Application of early rehabilitation nursing leaded by stroke specialist nurses in patients with ischemic stroke

中国基层医药 Pub Date : 2020-03-15 DOI:10.3760/CMA.J.ISSN.1008-6706.2020.06.026

Li Zhu, Xiaolin Cao, M. Hou, Ping Li

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引用次数: 0

Abstract

目的探讨以卒中专科护士为主导的早期康复护理在缺血性脑卒中患者中的应用效果。方法选择新疆维吾尔自治区人民医院2018年1月至2019年1月住院治疗的缺血性脑卒中患者120例为研究对象，根据随机数字表法将患者分为对照组60例、观察组60例。对照组给予缺血性脑卒中常规护理模式；观察组实施以卒中专科护士为主导的早期康复护理模式。比较两组患者神经功能缺损程度、日常生活活动能力、偏瘫肢体运动功能及满意度。结果干预后，观察组美国国立卫生研究院卒中量表(NIHSS)、Barthel指数评定量表(BI)、简式Fugl-Meyer运动功能(FMA)评分分别为(12.37±2.65)分、(43.81±5.63)分、(52.36±9.01)分，均优于对照组的(14.21±2.43)分、(40.28±4.54)分、(45.25±8.03)分(t＝5.126、－0.239、－2.45，均P<0.05)；观察组患者满意度评分总分为(90.05±1.61)分，高于对照组的(80.19±1.62)分(t＝－5.267，P<0.05)。结论实施以卒中专科护士为主导的早期康复护理模式能有效改善患者肢体功能障碍，提高患者自我管理能力，有利于规范早期康复护理工作流程，提升工作质量。

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脑卒中专科护士早期康复护理在缺血性脑卒中患者中的应用

Objective: To explore the application effect of early rehabilitation nursing led by stroke specialist nurses in patients with ischemic stroke. Method: 120 patients with ischemic stroke admitted to the People's Hospital of Xinjiang Uygur Autonomous Region from January 2018 to January 2019 were selected as the study subjects. According to the random number table method, the patients were divided into a control group of 60 cases and an observation group of 60 cases. The control group received routine nursing care for ischemic stroke; The observation group implemented an early rehabilitation nursing model led by stroke specialist nurses. Compare the degree of neurological impairment, daily living activity, hemiplegic limb motor function, and satisfaction between two groups of patients. After the intervention, the observation group's National Institutes of Health Stroke Scale (NIHSS), Barthel Index Rating Scale (BI), and Simplified Fugl Meyer Motor Function (FMA) scores were (12.37 ± 2.65), (43.81 ± 5.63), and (52.36 ± 9.01), respectively, which were better than the control group's (14.21 ± 2.43), (40.28 ± 4.54), and (45.25 ± 8.03) scores (t=5.126, -0.239, -2.45, all P<0.05); The total satisfaction score of the observation group patients was (90.05 ± 1.61) points, which was higher than the control group's (80.19 ± 1.62) points (t=-5.267, P<0.05). Conclusion: The implementation of an early rehabilitation nursing model led by stroke specialist nurses can effectively improve patients' limb dysfunction, enhance their self-management ability, standardize the early rehabilitation nursing workflow, and improve work quality.

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来源期刊

中国基层医药

CiteScore

0.10

自引率

0.00%

发文量

32251

期刊介绍： Since its inception, the journal "Chinese Primary Medicine" has adhered to the development strategy of "based in China, serving the grassroots, and facing the world" as its publishing concept, reporting a large amount of the latest medical information at home and abroad, prospering the academic field of primary medicine, and is praised by readers as a medical encyclopedia that updates knowledge. It is a core journal in China's medical and health field, and its influence index (CI) ranks Q2 in China's academic journals in 2022. It was included in the American Chemical Abstracts in 2008, the World Health Organization Western Pacific Regional Medical Index (WPRIM) in 2009, and the Japan Science and Technology Agency Database (JST) and Scopus Database in 2018, and was included in the Wanfang Data-China Digital Journal Group and the China Academic Journal Comprehensive Evaluation Database.