욕창등병발증발생솔명현저우대조조,차이유통계학의의(χ2=11.025,4.472,7.843,P<0.05).결론 종합강복호리간예가개선로뇌외상환자적신경화지체운동공능,제고일상생활적활동능력,감소병발증적발생.
Objective To explore the effect of the integrated rehabilitation nursing interventions on functional recovery and prognosis in brain injury. Methods A total of 180 cases of brain injury were randomly assigned to the control and observation group,each consisting of 90 cases. The former received routine therapy and nursing care,while the latter received combined nursing care including position nursing care, rehabilitation training,cognitive behavior therapy and mental nursing in addtion. The pre- and post-interventional neurologic function defects (NFD) ,Fugl-Meyer(FMA) scale and modified Baxthel index(MBI)were compared between two groups,and the incidence rates for the compli-cations occurred within 6 months were followed.]Results Post-interventional NFD scores were markedly higher in the observation group than in the control group, while the scores of FMA and MBI were much lower, with significant differeces between two groups, all P < 0.01 (t = 7.577, 6.860,and 8.090 respectively). And the incidence rates for pulmonary infection,stress ulcor and sore were considerably lower in the observa-tion group than in the control group, all P < 0.05(χ2= 11.025,4.472, and 7.843 resepectively). Conclusion The comprehensive nursing care can improve the neurologic and limb function,raise the activities of daily living,and incidence of the complication in patients with brain injury.
