摘要
目的:观察三环节全程康复链护理在急性脑出血(ACH)患者中的应用效果。方法:回顾性分析2022年12月至2024年1月该院收治的114例ACH患者的临床资料,按照护理方式不同将其分为对照组与观察组各57例。对照组给予常规护理,观察组在对照组基础上联合三环节全程康复链护理。比较两组护理前后认知程度[蒙特利尔认知评估量表(MoCA)]、神经功能缺损程度[美国国立卫生研究院卒中量表(NIHSS)]、肢体运动功能[Fugl-Meyer运动功能评定量表(FMA)]、焦虑程度[汉密尔顿焦虑量表(HAMA)]、日常生活活动能力[Barthel指数(BI)]和生命质量[脑卒中专门化生存质量量表(SS-QOL)]评分,以及护理满意度。结果:护理后,两组MoCA、FMA评分均高于护理前,且观察组高于对照组,两组NIHSS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);护理后,两组HAMA评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);护理后,两组BI、SS-QOL评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组护理满意率为98.25%(56/57),高于对照组的87.72%(50/57),差异有统计学意义(P<0.05)。结论:在常规护理基础上给予三环节全程康复链护理可提高ACH患者认知程度、肢体运动功能、日常生活活动能力、生命质量评分和护理满意率,以及降低神经功能缺损程度和焦虑程度评分,效果优于单纯常规护理。
Objective:To observe application effects of three-link whole-course rehabilitation chain nursing in patients with acute cerebral hemorrhage(ACH).Methods:The clinical data of 114 patients with ACH admitted to this hospital from December 2022 to January 2024 were retrospectively analyzed.According to different nursing methods,they were divided into control group and observation group,57 cases in each group.The control group was given routine nursing,while the observation group was combined with three-link whole-course rehabilitation chain nursing on the basis of that of the control group.The scores of cognitive degree[Montreal cognitive assessment(MoCA)],neurological deficit degree[National Institutes Of Health stroke scale(NIHSS)],limb motor function[Fugl-Meyer motor assessment(FMA)],anxiety degree[Hamilton anxiety scale(HAMA)],activities of daily living ability[Barthel index(BI)],quality of life[stroke specialized quality of life scale(SS-QOL)]before and after the nursing,and the nursing satisfaction[Newcastle satisfaction with nursing scales(NSNS)]were compared between the two groups.Results:After the nursing,the MoCA and FMA scores of the two groups were higher than those before the nursing,and those in the observation group were higher than those in the control group;the NIHSS scores of the two groups were lower than those before the nursing,and that in the observation group was lower than that in the control group;and the differences were statistically significant(P<0.05).After the nursing,the HAMA scores of the two groups were lower than those before the nursing,that in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).After the nursing,the scores of BI and SS-QOL in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction rate of the observation group was 98.25%(56/57),which was higher than 87.72%(50/57)of the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the three-link whole-course rehabilitation chain nursing can improve the scores of cognitive levels,limb motor function,activities of daily living and quality of life and the nursing satisfaction of the ACH patients,and reduce the neurological deficit degree and anxiety scores.Moreover,it is superior to simple routine nursing.
作者
韩庆贺
朱健
HAN Qinghe;ZHU Jian(Emergency Intensive Care Unit of Shangqiu First People’s Hospital,Shangqiu 476100 Henan,China)
出处
《中国民康医学》
2025年第24期159-162,共4页
Medical Journal of Chinese People’s Health
关键词
三环节全程康复链护理
急性脑出血
认知功能
肢体运动功能
神经功能缺损程度
Three-link whole-course rehabilitation chain nursing
Acute cerebral hemorrhage
Cognitive function
Limb motor function
Neurological deficit degree
