CAJ | 학술논문

目的：探讨超早期康复护理对脑卒中患者日常生活能力恢复的影响。方法将120例脑卒中患者按随机数字表法分为对照组和观察组各60例，对照组给予常规护理，观察组在一般药物治疗护理基础上进行超早期综合康复治疗护理。采用自行设计的调查表评价患者对健康教育知识的掌握程度和对护理质量满意度，采用国际通用量表改良Barthel指数（ MBI ）、简化Fugl-Meyer运动功能评分量表（ FMA）评价患者的运动功能及日常生活能力。结果护理干预后观察组患者对脑卒中健康教育知识掌握情况、护理满意度分别为90．00％，95．00％，明显高于对照组的63．33％，81．67％，差异有统计学意义（χ2分别为10．253，9．677；P＜0．05）；随访4周后，观察组患者的FMA评分及MBI分别为（55．2±5．1），（62．9±9．8）分，显著高于对照组的（36．5±4．2），（42．3±10．6）分，差异有统计学意义（t分别为3．25，3．17；P＜0．05）。结论超早期综合康复护理可减少脑卒中患者的残疾发生，缩短病程，能明显改善脑卒中患者偏瘫肢体功能和日常生活活动能力，降低致残率。
목적：탐토초조기강복호리대뇌졸중환자일상생활능력회복적영향。방법장120례뇌졸중환자안수궤수자표법분위대조조화관찰조각60례，대조조급여상규호리，관찰조재일반약물치료호리기출상진행초조기종합강복치료호리。채용자행설계적조사표평개환자대건강교육지식적장악정도화대호리질량만의도，채용국제통용량표개량Barthel지수（ MBI ）、간화Fugl-Meyer운동공능평분량표（ FMA）평개환자적운동공능급일상생활능력。결과호리간예후관찰조환자대뇌졸중건강교육지식장악정황、호리만의도분별위90．00％，95．00％，명현고우대조조적63．33％，81．67％，차이유통계학의의（χ2분별위10．253，9．677；P＜0．05）；수방4주후，관찰조환자적FMA평분급MBI분별위（55．2±5．1），（62．9±9．8）분，현저고우대조조적（36．5±4．2），（42．3±10．6）분，차이유통계학의의（t분별위3．25，3．17；P＜0．05）。결론초조기종합강복호리가감소뇌졸중환자적잔질발생，축단병정，능명현개선뇌졸중환자편탄지체공능화일상생활활동능력，강저치잔솔。
Objective To discuss the effect of super early rehabilitation care on daily life ability for patients with cerebral apoplexy .Methods A total of 120 cases of stroke patients were randomly divided into the control group and the experimental group with 60 cases in each group .The control group was given routine nursing, and the experimental group was given super early rehabilitation care .Using self-designed questionnaire , patients’ knowledge of health education and satisfaction towards nursing quality were evaluated , by internationally accepted Modified Barthel Index (MBI) and simplified Fugl-Meyer Assessment(FMA) to evaluate the patient’s motion function and daily living skills .Results The comparison of the two groups in stroke health education knowledge and patient’s satisfaction has a significant difference (90.0%vs 63.33%;95.0%vs 81.67%;χ2 =10.253,9.677,respectively;P<0.05);after four weeks, the patients in experimental group FMA score and MBI score were significantly higher than those in control group [(55.2 ±5.1) vs (36.5 ±4.2);(62.9 ±9.8) vs (42.3 ±10.6);t=3.25,3.17,respectively;P<0.05)].Conclusions Super early comprehensive rehabilitation nursing can reduce disability in patients with cerebral apoplexy , shorten the course of the disease , significantly improve stroke patients with hemiplegia limb function and ADL ability , and reduce morbidity .