文章摘要
陈红梅.超早期康复护理对高血压脑出血病人预后的影响[J].安徽医药,2019,23(9):1789-1792.
超早期康复护理对高血压脑出血病人预后的影响
Effect of super early rehabilitation nursing on prognosis of patients with hypertensive intracerebral hemorrhage
  
DOI:10.3969/j.issn.1009-6469.2019.09.022
中文关键词: 颅内出血,高血压性  超早期康复护理  肢体运动功能  生活能力
英文关键词: Intracronial nemorrhage,hypertensive  Ultra early rehabilitation nursing  Limb movement function  Living ability
基金项目:
作者单位
陈红梅 中国科技大学附属第一医院 安徽省立医院 神经内科安徽 合肥 230001 
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中文摘要:
      目的 探讨超早期康复护理对高血压脑出血病人肢体运动功能及生活能力的影响。方法 选取2016年8月至2017年6月安徽省立医院收治的40例高血压脑出血(HCH)病人作为研究对象,其中2017年1月前20例接受临床常规康复护理作为对照组,2017年1月后给予超早期康复护理干预的20例作为观察组。分别采用简式Fugl-Meyer (FMA)量表、日常生活活动能力(ADL)评分法中的巴氏指数(Barthel指数)对两组护理干预前、护理干预后2个月的肢体运动功能及日常生活能力进行评价。结果 观察组和对照组护理干预后2个月的FMA评分[(77.40±11.76)、(55.38±12.09)比(26.92±10.86)、(26.44±10.97)]、Barthel指数[(71.8±9.37)、(53.25±10.17)比(36.18±10.35)、(35.75±10.17)]均较干预前显著改善,干预后观察组的FMA评分及评级、Barthel指数及ADL评级均明显优于对照组(均P<0.05)。结论 超早期康复护理介入能有效促进高血压脑出血病人肢体运动功能恢复,明显提高病人术后生活能力水平,值得临床推广应用。
英文摘要:
      Objective To investigate the effect of ultra early rehabilitation nursing intervention on physical function and living ability of patients with hypertensive intracerebral hemorrhage.Methods Forty patients with hypertensive intracerebral hemorrhage (HCH) treated in Anhui Provincial Hospital from August 2016 to June 2017 were selected as the subjects,among them,20 cases received routine rehabilitation nursing before January 2017 were selected as the control group.After January 2017,20 patients with super early rehabilitation nursing intervention were selected as the observation group.The body function and activities of daily living of two groups before and 2 months after nursing intervention were evaluated by the short form Fugl-Meyer (FMA) scale,and Babbitt index (Barthel index) in the activity of daily living ability (ADL) index.Results The FMA score[(77.40±11.76)、(55.38±12.09) vs. (26.92±10.86)、(26.44±10.97)] and Barthel index [(71.8±9.37)、(53.25±10.17) vs. (36.18±10.35)、(35.75±10.17)] of the two groups after 2 months of intervention were significantly improved compared with those before intervention.After intervention,the FMA score and rating,Barthel index and ADL score of the observation group were significantly better than those of the control group (all P<0.05).Conclusion Super early rehabilitation nursing intervention can effectively promote the recovery of limb motor function in patients with hypertensive intracerebral hemorrhage,and significantly improve the postoperative life ability level,which is worthy of clinical application.
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