康复护理干预有助于颅脑外伤术后偏瘫患者的恢复

为探讨基于康复教育护理团队实施康复护理对颅脑外伤术后偏瘫患者生活能力及神经功能恢复的影响,本研究选取96例颅脑外伤术后偏瘫患者,随机分为对照组与观察组各48例,对照组采用常规护理,观察组应用基于康复教育护理团队的康复护理。通过比较两组干预前后日常生活能力评分(ADL)、Fugl-Meyer运动功能量表(FMA)评分及美国国立卫生院神经功能缺损评分(NIHSS)的变化,采用焦虑自评量表(SAS)及抑郁自评量表(SDS)评定干预前后患者心理状态的变化,并统计两组护理期间并发症发生率。研究发现,干预8周,两组轻度依赖、中度依赖所占比例上升,重度依赖、完全依赖所占比例下降,观察组轻度依赖所占比例高于对照组,完全依赖所占比例高于对照组(p<0.05);干预8周,两组FMA表感觉、运动功能、关节活动度、疼痛、平衡等维度评分均上升,观察组各维度评分上升幅度高于对照组(p<0.05),两组NIHSS评分、SAS评分、SDS评分均降低,观察组上述量表评分低于对照组(p<0.05)。观察组护理期间并发症发生率略低于对照组,但比较差异无统计学意义(p<0.05)。本研究证实,对颅脑外伤术后偏瘫患者采用基于康复教育护理团队的康复护理模式可改善患者日常生活能力、运动功能及神经功能,纠正患者不良情绪。

Rehabilitation Nursing Intervention is Helpful for the Recovery of Hemiplegic Patients after Craniocerebral Trauma Operation

To explore the effect of rehabilitation nursing given by rehabilitation education-based nursing team on activities of daily living and neurological function recovery in patients with hemiplegia after operation of traumatic brain injury,96 patients with hemiplegia after operation of traumatic brain injury were selected and randomly divided into the control group and the observation group with 48 patients in each group.The control group was given routine nursing while the observation group was given rehabilitation nursing carried out by rehabilitation education-based nursing team.Changes in scores of activities of daily living(ADL),Fugl-Meyer motor function scale(FMA)and the National Institutes of Health Stroke Scale(NIHSS)before and after intervention were compared between the two groups.Changes in psychological status before and after intervention were evaluated with the Self-rating Anxiety Scale(SAS)and the Self-rating Depression Scale(SDS).The incidence rates of complications in two groups were statistically analyzed.It was found that after 8 weeks of intervention,the proportions of mild dependence and moderate dependence increased while proportions of severe dependence and entire dependence decreased in two groups.The proportion of mild dependence in observation group was higher than that in control group while the proportion of entire dependence was higher than that in control group(p<0.05);After 8 weeks of intervention,scores of sensation,motor function,range of motion,pain and balance in FMA scale were increased in two groups,and the increase in observation group was greater than that in control group(p<0.05).Scores of NIHSS,SAS and SDS were decreased,and the decrease in observation group was greater than that in control group(p<0.05);The incidence of complications in the observation group was slightly lower than that in the control group during nursing(p<0.05).It could be indicated in this study that the application of rehabilitation nursing intervention given by rehabilitation education-based nursing team can improve the activities of daily living,motor function and neurological function,and correct unhealthy emotions in patients with hemiplegia after operation of traumatic brain injury.