CAJ | 학술논문

目的：探讨综合性护理干预在脑卒中偏瘫患者中的应用效果。方法80例脑卒中随机分为观察组和对照组。两组均予降颅压、控制血压和血糖、活化脑细胞和改善脑微循环等治疗。对照组和观察组分别予以常规护理和综合性护理干预8周。结果观察组干预8周后神经功能恢复、总有效率和日常生活能力改善率均较对照组升高(χ2=6.05、7.00， P＜0.05)；同时两组生活质量各项目评分均有明显上升（P＜0.05或P ＜0.01)，且观察组上升值更明显（P＜0.05)。结论综合性护理干预用于脑卒中偏瘫患者可改善其神经功能、日常生活自理能力和生活质量，有利于偏瘫肢体的康复，减少患者致残率，促进患者早日康复。
목적：탐토종합성호리간예재뇌졸중편탄환자중적응용효과。방법80례뇌졸중수궤분위관찰조화대조조。량조균여강로압、공제혈압화혈당、활화뇌세포화개선뇌미순배등치료。대조조화관찰조분별여이상규호리화종합성호리간예8주。결과관찰조간예8주후신경공능회복、총유효솔화일상생활능력개선솔균교대조조승고(χ2=6.05、7.00， P＜0.05)；동시량조생활질량각항목평분균유명현상승（P＜0.05혹P ＜0.01)，차관찰조상승치경명현（P＜0.05)。결론종합성호리간예용우뇌졸중편탄환자가개선기신경공능、일상생활자리능력화생활질량，유리우편탄지체적강복，감소환자치잔솔，촉진환자조일강복。
Objective To discuss the application and effect of Comprehensive Nursing Intervention on Patients with Hemiparesis of Cerebral Apoplexy. Methods A total of 80 cases of patients with hemiparesis of cerebral apoplexy were selected and divided into observation group and control group at random. The patients in two groups were given medicine treatment such as the control of intracranial pressure, blood pressure and blood sugar, brain cells nutrition, cerebral microcirculation improvement and etc. The patients in control group were given routine nursing intervention for 8 weeks, while the patients in observation group were additionally given comprehensive nursing intervention for 8 weeks. Results After 8 weeks’ nursing intervention, the total effective rate of recovery of neurological functions and the activity of daily living of patients in observation group was improved much better than that in control group(χ2=6.05 and 7.00,P<0.05). Meanwhile, the scores of life quality obviously were rose than before (P<0.05 or P<0.01), and the rising rate of patients in observation group was much higher than that in control group (P<0.05). Conclusion The comprehen-sive nursing intervention can obviously improve the recovery of neurological function, the activity of daily living and the life quality with hemiparesis of cerebral apoplexy, reduce the disability rate, and it is beneficial to the early recovery.