CAJ | 학술논문

目的：探讨早期护理干预对于脑卒中患者中远期康复效果的影响。方法将入院接受康复治疗的52例脑卒中患者随机分成治疗组和对照组各26例,两组患者均接受常规治疗,对照组进行常规康复护理,治疗组制定早期介入康复护理计划实施。分别于治疗前、治疗后3个月,12个月和24个月采用Fugl- Meyer 量表对两组患者运动能力的恢复进行评定,采用SF-36简易评定量表对患者生活质量进行评分,并将所得结果进行比较。结果与治疗前相比较,治疗后两组Fugl- Meyer评分均明显提高( P<0.05)；治疗组和对照组第3个月、12个月和24个月 Fugl- Meyer 评分分别为(67.55⑨19.21)、(52.14⑨20.33),(89.65⑨7.12)、(68.48⑨15.11),(91.13⑨6.56)、(74.56⑨19.33)。治疗组康复状况明显优于对照组(P<0.05)；治疗组治疗后SF-36评分较对照组和治疗前明显改善( P<0.01)。结论早期介入康复护理有利于脑卒中患者的中远期康复,可以提高患者的康复运动能力和生活质量。
목적：탐토조기호리간예대우뇌졸중환자중원기강복효과적영향。방법장입원접수강복치료적52례뇌졸중환자수궤분성치료조화대조조각26례,량조환자균접수상규치료,대조조진행상규강복호리,치료조제정조기개입강복호리계화실시。분별우치료전、치료후3개월,12개월화24개월채용Fugl- Meyer 량표대량조환자운동능력적회복진행평정,채용SF-36간역평정량표대환자생활질량진행평분,병장소득결과진행비교。결과여치료전상비교,치료후량조Fugl- Meyer평분균명현제고( P<0.05)；치료조화대조조제3개월、12개월화24개월 Fugl- Meyer 평분분별위(67.55⑨19.21)、(52.14⑨20.33),(89.65⑨7.12)、(68.48⑨15.11),(91.13⑨6.56)、(74.56⑨19.33)。치료조강복상황명현우우대조조(P<0.05)；치료조치료후SF-36평분교대조조화치료전명현개선( P<0.01)。결론조기개입강복호리유리우뇌졸중환자적중원기강복,가이제고환자적강복운동능력화생활질량。
Objective To investigate the influence of the early nursing intervention for stroke patients in long-term effect of rehabilitation. Methods Admitted for rehabilitation of 52 stroke patients were randomly divided into treat-ment group ( n=26 ) and control group ( n=26 ) , patients received conventional treatment control group of conventional rehabilitation care, and treatment group adopted early intervention rehabilitation care plan implementation. Respectively, before treatment, after treatment, 3 months, 12 months and 24 months using the Fugl-Meyer scale to assess the recovery of the two sets of exercise capacity in patients using the SF-36 summary rating scale, rating the quality of life in patients with and the results were compared. Results Compared with those before treatment, after treatment, two groups of Fugl-Meyer scores were significantly improved (P<0. 05);treatment group and control group 3 months, 12 months and 24 months, Fugl-Meyer score two groups respectively ( 67. 55 ⑨ 19. 21 ) , ( 52. 14 ⑨ 20. 33 ) ( 89. 65 ⑨ 7. 12 ) (68. 48 ⑨ 15. 11) (91. 13 ⑨ 6. 56) (74. 56⑨19. 33) . The rehabilitation status of the treatment group than the control group ( P<0. 05 );significantly improved SF-36 scores than the control group and treatment group after treatment ( P<0. 01 ) . Conclusions Early intervention rehabilitation care of stroke patients in long-term rehabilitation can improve exercise capacity and quality of life of the patient's rehabilitation.