|
|
Effects of continuous rehabilitation nursing on mental stress state, nutritional index and limb function recovery of stroke patients |
HUANG Chang1 HE Xinru1 YU Huiyun1 LI Yuju2 |
1.Department of Neurology, the Fourth Hospital of Changsha, Hunan Province, Changsha 410006, China;
2.Department of Rehabilitation, the Fourth Hospital of Changsha, Hunan Province, Changsha 410006, China
|
|
|
Abstract Objective To explore the effects of continuous rehabilitation nursing on mental stress state, nutritional index, and limb function recovery of stroke patients. Methods A total of 128 stroke patients admitted to the Department of Rehabilitation, the Fourth Hospital of Changsha, Hunan Province from January 2019 to December 2021 were selected. They were divided into control group and experimental group by random number table method, with 64 cases in each group. The control group implemented routine rehabilitation nursing intervention countermeasures, and the experimental group implemented continuous rehabilitation nursing intervention countermeasures on the basis of the control group, before intervention and four weeks after intervention, the mental stress state, nutritional index, and limb function recovery were observed and compared between the two groups. Results After four weeks of intervention, the positive experience scores of both groups were higher than those of before intervention, while the negative experience scores were lower than those of before intervention, and the score of positive experience in experimental group was higher than that in control group, while the score of negative experience was lower than that in control group (P<0.05); comprehensive nutritional status of experimental group was better than that of control group (P<0.05); neurologic deficit scores (NDS) of both groups were lower than those before intervention, and simple mental state examination scale (MMSE) score was higher than those before intervention, and NDS score of experimental group was lower than control group, MMSE score was higher than that of control group (P<0.05). Conclusion Continuous rehabilitation nursing intervention measures should be taken to strengthen the subjective well-being of stroke patients, improve the nutritional status of the body and enhance limb function.
|
|
|
|
|
[1] 叶明明,翁瑛丽,赵博伦,等.脑卒中后失语症患者筛查和护理的最佳证据总结[J].中华护理杂志,2021,56(3):439-444.
[2] 肖爽,朱以诚.脑卒中的性别差异:流行病学、危险因素、治疗及预后[J].中国神经免疫学和神经病学杂志,2020, 27(1):57-60.
[3] 张放,满玉红,姚刚,等.脑卒中部位与睡眠障碍相关性研究进展[J].中国医药导报,2019,16(5):23-26.
[4] 李雪明,冼丽玉,莫凤霞.阶段性心理护理联合穴位按压偏瘫助力鞋对脑卒中偏瘫患者日常生活能力及心理状态的影响[J].护理实践与研究,2021,18(19):2902-2907.
[5] Rabinstein AA. Update on Treatment of Acute Ischemic Stroke[J]. Continuum (Minneap Minn),2020,26(2):268- 286.
[6] 肖湘,梁斌.虚拟现实训练对脑卒中恢复期患者认知功能和P300的影响[J].中国康复医学杂志,2019,34(3):339- 341.
[7] 钟迪,张舒婷,吴波.《中国急性缺血性脑卒中诊治指南2018》解读[J].中国现代神经疾病杂志,2019,19(11):897-901.
[8] 肖长林,潘翠环,陈艳,等.不同频率高频重复经颅磁刺激对缺血性脑卒中患者上肢功能的效果[J].中国康复理论与实践,2019,25(5):557-563.
[9] 何兴月,郝佳琪,杨辉,等.脑卒中患者家庭护理评估工具的研究进展[J].中国全科医学,2021,24(12):1564-1569.
[10] 赵爱霞,么荣荣,张金凤,等.问题导向教育联合目标导向护理对脑卒中后癫痫患者肢体功能及焦虑抑郁的影响[J].护理实践与研究,2021,18(10):1486-1488.
[11] 张娜,刘红,杨新颜,等.脑卒中相关性肺炎护理风险评价指标体系的构建[J].中国感染控制杂志,2019,18(3):220-224.
[12] 肖霞,彭文根,刘江蓉,等.老年护理院脑卒中吞咽障碍患者健康教育效果评价[J].中国健康教育,2020,36(5):468-471.
[13] 祝善尧,葛伟,张欢,等.老年急性缺血性脑卒中后抑郁患者睡眠障碍现状及与血清IL-1、IL-2、5-HT和Hypo-cretin的相关性[J].中国老年学杂志,2020,40(3):475-480.
[14] 黄建福,刘建浩,谭春凤,等.头部针灸联合吞咽功能治疗仪治疗缺血性脑卒中吞咽障碍的效果[J].中国医药导报,2020,17(20):80-84.
[15] 吴七二,高晓平,宋娟,等.肌内效贴在脑卒中运动障碍康复中的研究进展[J].安徽医药,2019,23(5):1047-1050.
[16] 唐文娟,石贞仙,张彩云,等.脑卒中患者发生深静脉血栓危险因素的Meta分析[J].中华护理杂志,2019,54(7):989-994.
[17] 王玉琳,詹爽,杨添淞,等.针灸治疗脑卒中后尿失禁的临床应用进展[J].世界中医药,2020,15(8):1225-1227, 1231.
[18] 胡昌盛,许星莹,张彩霞,等.缺血性脑卒中二级预防中医特色护理干预效果研究[J].护士进修杂志,2020,35(11):961-964,969.
[19] 孙萍萍,齐瑞,施婕妤,等.针灸联合运动疗法治疗脑卒中后运动功能障碍的疗效及对神经功能的影响[J].吉林中医药,2019,39(1):129-132.
[20] 郝美美,陈晨,袁兴运,等.尿酸与急性缺血性脑卒中早期预后关系的研究[J].中华老年心脑血管病杂志,2019, 21(5):515-518.
[21] 陈蕊,李春光,苏敏,等.脑卒中患者大幅度运动状态下的大脑网络拓扑属性研究[J].中国康复医学杂志,2019, 34(1):52-58,75.
[22] 张孟钦,卢剑飞,陈春花.亚甲蓝治疗缺血性脑卒中的研究进展[J].解剖学报,2019,50(5):677-683.
[23] 施伯瀚,厉坤鹏,陈浩,等.音乐疗法对脑卒中所致单侧空间忽略的疗效观察[J].中国康复,2019,34(4):183-186.
[24] 钱珊,王蜀昌,刘信东,等.电针和神经肌肉电刺激治疗急性脑卒中后吞咽障碍效果观察[J].临床误诊误治,2019, 32(2):74-77.
[25] 郭杨,李林娇,孙璐.脑卒中患者康复自我效能与自理能力及创伤后成长的相关性[J].中国医药科学,2022, 12(1):101-103.
[26] 杨迎迎,洑寒莹,林法财.中医五行音乐疗法在脑卒中后抑郁中的应用[J].中国医药导报,2019,16(15):115- 118.
[27] 苏旻,潘迅,苏秋菊,等.改良型通脑活络针刺法在治疗脑卒中并发假性球麻痹所致吞咽障碍患者中的疗效观察[J].中国医药科学,2022,12(21):20-23. |
|
|
|