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Influences of behavioral strategy on the recovery of limb function, rehabilitation of nerve function and complications in patients with cerebral infarction |
CHEN Xiao1 FANG Qiaohong2 ZHANG Hong1 |
1.Department of Neurology, Meishan Hospital of Traditional Chinese Medicine, Sichuan Province, Meishan 612000, China;
2.Department of Nursing, Meishan Hospital of Traditional Chinese Medicine, Sichuan Province, Meishan 612000, China |
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Abstract Objective To investigate the influences of behavioral strategy on the recovery of limb function, rehabilitation of nerve function and complications in patients with cerebral infarction. Methods The clinical data of 200 cases of patients with cerebral infarction admitted to Meishan Hospital of Traditional Chinese Medicine from January 2014 to January 2016 was analyzed retrospectively, and they were divided into the control group (conventional nursing measure) and the observation group (behavioral strategy measure) according to different nursing measures, with 100 cases in each group. The scores of quality of life and neurologic impairment, evaluation of limb function and the incidence of complications between the two groups were observed and compared. Results Before nursing, there were no statistically significant differences in the scores of quality of life and neurologic impairment between the two groups (P > 0.05). After nursing, the scores of quality of life in the two groups were all higher than those before nursing, and the scores of neurologic impairment were all lower than those before nursing, and the two indicators above in the observation group were changed more remarkably, with statistically significant differences (P > 0.05). The evaluation of limb function in the observation group was better than that of control group (P < 0.05). There were no obvious complications in the observation group, there were 5 cases of pressure sore, 7 cases of urinary system infection and 4 cases of hypostatic pneumonia in the control group. Conclusion The nursing of behavioral strategy can improve limb function and nerve function in patients with cerebral infarction, reduce complication rate, it is worthy of clinical promotion and application.
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[1] 尚明.个性化护理模式在脑梗死患者中的应用效果体会[J].中西医结合心血管病杂志,2016,4(14):98-99.
[2] Wyer PC,Umscheid CA,Wright S,et al. Teaching Evidence Assimilation for Collaborative Health Care(TEACH)2009-2014:Building Evidence-Based Capacity within Health Care Provider Organizations [J]. EGEMS(Wash DC),2015,3(2):1165.
[3] 宋金玉.优质护理模式在急性脑梗死患者急诊监护中应用分析[J].中西医结合心血管病杂志,2015,3(36):117-119.
[4] Davoody N,Koch S,Krakau I,et al. Collaborative interaction points in post-discharge stroke care [J]. Int J Integr Care,2014,14(4):e032.
[5] 罗坚,梁德贞,梁琴.脑梗死偏瘫患者康复护理的进展[J].护士进修杂志,2015,30(2):125-127.
[6] 徐志钦,高平.分阶段变化护理干预模式对脑梗死偏瘫病人的影响[J].中国实用神经疾病杂志,2016,19(1):129-130.
[7] 李娟,王宏.SF-36量表第二版应用于重庆市区居民生命质量研究的信效度检验[J].第四军医大学学报,2009,30(14):1342-1344.
[8] 全国第四届脑血管学术会议.脑卒中患者临床神经功能缺损程度评分标准(1995)[J].中华神经科杂志,1996,29(6):381-383.
[9] 陈瑞全,吴建贤,沈显山.中文版Fugl-Meyer运动功能评定量表的最小临床意义变化值的研究[J].安徽医科大学学报,2015,50(4):112-113.
[10] 王晓红,曾正亮,林晓姝.护理干预对恶性肿瘤并发急性双侧前后循环脑梗死患者的影响[J].中国肿瘤临床与康复,2016,23(12):1512-1514.
[11] Tully PJ,Baumeister H. Collaborative care for the treatment of comorbid depression and coronary heart disease:a systematic review and meta-analysis protocol [J]. Syst Rev,2014,28(3):127.
[12] 刘畅,李明哲.临床护理路径对脑梗死患者康复效果的Meta分析[J].中国临床研究,2016,29(11):1576-1578.
[13] Forbes A,While A,Griffiths P,et al. Organizing and delivering diabetes education and self-care support:findings of scoping project [J]. J Health Serv Res Policy,2011,16(Suppl1):42-49.
[14] 熊艳,江育英,何淑琴,等.早期康复护理对脑梗死患者神经功能缺损及日常生活能力的影响[J].上海医药,2016, 37(20):57-59.
[15] Pallesen LP,Ragaller M,Kepplinger J,et al. Diagnostic impact of transesophageal echocardiography in patients with acute cerebral ischemia [J]. Echocardiography,2016, 33(4):555-561.
[16] 杨雪莲.自我效能护理干预在脑梗死患者康复期的应用效果分析[J].现代中西医结合杂志,2017,26(7):788-790.
[17] Maeshima S,Okamoto S,Okazaki H,et al. Hemorrhagic transformation in patients with cerebral infarction referred to a rehabilitation hospital [J]. Interv Neurol,2016, 4(3/4):69-74.
[18] 吴英报,李斌.针对性护理对脑梗死患者康复治疗依从性及效能感的影响[J].中国实用神经疾病杂志,2015, 33(7):131-132.
[19] Low MS,Vilcassim S,Fedele P,et al. Anabolic androgenic steroids,an easily forgotten cause of polycythaemia and cerebral infarction [J]. Intern Med J,2016,46(4):497-499.
[20] 张桂芳.综合性护理干预对脑梗死偏瘫患者生活质量的影响[J].中国现代医生,2016,54(32):152-154. |
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