李丽,沈旦.强化护理干预在脑卒中偏瘫患者早期康复锻炼中的应用效果[J].上海护理,2017,17(7):
强化护理干预在脑卒中偏瘫患者早期康复锻炼中的应用效果
DOI:
中文关键词:  强化护理干预  脑卒中  偏瘫患者  康复锻炼效果
英文关键词:Strengthening nursing intervention  stroke  Hemiplegic patients  rehabilitation exercises effect
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作者单位E-mail
李丽 复旦大学附属金山医院神经内科 201508 chenxunlili@126.com 
沈旦* 复旦大学附属金山医院特需病房 201508 shjslili@163.com 
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中文摘要:
      目的 探讨强化护理干预在脑卒中偏瘫患者早期康复锻炼中的应用效果。方法 将68例脑卒中偏瘫患者随机分为观察组和对照组各34例,对照组给予常规康复护理,观察组给予强化护理干预,对患者及家属加强健康教育和规范康复锻炼。两组患者在干预前,干预3个月均进行简化Fugl-Meyer运动功能量表、Barthel指数评定量表评分,比较两组患者的肢体运动功能和日常生活活动能力的康复效果。结果 两组患者干预前简化Fugl-Meyer运动功能量表、Barthel指数评定量表评分比较差异无统计学意义(P>0.05),干预3个月后,观察组与对照组,简化Fugl-Meyer运动功能量表评分、Barthel指数评定量表评分与干预前比较均有改善(P<0.001),但观察组的改善更为明显。结论 强化护理干预能够显著提高脑卒中偏瘫患者的肢体运动功能及日常生活活动能力,提高早期康复锻炼的效果。
英文摘要:
      Objective To investigate the effect of strengthening the application of nursing intervention in the early rehabilitation of stroke patients in the exercise. Methods 68 cases of stroke patients were randomly divided into observation group and the control group 34 cases, control group received conventional rehabilitation care, strengthen the observation group were given nursing intervention for patients and their families to strengthen health education and standardize rehabilitation exercises. The first two groups of patients in the intervention, three months were simplified Fugl-Meyer Motor Function Scale, Barthel Index Rating Scale score, rehabilitation motor function and activities of daily living of the two groups were compared. Results There were interventions before simplify Fugl-Meyer Motor Function Scale, Barthel Index Rating Scale score difference was not statistically significant (P> 0.05), three months after the intervention, the observation group and the control group, simplified Fugl-Meyer Motion Functioning Scale score, Barthel index compared to previous assessment scale scores were improved with the intervention (P <0.001), but the improvement was more evident in the observation group. Conclusions Intensive nursing intervention can significantly improve stroke patients limb motor function and activities of daily living, improve the effectiveness of early rehabilitation exercises.
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