【摘要】 目的:探讨早期康复护理干预对脑卒中偏瘫患者日常生活活动能力(ADL)的影响。方法:将118例脑卒中偏瘫患者随机分为康复组和对照组各59例,对照组按神经内科护理常规进行护理,康复组由责任护士按护理程序实施系统化早期康复护理干预,包括基础护理、心理护理、早期患肢康复锻炼、语言功能锻炼、吞咽功能锻炼、日常生活能力训练。采用Barthel指数对两组患者干预前后ADL进行评定比较。结果:两组干预后Barthel指数均较干预前明显升高(P<0.01),康复组干预后Barthel指数明显高于对照组(P<0.01)。结论:早期康复护理干预能提高脑卒中偏瘫患者ADL,降低致残率,改善生活质量。更多还原

【Abstract】 Objective:To investigate the effect of early rehabilitation nursing intervention on the activities of daily living(ADL) of hemiplegic patients with stroke.Methods:118 hemiplegic patients with stroke were randomly divided into a rehabilitation group and a control group(59 cases in each group).The nursing care was given to the patients in the control group according to the routine nursing care of neurological department and the responsible nurses provided patients early systematic rehabilitation nursing intervention by following nursing program in the rehabilitation group,including essential nursing care,psychological care,early rehabilitation training of the affected limbs,language function exercise,swallowing function training and daily living skills training.The Barthel index was used to evaluate and compare ADL of the patients between the two groups before and after intervention.Results:The Barthel index in both groups was significantly higher after intervention than that before intervention(P<0.01);Barthel index was obviously higher in the rehabilitation group than that in the control group after intervention(P<0.01).Conclusion:The early rehabilitation nursing intervention can enhance the ADL of the hemiplegic patients with stroke,reduce disability rate and improve the quality of life.更多还原