早期康复护理对急性脊髓炎患者日常生活活动能力的影响(1)
[摘要]目的 探讨早期康复护理对急性脊髓炎患者日常生活活动能力的影响。方法 选取2015年10月～2016年10月我院进行治疗的急性脊髓炎患者72例作为研究对象，将其分为对照组和观察组，各36例。对照组给予常规护理，观察组给予早期康复护理。护理前后采用Barthel指数和护理后采用生活质量量表分别评估患者的日常生活活动能力和生活质量，比较两组患者的日常生活活动能力、双下肢肌力和生活质量。结果 入院时两组患者的日常生活活动能力比较，差异无统计学意义(P>0.05)，出院时两组患者的日常生活活动能力均优于治疗前(P<0.05)，且观察组的改善程度更大(P<0.05)；护理后观察组患者的双下肢肌力和生活质量明显优于对照组(P<0.05)。结论 早期康复护理是改善急性脊髓炎患者日常生活活动能力的有效护理模式，有助于患者双下肢肌力和生活质量的提高，临床推广价值高。
[关键词]急性脊髓炎；早期康复护理；日常生活活动能力
[中图分类号] R744.3 [文献标识码] A [文章编号] 1674-4721(2017)03(a)-0195-03
[Abstract]Objective To explore the effect of early rehabilitation nursing on the activities of daily living in patients with acute myelitis.Methods 72 patients with acute myelitis were treated in our hospital from October 2015 to October 2016 as the object of study and were divided into control group and observation group，36 cases in each groups.The control group was given routine care，the observation group was given early rehabilitation care.Before and after nursing，Barthel index was used to evaluate the living activity and quality of life of the patients.The ability of daily living activities，the strength of both lower limbs and the quality of life were compared between the two groups of patients.Results There was no significant difference in the activity of daily living between two groups on admission (P>0.05).The ability of daily activities of two groups when out of the hospital was better than that on admission (P<0.05)，and the improvement of the observation group was more obvious(P<0.05).The strength and quality of life of the patients with acute myelitis after nursing were better than those of the control group(P<0.05).Conclusion Early rehabilitation nursing is an effective nursing model to improve the living ability of patients with acute myelitis.It is helpful to improve the muscle strength and quality of life of patients with lower limbs，and the clinical value is high.
[Key words]Acute myelitis；Early rehabilitation care；Activities of daily living
急性脊髓炎是一種常见的神经内科疾病，多为感染后诱发，少数在疫苗接种后发病，高发期为冬春和秋冬相交时，在出现脊髓症状前1～4周会出现发热、腹泻、上呼吸道感染等病毒感染症状。急性脊髓炎起病急，在数小时内会出现多种临床症状，以自主神经障碍、运动障碍以及感觉缺失为主要临床表现，多发于青壮年，严重影响患者的肌力和日常生活活动能力，降低其生活质量。急性脊髓炎患者在长期治疗过程中会出现较多并发症，因此应予以相应的早期护理干预措施，促进患者的康复。本文旨在探讨早期康复护理对急性脊髓炎患者日常生活活动能力的影响，将常规护理作为对照，为以后的临床护理提供参考，特将急性脊髓炎患者72例作为研究对象，现报道如下。
1资料与方法
1.1一般资料
选取2015年10月～2016年10月我院收治的急性脊髓炎患者72例作为研究对象，将其分为对照组和观察组，各36例。72例患者的临床症状与《神经病诊断学》中有关急性脊髓炎的临床诊断标准相符合。本研究经我院医学伦理委员会批准，患者均签署知情同意书。对照组中男性20例，女性16例；年龄17～51岁，平均(39.31±3.72)岁；病程26～42 d，平均(34.22±2.52)d；文化程度：初中及以下8例，高中18例，大专及以上10例。观察组中男性21例，女性15例；年龄18～50岁，平均(39.45±3.67)岁；病程27～41 d，平均(34.26±2.54)d；文化程度：初中及以下7例，高中20例，大专及以上9例。两组患者在基线资料方面比较，差异无统计学意义(P>0.05)，具有可比性。 (王靳君 李滨辛 刘君怡)
[关键词]急性脊髓炎；早期康复护理；日常生活活动能力
[中图分类号] R744.3 [文献标识码] A [文章编号] 1674-4721(2017)03(a)-0195-03
[Abstract]Objective To explore the effect of early rehabilitation nursing on the activities of daily living in patients with acute myelitis.Methods 72 patients with acute myelitis were treated in our hospital from October 2015 to October 2016 as the object of study and were divided into control group and observation group，36 cases in each groups.The control group was given routine care，the observation group was given early rehabilitation care.Before and after nursing，Barthel index was used to evaluate the living activity and quality of life of the patients.The ability of daily living activities，the strength of both lower limbs and the quality of life were compared between the two groups of patients.Results There was no significant difference in the activity of daily living between two groups on admission (P>0.05).The ability of daily activities of two groups when out of the hospital was better than that on admission (P<0.05)，and the improvement of the observation group was more obvious(P<0.05).The strength and quality of life of the patients with acute myelitis after nursing were better than those of the control group(P<0.05).Conclusion Early rehabilitation nursing is an effective nursing model to improve the living ability of patients with acute myelitis.It is helpful to improve the muscle strength and quality of life of patients with lower limbs，and the clinical value is high.
[Key words]Acute myelitis；Early rehabilitation care；Activities of daily living
急性脊髓炎是一種常见的神经内科疾病，多为感染后诱发，少数在疫苗接种后发病，高发期为冬春和秋冬相交时，在出现脊髓症状前1～4周会出现发热、腹泻、上呼吸道感染等病毒感染症状。急性脊髓炎起病急，在数小时内会出现多种临床症状，以自主神经障碍、运动障碍以及感觉缺失为主要临床表现，多发于青壮年，严重影响患者的肌力和日常生活活动能力，降低其生活质量。急性脊髓炎患者在长期治疗过程中会出现较多并发症，因此应予以相应的早期护理干预措施，促进患者的康复。本文旨在探讨早期康复护理对急性脊髓炎患者日常生活活动能力的影响，将常规护理作为对照，为以后的临床护理提供参考，特将急性脊髓炎患者72例作为研究对象，现报道如下。
1资料与方法
1.1一般资料
选取2015年10月～2016年10月我院收治的急性脊髓炎患者72例作为研究对象，将其分为对照组和观察组，各36例。72例患者的临床症状与《神经病诊断学》中有关急性脊髓炎的临床诊断标准相符合。本研究经我院医学伦理委员会批准，患者均签署知情同意书。对照组中男性20例，女性16例；年龄17～51岁，平均(39.31±3.72)岁；病程26～42 d，平均(34.22±2.52)d；文化程度：初中及以下8例，高中18例，大专及以上10例。观察组中男性21例，女性15例；年龄18～50岁，平均(39.45±3.67)岁；病程27～41 d，平均(34.26±2.54)d；文化程度：初中及以下7例，高中20例，大专及以上9例。两组患者在基线资料方面比较，差异无统计学意义(P>0.05)，具有可比性。 (王靳君 李滨辛 刘君怡)