Improvement of compliance in patients with limb hemiplegia after cerebral infarction
阶梯式康复护理干预对脑梗死后肢体偏瘫患者依从性的改善探讨

摘要

目的 探究脑梗死后肢体偏瘫患者护理中阶梯式康复护理干预的应用效果及对其依从性的改善效果。方法 选择研究者医院神经内科提供的样本进行研究，共计100例脑梗死后肢体偏瘫患者，入院时间2022年1月~2023年12月。随机分2组，数字表法。对照组予以常规康复护理，观察组则予以阶梯式康复护理。比较两组症状改善时间、护理依从性、康复效果以及护理前后美国国立卒中量表（National Institute of Health stroke scale，NIHSS）、Fugl-Meyer评分量表（FMA）、功能独立性评测（Functional Independence Measure,FIM）得分。结果 观察组症状改善时间较对照组短（P<0.05）。观察组护理依从性较对照组高（P<0.05）。观察组康复有效率较对照组高（P<0.05）。观察组护理后NIHSS较对照组低，护理后FMA、FIM得分较对照组高（P<0.05）。结论 脑梗死后肢体偏瘫患者康复护理中，阶梯式康复护理干预效果理想，可提高患者护理依从性，利于康复，值得推广。

Abstract

Objective To explore the application effect of stepped rehabilitation nursing intervention in the care of patients with limb hemiplegia after cerebral infarction.
Methods The sample provided by the Department of Neurology of the investigator hospital was selected to study, including a total of 100 patients with limb hemiplegia after cerebral infarction, on admission from January 2022 to December 2023. Randomized into 2 groups, numerical table method. The control group was given routine rehabilitation nursing, while the observation group was given step rehabilitation nursing. Time to symptom improvement, nursing compliance, rehabilitation outcomes, and scores on the National Stroke Scale (National Institute of Health stroke scale, NIHSS), Fugl-Meyer score Scale (FMA), and Functional Independence Assessment (Functional Independence Measure, FIM) were compared between the two groups.
Results The symptom improvement time in the observation group was shorter than that in the control group (P <0.05). The observation group was higher than the control group (P <0.05). The recovery response rate of the observation group was higher than that of the control group (P <0.05). NIHSS was lower than the control group, and FMA and FIM scores were higher than the control group (P <0.05).
Conclusion   In the rehabilitation nursing of limb hemiplegia patients after cerebral infarction, the step rehabilitation nursing intervention effect is ideal, which can improve the patient nursing compliance, be conducive to rehabilitation, and is worth promoting.