康复护理干预对脑外伤恢复期患者日常生活能力的影响(1)
[摘要] 目的 探讨康复护理干预对颅脑外伤恢复期患者日常生活能力的影响。 方法 选取本院2013年1月～2014年2月收治的126例脑外伤患者作为研究对象，随机分为两组，各63例。对照组给予常规护理干预，观察组在对照组的基础上给予康复护理干预，比较两组的护理效果、Barthel评分、Harris评分。 结果 观察组的总有效率为93.6%，显著高于对照组的77.8%，差异有统计学意义(χ2=5.16，P<0.05)。两组护理后的Barthel、Harris评分显著高于护理前，差异有统计学意义(P<0.05)。观察组护理后的Barthel、Harris评分显著高于对照组护理后，差异有统计学意义(P<0.05)。 结论 康复护理干预能够促进脑外伤患者的康复，提高其日常生活能力。
[关键词] 脑外伤；恢复期；康复；护理干预；日常生活能力；影响
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721(2015)05(b)-0185-03
Influence of rehabilitation nursing intervention on the ability of daily life in patient with traumatic brain injury in recovery phase
LEI Gui-mei
Department of Neurosurgery，People′s Hospital of Luoding City in Guangdong Province，Luoding 527200，China
[Abstract] Objective To explore the influence of rehabilitation nursing intervention on the ability of daily life in patient with traumatic brain injury in recovery phase. Methods 126 patients with traumatic brain injury in our hospital from January 2013 to February 2014 were selected and randomly divided into two groups，63 cases in each group.The control group was given routine nursing intervention，the observation group was given rehabilitation nursing intervention on the basis of the control group.The nursing effect，the score of Barthel and Harris in two groups was compared. Results The total effective rate in the observation group was 93.7%，which was higher than 77.8% in the control group，with significant difference(P<0.05).The score of Barthel and Harris in two groups after nursing was higher than that before nursing，with significant difference(P<0.05).The score of Barthel and Harris in the observation group was higher than that in the control group，with significant difference(P<0.05). Conclusion Rehabilitation nursing intervention can promote the rehabilitation of patients with craniocerebral trauma and improve the ability of daily life.
近年来随着社会经济的发展，意外伤害发生率逐年上升。颅脑外伤占全身损伤的15%～20%，重度颅脑外伤患者病情危重，死亡率高达30%～50%，在创伤中居首位[1]。在经过抢救治疗后，很多患者的认知功能、运动功能会留下不同程度的障碍，给日常生活带来不便。合理的综合康复护理能够明显改善患者的日常生活能力。为了探讨提高脑外伤患者生活能力恢复的有效方法，本研究选取本院的脑外伤患者作为研究对象，在常规治疗和护理的基础上给予早期康复护理干预，探讨其效果。
1 资料与方法
1.1 一般资料
选取2013年1月～2014年2月在本院住院治疗的126例脑外伤患者作为研究对象，其中男72例，女54例；年龄21～79岁，平均48.5岁；昏迷时间为22 h～31 d；临床表现：偏瘫56例，失语44例，共济失调26例。根据随机数字表法将其分为观察组和对照组，各63例。观察组中，男性32例，女性31例；年龄为21～75岁，平均(33.5±11.4)岁；病程1～8 个月，平均(4.4±2.2)个月。对照组中，男性40例，女性23例，年龄为23～79岁，平均(35.6±11.7)岁；病程1～6个月，平均(3.5±2.6)个月。两组的性别、年龄、颅脑损伤情况、昏迷时间、偏瘫失语等一般资料比较，差异无统计学意义(P>0.05)，具有可比性。
1.2 护理干预 (雷桂梅)
[关键词] 脑外伤；恢复期；康复；护理干预；日常生活能力；影响
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721(2015)05(b)-0185-03
Influence of rehabilitation nursing intervention on the ability of daily life in patient with traumatic brain injury in recovery phase
LEI Gui-mei
Department of Neurosurgery，People′s Hospital of Luoding City in Guangdong Province，Luoding 527200，China
[Abstract] Objective To explore the influence of rehabilitation nursing intervention on the ability of daily life in patient with traumatic brain injury in recovery phase. Methods 126 patients with traumatic brain injury in our hospital from January 2013 to February 2014 were selected and randomly divided into two groups，63 cases in each group.The control group was given routine nursing intervention，the observation group was given rehabilitation nursing intervention on the basis of the control group.The nursing effect，the score of Barthel and Harris in two groups was compared. Results The total effective rate in the observation group was 93.7%，which was higher than 77.8% in the control group，with significant difference(P<0.05).The score of Barthel and Harris in two groups after nursing was higher than that before nursing，with significant difference(P<0.05).The score of Barthel and Harris in the observation group was higher than that in the control group，with significant difference(P<0.05). Conclusion Rehabilitation nursing intervention can promote the rehabilitation of patients with craniocerebral trauma and improve the ability of daily life.
近年来随着社会经济的发展，意外伤害发生率逐年上升。颅脑外伤占全身损伤的15%～20%，重度颅脑外伤患者病情危重，死亡率高达30%～50%，在创伤中居首位[1]。在经过抢救治疗后，很多患者的认知功能、运动功能会留下不同程度的障碍，给日常生活带来不便。合理的综合康复护理能够明显改善患者的日常生活能力。为了探讨提高脑外伤患者生活能力恢复的有效方法，本研究选取本院的脑外伤患者作为研究对象，在常规治疗和护理的基础上给予早期康复护理干预，探讨其效果。
1 资料与方法
1.1 一般资料
选取2013年1月～2014年2月在本院住院治疗的126例脑外伤患者作为研究对象，其中男72例，女54例；年龄21～79岁，平均48.5岁；昏迷时间为22 h～31 d；临床表现：偏瘫56例，失语44例，共济失调26例。根据随机数字表法将其分为观察组和对照组，各63例。观察组中，男性32例，女性31例；年龄为21～75岁，平均(33.5±11.4)岁；病程1～8 个月，平均(4.4±2.2)个月。对照组中，男性40例，女性23例，年龄为23～79岁，平均(35.6±11.7)岁；病程1～6个月，平均(3.5±2.6)个月。两组的性别、年龄、颅脑损伤情况、昏迷时间、偏瘫失语等一般资料比较，差异无统计学意义(P>0.05)，具有可比性。
1.2 护理干预 (雷桂梅)