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为了探讨系统化康复护理对脑卒中患者有效的康复效果,本研究选取132例脑卒中患者,采用随机数字表法将患者随机分为观察组(n=68)和对照组(n=64),观察组给予系统化康复护理,对照组给予常规护理,采用简易智能状态检查量表(MMSE)和洛文斯顿作业疗法认知评定量表(LOTCA)评估患者认知功能,采用Barthel指数(BI)评估患者日常生活能力,采用抑郁自评量表(SDS)评估患者抑郁情况。MMSE评估结果表明,观察组干预后定向力、注意力和计算力、语言能力以及MMSE总分分别为(9.24±1.31)分、(4.54±0.97)分、(7.86±1.22)分和(25.57±2.03)分,明显高于对照组(p<0.05);LOTCA结果表明,观察组干预后定向力、知觉、视运动、思维能力以及LOTCA总分分别为(5.30±1.24)分、(13.24±1.90)分、(17.41±2.55)分、(18.16±1.80)分和(55.64±4.56)分,明显高于对照组(p<0.05);观察组干预后BI评分为(76.82±10.46)分,明显高于对照组(p<0.05);观察组干预后SDS评分为(42.15±6.41)分,明显低于对照组(p<0.05)。初步的研究表明,系统化康复护理对脑卒中患者康复有较好的促进作用,明显改善了患者认知功能、日常生活能力以及抑郁状态,值得临床上推广使用。
Abstract：To explore the effect of systematic rehabilitation nursing on the rehabilitation effect of stroke patients,in this research, 132 stroke patients were selected and randomly divided into the observation group(n=68) and the control group(n=64), the observation group was given systematic rehabilitation nursing, and the control group was given routine nursing. The mini mental state examination(MMSE) and the Loewenstein Occupational Therapy Cognitive Assessment(LOTCA) were used to assess the cognitive function, Barthel index(BI) was used to evaluate the ability of daily life, Self Depression Scale(SDS) was used to evaluate depression condition. MMSE evaluation results indicated that the scores of orientation, attention and calculation, language ability and MMSE score after the intervention in the observation group were(9.24 ±1.31),(4.54±0.97),(7.86±1.22) and(25.57 ±2.03), which were significantly higher than those in the control group(p<0.05); while in LOTCA assessment, orientation, perception,visual motion, thinking ability and LOTCA scores after the intervention in the observation group were(5.30±1.24),(13.24±1.90),(17.41±2.55),(18.16±1.80) and(55.64±4.56), which is significantly higher than the control group(p<0.05); The BI score after the intervention of the observation group was 76.82±10.46, which was significantly higher than that of the control group(p<0.05); The SDS score after the intervention of the observation group was(42.15±6.41), which was significantly lower than that of the control group(p<0.05). Preliminary studies show that systematic rehabilitation nursing has a better promoting effect on the rehabilitation of stroke patients, significantly improving the cognitive function, daily life ability and depression status of patients, which is worthy of clinical application.
