Implementation of continuing care for elderly patients with hemiplegia due to stroke
老年脑卒中偏瘫患者延续护理的实施

摘要

目的 分析讨论老年脑卒中偏瘫患者延续护理的实施效果。方法 选择我院2022.01-2023.12所接收的68例老年脑卒中偏瘫患者为研究对象，均分为观察组（延续护理）与对照组（常规护理），对比两组护理效果。结果 观察组心理状态评分（41.16±5.24分，37.67±5.36分）、肢体功能康复情况[上肢（25.94±3.63）分，下肢（30.71±3.23）分，手指（6.15±0.74）分]、生活质量[躯体功能（78.32±7.23）分，角色功能（76.31±8.15）分，情绪功能（79.85±6.43）分，认知功能（82.82±9.58）分，社会功能（81.56±8.37）分]、氧化应激反应[丙二醛（4.19±1.21）mmol/L，超氧化物歧化酶（89.56±11.05）U/mL，中性粒细胞（715.95±25.37）pmol/L]均显著优于对照组（P<0.05）。结论 对于老年脑卒中偏瘫采用延续护理效果明显，可有效缓解脑梗死后偏瘫患者负面情绪，并改善其肢体功能障碍，提高其日常生活质量，并改善其氧化应激反应指标，值得广泛推广与应用。

Abstract

Objective To analyze and discuss the implementation effect of continuing care for elderly patients with hemiplegia due to stroke.
Methods A total of 68 elderly patients with hemiplegia due to stroke admitted to our hospital from January 2022 to December 2023 were selected as the research subjects and divided into an observation group (continuing care) and a control group (conventional care) to compare the nursing effects of the two groups.
Results The psychological state score (41.16±5.24 points, 37.67±5.36 points), limb function rehabilitation [upper limb (25.94±3.63) points, lower limb (30.71±3.23) points, fingers (6.15±0.74) points], quality of life [physical function (78.32±7.23) points, role function (76.31±8.15) points, emotional function (79.8 5±6.43) points, cognitive function (82.82±9.58) points, social function (81.56±8.37) points], oxidative stress response [malondialdehyde (4.19±1.21) mmol/L, superoxide dismutase (89.56±11.05) U/mL, neutrophils (715.95±25.37) pmol/L] were significantly better than those in the control group (P<0.05).
Conclusion   The effect of continuing care on hemiplegia after stroke in the elderly is obvious, which can effectively relieve the negative emotions of hemiplegia patients after cerebral infarction, improve their limb dysfunction, improve their daily quality of life, and improve their oxidative stress response indicators, which is worthy of wide promotion and application.