高血压脑梗死后偏瘫患者早期康复健康管理的护理体会

Zai-xia Zhou, Xue′e Zhang, H. Yue, Qian Wang, Linlin Zhao
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The control group received routine nursing, and the observation group underwent early rehabilitation health management care, and the recovery of the two groups was compared. \n \n \nResults \nAfter treatment, the patient medical research committee score (MRC) in the observation group was (50.25±3.37) points, higher than the control group (40.28±3.38) points, and the Fugl-Meyer score (upper limb) of the observation was (65.44 ± 1.08) points, which was higher than that of the control group (53.38 ±1.22) points, and the Fugl-Meyer score (lower limb) was (28.15±1.13) points, significantly higher than the control group (26.52±1.17) points, the living activity ability Barthel index (88.65±4.73) was significantly higher than the control group (80.27 ±4.69)( t values were 6.571-48.536, P < 0.01). After nursing, the scores of memory and thinking, emotion, communication, mobility, daily living ability, hand function, strength and participation in the quality of life in the observation group were (74.58 ±3.27) points, (75.87 ±4.06) points, (72.31 ±5.08) points, (72.13 ±5.06) points, (69.75 ±4.41) points, (78.56 ±5.13) points, (64.17±3.50) points and (68.95±5.03) points. 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引用次数: 0

摘要

目的分析高血压脑梗死偏瘫患者早期康复和健康管理的护理方法及效果。方法将86例高血压合并脑梗死合并偏瘫患者随机分为随机数字表,每组43例。对照组给予常规护理,观察组给予早期康复健康管理护理,比较两组康复情况。结果治疗后,观察组患者医学研究委员会评分(MRC)为(50.25±3.37)分,高于对照组(40.28±3.38)分,观察组Fugl-Meyer评分(上肢)为(65.44±1.08)分,高于对照组(53.38±1.22)分,Fugl-Meyer评分(下肢)为(28.15±1.13)分,显著高于对照组(26.52±1.17)分。生活活动能力Barthel指数(88.65±4.73)显著高于对照组(80.27±4.69)(t值为6.571 ~ 48.536,P < 0.01)。护理后观察组患者的记忆与思维、情绪、沟通、活动能力、日常生活能力、手功能、力量、参与生活质量得分分别为(74.58±3.27)分、(75.87±4.06)分、(72.31±5.08)分、(72.13±5.06)分、(69.75±4.41)分、(78.56±5.13)分、(64.17±3.50)分、(68.95±5.03)分。观察组患者得分均显著高于对照组,分别为(69.27±3.66)分、(66.35±4.17)分、(63.59±5.41)分、(58.95±4.22)分、(59.67±4.30)分、(63.49±5.07)分、(59.74±3.15)分、(54.09±5.10)分(t值为6.144 ~ 13.701,P < 0.05)。结论高血压脑梗死偏瘫患者早期康复健康管理与护理有助于改善患者肢体运动功能和生活活动能力,可显著提高患者的生活质量,值得推广。关键词:高血压;脑梗死偏瘫;康复早期健康管理与护理;生活质量
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nursing experience of early rehabilitation health management for hypertensive patients with hemiplegia after cerebral infarction
Objective To analyze the nursing methods and effects of early rehabilitation and health management for hypertensive patients with cerebral infarction and hemiplegia. Methods Totally 86 patients with hypertension and cerebral infarction with hemiplegia were randomized to a random number table, with 43 patients in each group. The control group received routine nursing, and the observation group underwent early rehabilitation health management care, and the recovery of the two groups was compared. Results After treatment, the patient medical research committee score (MRC) in the observation group was (50.25±3.37) points, higher than the control group (40.28±3.38) points, and the Fugl-Meyer score (upper limb) of the observation was (65.44 ± 1.08) points, which was higher than that of the control group (53.38 ±1.22) points, and the Fugl-Meyer score (lower limb) was (28.15±1.13) points, significantly higher than the control group (26.52±1.17) points, the living activity ability Barthel index (88.65±4.73) was significantly higher than the control group (80.27 ±4.69)( t values were 6.571-48.536, P < 0.01). After nursing, the scores of memory and thinking, emotion, communication, mobility, daily living ability, hand function, strength and participation in the quality of life in the observation group were (74.58 ±3.27) points, (75.87 ±4.06) points, (72.31 ±5.08) points, (72.13 ±5.06) points, (69.75 ±4.41) points, (78.56 ±5.13) points, (64.17±3.50) points and (68.95±5.03) points. The scores of the observation group were significantly higher than those of the control group, which were (69.27 ±3.66) points, (66.35 ±4.17) points, (63.59±5.41) points, (58.95±4.22) points, (59.67±4.30) points, (63.49±5.07) points, (59.74±3.15) points, (54.09±5.10) points (t values were 6.144-13.701, P < 0.05). Conclusion Early rehabilitation health management and nursing for hypertensive patients with cerebral infarction and hemiplegia is helpful to improve the limb motor function and life activity ability of patients, and can significantly improve the quality of life of patients, which is worthy of promotion. Key words: Hypertension; Cerebral infarction hemiplegia; Early rehabilitation health management and nursing; Quality of life
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