中国医学创新
中國醫學創新
중국의학창신
Medical Innovation of China
2015年
28期
79-81,82
,共4页
刘巧儿%曹全英%陈妙玲%黎凤珍%张英仪
劉巧兒%曹全英%陳妙玲%黎鳳珍%張英儀
류교인%조전영%진묘령%려봉진%장영의
脑卒中%偏瘫%超早期康复护理模式%应用效果
腦卒中%偏癱%超早期康複護理模式%應用效果
뇌졸중%편탄%초조기강복호리모식%응용효과
Stroke%Hemiplegia%Early rehabilitation nursing mode%Application effect
目的：探讨在脑卒中偏瘫患者护理中行早期康复护理模式的临床应用效果。方法：选取2013年1月-2014年1月本社卫中心辖区内居家康复中心82例脑卒中偏瘫患者为研究对象，随机分为对照组与治疗组，每组各41例患者。对照组给予常规护理，治疗组在对照组常规护理的基础上开展早期护理干预，对两组护理后的效果展开对比分析。结果：治疗组采用早期康复护理模式进行护理干预后其治疗总有效率为97.6%，明显高于仅采用常规护理模式进行护理干预对照组的80.5%，两组比较差异有统计学意义（P<0.05）；治疗组患者的护理满意度为95.1%，明显高于仅采用常规护理模式进行护理干预对照组的75.6%，两组患者对护理的满意度比较差异有统计学意义（P<0.05）。本次研究中所选取的两组患者在开展护理干预前的简易肢体运动功能评分及生活质量评分比较差异均无统计学意义（P>0.05），采用不同护理模式进行护理干预后两组患者的简易肢体运动功能评分及生活质量均有所改善，但治疗组患者干预后的评分情况均明显优于对照组，两组比较差异均有统计学意义（P<0.05）。结论：对脑卒中偏瘫患者行早期康复护理干预，能够有效改善患者瘫痪肢体的各项功能，降低脑卒中偏瘫患者的致残率，且可提高患者生活质量，有助于改善患者对护理服务的满意情况。
目的：探討在腦卒中偏癱患者護理中行早期康複護理模式的臨床應用效果。方法：選取2013年1月-2014年1月本社衛中心轄區內居傢康複中心82例腦卒中偏癱患者為研究對象，隨機分為對照組與治療組，每組各41例患者。對照組給予常規護理，治療組在對照組常規護理的基礎上開展早期護理榦預，對兩組護理後的效果展開對比分析。結果：治療組採用早期康複護理模式進行護理榦預後其治療總有效率為97.6%，明顯高于僅採用常規護理模式進行護理榦預對照組的80.5%，兩組比較差異有統計學意義（P<0.05）；治療組患者的護理滿意度為95.1%，明顯高于僅採用常規護理模式進行護理榦預對照組的75.6%，兩組患者對護理的滿意度比較差異有統計學意義（P<0.05）。本次研究中所選取的兩組患者在開展護理榦預前的簡易肢體運動功能評分及生活質量評分比較差異均無統計學意義（P>0.05），採用不同護理模式進行護理榦預後兩組患者的簡易肢體運動功能評分及生活質量均有所改善，但治療組患者榦預後的評分情況均明顯優于對照組，兩組比較差異均有統計學意義（P<0.05）。結論：對腦卒中偏癱患者行早期康複護理榦預，能夠有效改善患者癱瘓肢體的各項功能，降低腦卒中偏癱患者的緻殘率，且可提高患者生活質量，有助于改善患者對護理服務的滿意情況。
목적：탐토재뇌졸중편탄환자호리중행조기강복호리모식적림상응용효과。방법：선취2013년1월-2014년1월본사위중심할구내거가강복중심82례뇌졸중편탄환자위연구대상，수궤분위대조조여치료조，매조각41례환자。대조조급여상규호리，치료조재대조조상규호리적기출상개전조기호리간예，대량조호리후적효과전개대비분석。결과：치료조채용조기강복호리모식진행호리간예후기치료총유효솔위97.6%，명현고우부채용상규호리모식진행호리간예대조조적80.5%，량조비교차이유통계학의의（P<0.05）；치료조환자적호리만의도위95.1%，명현고우부채용상규호리모식진행호리간예대조조적75.6%，량조환자대호리적만의도비교차이유통계학의의（P<0.05）。본차연구중소선취적량조환자재개전호리간예전적간역지체운동공능평분급생활질량평분비교차이균무통계학의의（P>0.05），채용불동호리모식진행호리간예후량조환자적간역지체운동공능평분급생활질량균유소개선，단치료조환자간예후적평분정황균명현우우대조조，량조비교차이균유통계학의의（P<0.05）。결론：대뇌졸중편탄환자행조기강복호리간예，능구유효개선환자탄탄지체적각항공능，강저뇌졸중편탄환자적치잔솔，차가제고환자생활질량，유조우개선환자대호리복무적만의정황。
Objective:To explore the clinical application in the early rehabilitation nursing mode of stroke patients with hemiplegia.Method:82 stroke patients were selected in our home community health center from January 2013 to January 2014,they were divided into the control group and the treatment group,41 cases in each group.The control group was given routine care,on the basis of that treatment group was given early nursing rehabilitation nursing mode,the nursing effect of the two groups were analyzed.Result:The treatment group was treated with early rehabilitation nursing model of care intervention after the treatment,the total effective rate was 97.6%,which was significantly higher than only conventional model of care nursing intervention in the control group(80.5%),the difference was statistically significant (P<0.05).The nursing satisfaction of treatment group was 95.1%,which was significantly higher than 75.6%of control group,the difference was statistically significant(P<0.05).Before nursing intervention,compared the easy to carry out motor function score and quality of life score of two groups,the differences were no statistically significant(P>0.05). After nursing intervention,the easy to carry out motor function score and quality of life score of two groups were improved, but the treatment group were significantly better than the control group,the differences were statistically significant (P<0.05).Conclusion:Early rehabilitation nursing intervention can improve hemiplegic stroke patients’ paralyzed limb function,reduce morbidity and improve quality of life,it helps to improve patients’ satisfaction with nursing care.
