CAJ | 학술논문

目的：探讨对缺血性脑卒中患者实施早期康复护理的效果。方法：将缺血性脑卒中患者90例随机分为观察组和对照组各45例，2组患者均接受常规护理，观察组在常规护理的基础上进行早期康复训练。比较2组患者的神经功能缺损程度、日常生活能力的差异。结果：入组时，2组神经功能缺损评分(NIHSS)及日常生活能力评分(Bathel)比较差异无统计学意义；干预后4周末，观察组与对照组的NIHSS评分分别为(3.53±0.50)分、(4.42±0.98)分，组间比较差异有统计学意义(t=5.374，P=0.000)；观察组 Bathel评分(61.31±11.83)分较对照组的(55.56±10.28)分高，组间比较差异有统计学意义(t=2.468，P=0.016)。结论：对缺血性脑卒中患者实施早期康复护理，可有效降低患者的神经功能缺损程度，提高患者的日常生活能力。
목적：탐토대결혈성뇌졸중환자실시조기강복호리적효과。방법：장결혈성뇌졸중환자90례수궤분위관찰조화대조조각45례，2조환자균접수상규호리，관찰조재상규호리적기출상진행조기강복훈련。비교2조환자적신경공능결손정도、일상생활능력적차이。결과：입조시，2조신경공능결손평분(NIHSS)급일상생활능력평분(Bathel)비교차이무통계학의의；간예후4주말，관찰조여대조조적NIHSS평분분별위(3.53±0.50)분、(4.42±0.98)분，조간비교차이유통계학의의(t=5.374，P=0.000)；관찰조 Bathel평분(61.31±11.83)분교대조조적(55.56±10.28)분고，조간비교차이유통계학의의(t=2.468，P=0.016)。결론：대결혈성뇌졸중환자실시조기강복호리，가유효강저환자적신경공능결손정도，제고환자적일상생활능력。
Objective: To evaluate the effect of early rehabilitation nursing in patients with cerebral ischemic stroke. Methods: All 90 patients with cerebral ischemic stroke were randomly divided into observation group and control group, 45 cases in each group; the patients in control group were given the ordinary routine nursing and the patients in observation group early rehabilitation nursing. The comparison of neurologic deficit scale and activities of daily living between the two groups was performed in the research. Results: The differences of NIHSS and Bathel between the groups before treatment had no statistical meaning; after 4-week intervention, the scores of NIHSS in the observation group and the control group were (3.53±0.50) and (4.42±0.98) respectively and the difference had statistical meaning (t=5.374,P=0.000); the scores of Bathel in the observation group were (61.31±11.83) higher than that (55.56±10.28) in the control group with 4 weeks observation (t=2.468,P=0.016). Conclusion: The implementa-tion of early rehabilitation nursing can reduce the degree of neurological deficit suffered by patients with cerebral is-chemic stroke and improve the patient's activities of daily living.