Hung J.W.,Chou C.X.,Hsieh Y.W.,Wu W.C.,Yu M.Y.,Chen P.C.,Chang S.F.,and Ding S.E.,2014,A randomized comparison trial of balance training by using exergaming and conventional weight shifting therapy in patients with chronic stroke,Archives of Physical Medicine And Rehabilitation,9(95):1629-1637
Kist N.,Sandjojo J.,Kok R.M.,and Van den Berg J.F.,2014,Cognitive functioning in older adults with early,late,and very late onset alcohol dependence,International Psychogeriatrics,13(26):1-7
Liang J.H.,2016,The Effect of early rehabilitation nursing on the recovery of cognitive function and the quality of life of patients with stroke,Zhongguo Jixu Yixue Jiaoyu(China Continuing Medical Education),8(20):187-188(梁俊红,2016,早期康复护理对脑卒中患者认知功能恢复及生活质量的影响,中国继续医学教育,8(20):187-188)
Mao R.H.,and Chen C.X.,2015,Nursing effects of visual training on cognitive dysfunction among patients with stroke,Zhonghua Huli Zazhi(Chinese Journal of Nursing),50(11):1313-1317(毛荣华,陈长香,2015,视觉训练对脑卒中后认知功能障碍患者的效果研究,中华护理杂志,50(11):1313-1317)
Mo R.M.,and Bao F.D.,2017,Effects of regular visits and rehabilitation nursing of family beds on neurological cognitive function and self-care ability of post-stroke hemiplegia patients,Huli Shijian Yu Yanjiu(Nursing Practice and Research),14(17):140-142(莫汝梅,包福德,2017,定期访视配合家庭病床康复护理对脑卒中后偏瘫患者神经认知功能及生活自理能力的影响,护理实践与研究,14(17):140-142)
Tu X.H.,Deng Y.D.,Liang C.Q.,Ma Y.L.,and Zheng M.Y.,2016,Constipation after stroke and nursing intervention of cognitive function,Zhonghua Weisheng Yingji Dianzi Zazhi(Chinese Journal of Hygiene Rescue(Electronic Edition)),2(3):190-193(涂小花,邓阳丹,梁彩琼,马运连,郑妙云,2016,脑卒中后便秘与认知功能的护理干预,中华卫生应急电子杂志,2(3):190-193)
Wang H.J.,Chen B.K.,and Lv.Z.,2017,Early rehabilitation nursing on motor function and cognitive function in patients with cerebral apoplexy,Zhongguo Yiyao Daobao(China Medical Herald),14(17):156-159(王红娟,陈丙坤,吕政,2017,早期康复护理对脑卒中患者运动功能及认知功能的影响,中国医药导报,14(17):156-159)
Wang Q.H.,Wang L.,Zhang G.L.,Jiao Y.M.,Tang J.,and Hao L.,2015,Influence factors for cognitive function recovery in early rehabilitated community ischemic stroke patients,Zhonghua Laonian Xinnao Xueguanbing Zazhi(Chinese Journal of Geriatric Heart Brain and Vessel Diseases),17(3):246-249(王秋华,王丽,张国力,焦玉梅,唐娟,郝立,2015,早期社区康复的脑卒中患者认知功能恢复的影响因素研究,中华老年心脑血管病杂志,17(3):246-249)
Zhang J.,Lv D.,and Li J.,2015,The impact of aerobic combined strength and balance exercise on cognitive function in patients with cognitive impairment no dementia,Zhongguo Shiyong Huli Zazhi(Chinese Journal of Practical Nursing),18(32):2435-2438(张杰,吕丹,李靖,2015,有氧联合阻抗、平衡运动对脑卒中后非痴呆认知障碍患者认知功能的影响,中国实用护理杂志,18(32):2435-2438)
Zhang J.J.,Chen C.X.,Li S.X.,Zhang M.,and Dou N.,2016,Effects of auditory training on cognitive function in patients with stroke,Zhonghua Xingwei Yixue Yu Naokexue Zazhi(Chinese Journal of Behavioral Medicine and Brain Science),25(10):905-908(张晶晶,陈长香,李淑杏,张敏,窦娜,2016,听觉训练对脑卒中患者认知功能的影响,中华行为医学与脑科学杂志,25(10):905-908)
Zheng Y.,2015,The value of cognitive behavior nursing intervention on depression after stroke,Henan Yixue Yanjiu(Henan Medical Research),24(12):26-27(郑燕,2015,认知护理干预在脑卒中后抑郁症护理中的应用效果分析,河南医学研究,24(12):26-27)
基本信息:
DOI：10.13417/j.gab.038.001791
中图分类号:R473.74
引用信息:
[1]段懿,罗凤,刘玲.系统化康复护理促进脑卒中患者有效康复[J].基因组学与应用生物学,2019,38(04):1791-1796.DOI:10.13417/j.gab.038.001791.
基金信息:
重庆医科大学附属第一医院院内课题(HLJJ2016-31)资助
2019-04-25
2019-04-25