早期康复护理干预对高血压脑出血患者功能康复及预后的影响(1)
[摘要]目的 探讨早期康复护理干预对高血压脑出血患者功能康复及预后的影响。方法 选择2018年1～6月我院收治的50例高血压脑出血患者作为研究对象，根据随机数字表法分为对照组和观察组，每组各25例。对照组行常规护理，观察组在对照组基础上实施早期康复护理干预。比较两组患者美国国立卫生研究院卒中量表(NIHSS)、格拉斯哥昏迷量表(GCS)、日常生活能力量表(ADL)评分、并发症总发生率及死亡率。结果 观察组干预1、2个月后的NIHSS评分低于对照组，GCS、ADL评分高于对照组，差异均有统计学意义(P<0.05);观察组患者的并发症总发生率低于对照组，差异有统计学意义(P<0.05);随访6个月，两组患者的死亡率比较，差异无统计学意义(P>0.05)。结论 高血压脑出血患者应用早期康复护理能促进神经功能恢复，提高日常活动能力，降低并发症发生率和死亡率，改善患者预后。
[关键词]高血压脑出血;早期康复护理干预;功能康复;改善预后
[中图分类号] R544.1 [文献标识码] A [文章编号] 1674-4721(2019)10(b)-0222-04
[Abstract] Objective To explore the effect of early rehabilitation nursing intervention on functional rehabilitation and prognosis of patients with hypertensive cerebral hemorrhage. Methods Fifty patients with hypertensive cerebral hemorrhage admitted to our hospital from January to June 2018 were selected as the research objects， according to the random number table method， they were divided into control group and observation group， with 25 cases in each group. The control group received routine nursing， while the observation group received early rehabilitation nursing intervention on the basis of the control group. The national institute of health stroke scale (NIHSS)， Glasgow coma scale (GCS)， activity of daily living scale (ADL) scores， total incidence of complications and mortality were compared between the two groups. Results The NIHSS score of the observation group was lower than that of the control group after 1 or 2 months of intervention， and the scores of GCS and ADL were higher than those of the control group， the differences were statistically significant (P<0.05). The total incidence of complications in the observation group was lower than that in the control group， the difference was statistically significant (P<0.05). After 6 months of follow-up， there was no significant difference in mortality between the two groups (P>0.05). Conclusion Early rehabilitation nursing for patients with hypertensive intracerebral hemorrhage can promote the recovery of nerve function， improve the ability of daily activities， reduce the incidence of complications and mortality， and improve the prognosis of patients.
[Key words] Hypertensive cerebral hemorrhage; Early rehabilitation nursing intervention; Functional rehabilitation; Improve prognosis
近年來，人们生活水平不断提高、人口老龄化随之增加，高血压脑出血发病率呈升高趋势，该疾病具有起病急、进展快及死亡率高等特点，严重威胁患者的生命安全，导致患者及其家庭存在较重的精神和经济压力[1-2]。目前临床治疗主要以手术为主，但术后大部分患者易遗留语言、肢体、精神及智力等方面不同程度的障碍，严重损害患者的身心健康，降低患者的生活质量。近年来随着现代医学模式的变化及发展，对高血压脑出血患者的治疗不仅局限于挽救患者生命，还延伸至患者的预后、生活质量等方面，有研究显示，早期给予患者有效的护理措施可促进患者神经功能地恢复，从而改善其日常生活[3-4]。本研究旨在探讨早期康复护理干预对高血压脑出血患者功能康复及预后的影响，现报道如下。, 百拇医药(肖世飞)
[关键词]高血压脑出血;早期康复护理干预;功能康复;改善预后
[中图分类号] R544.1 [文献标识码] A [文章编号] 1674-4721(2019)10(b)-0222-04
[Abstract] Objective To explore the effect of early rehabilitation nursing intervention on functional rehabilitation and prognosis of patients with hypertensive cerebral hemorrhage. Methods Fifty patients with hypertensive cerebral hemorrhage admitted to our hospital from January to June 2018 were selected as the research objects， according to the random number table method， they were divided into control group and observation group， with 25 cases in each group. The control group received routine nursing， while the observation group received early rehabilitation nursing intervention on the basis of the control group. The national institute of health stroke scale (NIHSS)， Glasgow coma scale (GCS)， activity of daily living scale (ADL) scores， total incidence of complications and mortality were compared between the two groups. Results The NIHSS score of the observation group was lower than that of the control group after 1 or 2 months of intervention， and the scores of GCS and ADL were higher than those of the control group， the differences were statistically significant (P<0.05). The total incidence of complications in the observation group was lower than that in the control group， the difference was statistically significant (P<0.05). After 6 months of follow-up， there was no significant difference in mortality between the two groups (P>0.05). Conclusion Early rehabilitation nursing for patients with hypertensive intracerebral hemorrhage can promote the recovery of nerve function， improve the ability of daily activities， reduce the incidence of complications and mortality， and improve the prognosis of patients.
[Key words] Hypertensive cerebral hemorrhage; Early rehabilitation nursing intervention; Functional rehabilitation; Improve prognosis
近年來，人们生活水平不断提高、人口老龄化随之增加，高血压脑出血发病率呈升高趋势，该疾病具有起病急、进展快及死亡率高等特点，严重威胁患者的生命安全，导致患者及其家庭存在较重的精神和经济压力[1-2]。目前临床治疗主要以手术为主，但术后大部分患者易遗留语言、肢体、精神及智力等方面不同程度的障碍，严重损害患者的身心健康，降低患者的生活质量。近年来随着现代医学模式的变化及发展，对高血压脑出血患者的治疗不仅局限于挽救患者生命，还延伸至患者的预后、生活质量等方面，有研究显示，早期给予患者有效的护理措施可促进患者神经功能地恢复，从而改善其日常生活[3-4]。本研究旨在探讨早期康复护理干预对高血压脑出血患者功能康复及预后的影响，现报道如下。, 百拇医药(肖世飞)