Analysis of the application of early rehabilitation nursing in the nursing of elderly patientswith cerebral infarction
早期康复护理在老年脑梗塞患者护理中的运用分析

摘要

目的 本文主要分析老年脑梗塞患者的护理措施，详细探讨研究临床运用早期康复护理的效果。方法将2022年6月~2023年8月此时间段本院收治的患者中，随机选取老年脑梗塞患者人数80例，以电脑双盲法对其分为2组展开护理，常规组（40例）接受常规护理，康复组（40例）应用早期康复护理，对比分析患者护理前后的各项功能恢复情况。结果 2组患者在护理前测评神经功能，其NIHSS评分无显著差异，（p＞0.05），经过7~21d的护理干预，患者神经功能逐渐改善，康复组相比常规组的NIHSS评分显著较低，（p＜0.05）；护理前，2组患者FMA、ADL评分相比差异不明显，（p＞0.05），护理后相比，康复组评分均高于常规组，（p＜0.05）；评价临床护理效果，康复组显效人数要比常规组多，总有效率（95.00%），常规组总有效率（77.50%），明显康复组效果更好，（p＜0.05）。结论 对于老年脑梗塞患者的护理，运用早期康复护理的效果最佳，对患者的各项功能恢复较为理想，利于改善患者神经缺损状态，促进其肢体运动功能的恢复，值得推广。

Abstract

Objective This article mainly analyzes the nursing measures for elderly patients with cerebral infarction, and explores in detail the effects of early rehabilitation nursing in clinical practice.
Methods From June 2022 to August 2023, 80 elderly patients with cerebral infarction were randomly selected from the patients admitted to our hospital. They were divided into two groups using a double-blind computer method for nursing care. The control group (40 cases) received routine care, while the rehabilitation group (40 cases) received early rehabilitation care. The recovery of various functions of the patients before and after nursing care was compared and analyzed.
Results There was no significant difference in NIHSS scores between the two groups of patients before nursing assessment (p>0.05). After 7-21 days of nursing intervention, the patient's neurological function gradually improved, and the rehabilitation group had significantly lower NIHSS scores compared to the conventional group (p<0.05); Before nursing, there was no significant difference in FMA and ADL scores between the two groups of patients (p>0.05). After nursing, the rehabilitation group had higher scores than the conventional group (p<0.05); To evaluate the clinical nursing effect, the rehabilitation group had more significant effects than the conventional group, with a total effective rate of 95.00%. The conventional group had a total effective rate of 77.50%, and the rehabilitation group had better results (p<0.05).
Conclusion   Early rehabilitation nursing has the best effect on the care of elderly patients with cerebral infarction, which is beneficial for improving their neurological deficits and promoting the recovery of their limb motor function. It is worth promoting.