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目的颅脑损伤后继发性脑梗死患者康复护理干预体会。方法选取我院2013年1月至2015年12月60例颅脑损伤后继发性脑梗死患者患者为研究对象,将患者抽签随机分为观察组与对照组,每组30例。观察组给予康复护理干预,对照组给予常规护理干预,采用简易智能检查量表(MMSE)评定患者认知功能,独立功能性量表(FIM)评定患者独立能力,Fugl-Meyer(FMA)评定运动功能,焦虑自评量表(SAS)及抑郁自评量表(SDS)评定患者焦虑、抑郁状况,并比较两组预后。结果观察组干预后运动功能、认知功能、独立能力评分高于干预前,且高于对照组,有统计学意义(P<0.05)。观察组预后良好率50.00%高于对照组,死亡率13.33%低于对照组,有统计学意义(P<0.05);两组中度残疾、重度残疾、植物状态发生率比较无统计学意义(P>0.05)。康复护理干预主要从观察监测生命体征、心理护理、体位护理、呼吸道护理、胃肠道护理、运动指导6个方面进行干预。结论颅脑损伤后继发性脑梗死患者康复护理干预可有效改善患者预后,提高运动功能、认知功能、独立能力,缓解不良情绪。
Objective To observe the rehabilitation nursing intervention in patients with secondary cerebral infarction after craniocerebral injury. Methods From January 2013 to December 2015 in our hospital, 60 patients with cerebral infarction secondary to cerebral trauma were selected as study subjects. Patients were randomized into observation group and control group, with 30 patients in each group. The intervention group was given rehabilitation nursing intervention. The control group was given routine nursing intervention. MMSE was used to evaluate the patients’ cognitive function. Independent functional scale (FIM) was used to evaluate the independence of patients. Fugl-Meyer (FMA) Function, anxiety self-rating scale (SAS) and depression self-rating scale (SDS) to evaluate the anxiety and depression status of the patients and compare the prognosis of the two groups. Results After intervention, the scores of motor function, cognitive function and independence in the observation group were higher than those before the intervention and were higher than those in the control group (P <0.05). The good prognosis of the observation group was 50.00% higher than the control group, the mortality rate was 13.33% lower than the control group, with statistical significance (P <0.05); moderate disability, severe disability and the incidence of plant state was not statistically significant P> 0.05). Rehabilitation nursing intervention mainly from the observation and monitoring of vital signs, psychological care, body care, respiratory care, gastrointestinal care, exercise guidance six aspects of intervention. Conclusion Rehabilitation nursing intervention in patients with cerebral infarction after craniocerebral injury can effectively improve the prognosis of patients, improve motor function, cognitive function, independence ability and relieve bad mood.