Effect of early rehabilitation nursing on limb motor function of hemiplegic patients with cerebral hemorrhage
早期康复护理对脑出血偏瘫患者肢体运动功能的效果探讨

摘要

针对临床脑出血合并偏瘫患者在早期康复护理干预下的肢体运动功能影响进行探讨；方法 抽取80例脑出血合并偏瘫患者开展研究（2019年7月至2021年8月），所有入选患者利用奇偶法均分为对照组（n=40）及观察组（n=40），对照组患者利用常规护理模式进行干预；利用早期康复护理对观察组患者进行干预，对于两组患者经过护理干预后的肌力改善状况、日常生活自理能力、肢体运动功能等相关指标进行对比。结果 经过护理干预后对照组患者的整体肌力改善有效率达到77.5%，而观察组的肌力改善有效率则达到97.5%，两组患者相比较，观察组患者的肌力改善情况明显更优（P＜0.05）；两组患者经过护理干预后在FAM和ADSL评分方面均得到一定提升，而观察组的上述两项评分指标提升幅度明显超过对照组（P＜0.05）。结论 针对临床脑出血偏瘫患者积极开展早期康复护理干预能够帮助患者明显改善肌力状况，同时也可以辅助患者运动功能的逐步恢复，全面提升患者在日常生活中的自理能力水平，对于病症恢复有积极促进作用。

Abstract

The effects of early rehabilitation nursing intervention on limb motor function of patients with cerebral hemorrhage and hemiplegia were discussed;
Methods 80 patients with cerebral hemorrhage combined with hemiplegia were selected for the study (July 2019 to August 2021). All the selected patients were divided into the control group (n=40) and the observation group (n=40) by parity method. The patients in the control group were intervened by conventional nursing mode; Early rehabilitation nursing was used to intervene the patients in the observation group, and the improvement of muscle strength, self-care ability in daily life, limb motor function and other related indicators of the two groups of patients after nursing intervention were compared.
Results After nursing intervention, the effective rate of overall improvement of muscle strength in the control group was 77.5%, while that in the observation group was 97.5%. Compared with the two groups, the improvement of muscle strength in the observation group was significantly better (P<0.05); After nursing intervention, the two groups of patients were improved in FAM and ADSL scores to a certain extent, and the improvement of the above two scoring indicators in the observation group was significantly greater than that in the control group (P<0.05).
Conclusion   Early rehabilitation nursing intervention aimed at hemiplegic patients with clinical cerebral hemorrhage can help patients significantly improve their muscle strength, at the same time, it can also help patients gradually recover their motor function, comprehensively improve their self-care ability in daily life, and has a positive role in promoting the recovery of symptoms.