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Early rehabilitation nursing on motor function and cognitive function in patients with cerebral apoplexy |
WANG Hongjuan CHEN Bingkun LYU Zheng |
Department of Rehabilitation, the First Affiliated Hospital of Harbin Medical University, Heilongjiang Province, Harbin 150001, China |
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Abstract Objective To explore the influence of early rehabilitation nursing intervention in patients with cerebral apoplexy hemiplegia on limb function and life quality. Methods 120 cases with cerebral apoplexy hemiplegia treated in the First Affiliated Hospital of Harbin Medical University from October 2014 to October 2016 were selected. All the patients were divided into control group and observation group according to random number table, with 60 cases in each group. The control group patients was given to the routine nursing, and the observation group was given to the early rehabilitation nursing, for the continuous 3 months. The Barthel index (BI), Fugl-Meyer score (FMA) and the improvement about the cognitive function and the life quality of the two groups patients before and after nursing were compared. Results The BI, FMA score of two groups after treatment were increased than before, and the improvement of the observation group was more remarkable than that of the control group, with statistically significant difference (P < 0.05). The total effective rate of cognitive function improvement in the observation group was higher than that of the control group, with statistically significant difference (P < 0.05). The physical function, role function, emotional function, cognitive function and social function score of the two groups were increased than before, and the increase of the observation group was more remarkable than that of the control group (P < 0.05). Conclusion The application of early rehabilitation nursing for stroke patients with hemiplegia can effectively enhance the recovery of motor function and cognitive function, improve the quality of life.
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[1] 杨志琳.体位护理在脑卒中病人急性期中的应用[J].国际护理学杂志,2012,31(8):1420-1422.
[2] 毛杰,杨相凤.早期康复训练对脑出血偏瘫患者功能的影响[J].海南医学院学报,2013,19(3):90-91.
[3] 谢伟坚,梅麒,张业昆.高压氧结合早期康复治疗对脑卒中神经功能重建的影响[J].中国医药导报,2011,8(25):56-57.
[4] 王薇薇,王新德.第六届全国脑血管病学术会议纪要[J].中华神经科杂志,2004,37(4):346-347.
[5] 何敏琴,吴彩虹,李岩,等.早期高压氧联合下肢康复机器人训练对脑卒中偏瘫患者步行能力的影响[J].中国康复医学杂志,2015,30(4):345-346.
[6] 周璜.综合护理干预模式对脑卒中患者康复期生活质量的影响[J].实用心脑肺血管并杂志,2014,22(12):153-154.
[7] 高晓燕,谷艳,夏彩秋,等.运动想象结合运动在学习疗法对脑卒中患者肢体功能和生存质量的影响[J].中国伤残医学,2011,19(5):18-20.
[8] 刘晓华.脑卒中患者的护理研究[J].实用心脑肺血管病杂志,2013,21(7):155-156.
[9] 候东哲,张颖,巫嘉陵,等.中文版Barthel指数的信度与效度研究[J].临床荟萃,2012,27(3):10-11.
[10] 许光旭.Fugl-Meyer运动功能评分的敏感性及实用性[J].中国康复,2001,16(1):18-19.
[11] 吴炯,金煜,倪姣娜.神经精神量表对简明智能精神状态检查量表分值的预测作用分析[J].浙江医学,2012, 34(8):89-90.
[12] 姜宝法,刘春晓,崔永春,等.EORTC QLQ-C30的信度、效度研究[J].中国临床心理学杂志,2005,13(1):123-124.
[13] 罗姣,曾晓梅,尹玲茜,等.临床护理路径在康复科脑卒中患者吞咽障碍中的应用效果[J].中国医药导报,2015, 12(29):147-150.
[14] 周静茹,孟翠丽.脑卒中患者神经功能缺损评分与载脂蛋白相关性研究[J].临床和实验医学杂志,2015,14(19):1589-1592.
[15] 罗凤云.临床护理路径在脑出血护理中的应用及体会[J].中国医药指南,2013,11(14):78-79.
[16] 卢菊清,沈群芳,夏荷秀,等.早期康复护理干预对急性脑卒中患者认知及神经功能的影响[J].中国药物与临床,2012,12(10):1372-1373.
[17] 潘婕,熊英琼,周超,等.肌电触发生物反馈对急性脑梗死患者偏瘫早期康复的治疗作用[J].中国医药导报,2016, 13(26):68-71,123.
[18] 李友梅.老年缺血性脑卒中患者的生活质量评价[J].山东医药,2011,51(21):93-94.
[19] 王雪晴,林红,甄君,等.高压氧结合康复训练对缺血性脑卒中患者偏瘫肢体运动能力的影响[J].中华物理医学与康复杂志,2013,35(5):375-378.
[20] 张平.超早期良肢位摆放防治偏瘫患者关节挛缩的康复护理[J].海南医学院学报,2011,17(12):1729. |
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