商艳萍 郭莹 谌瑜 贾静 田立 曹鲜艳

[摘要]目的 观察康复护理路径在脑卒中偏瘫患者中的应用效果。方法 选取2017年5月～2018年5月我院收治的90例脑卒中偏瘫患者作为研究对象，按入院时间先后顺序将患者分为观察组和对照组，每组各45例。对照组患者采用惯常的肢体功能训练方法，观察组患者采用康复护理路径。比较两组患者干预后的美国国立卫生研究院卒中量表（NIHSS）与运动功能评价量表（FMA）评分。结果 观察组患者的NIHSS评分低于对照组，FMA评分高于对照组，差异有统计学意义（P<0.05）。结论 对脑卒中偏瘫患者施行康复护理路径，不但能够使其神经缺损程度得到极大的改善，而且能够有效地促进其肢体运动功能的尽早恢复，从而使其生存质量得到切实的提升。

[关键词]脑卒中；偏瘫；康复护理路径

[中图分类号] R473.73 [文献标识码] A [文章编号] 1674-4721（2018）12（c）-0216-03

[Abstract] Objective To observe the effect of rehabilitation nursing path in stroke patients with hemiplegia. Methods A total of 90 cases of stroke hemiplegia admitted by our hospital from May 2017 to May 2018 were selected as study objects. Patients were divided into observation group and control group according to the order of admission， 45 cases in each group. The control group used the usual methods of limb function training and the observation group used the rehabilitation nursing path. The national institutes of health stroke scale （NIHSS） and fugl-meyer assessment （FMA） were compared between the two groups of patients after the intervention. Results The NIHSS score of the observation group was lower than that of the control group， and the FMA score was higher than that of the control group， and the differences were statistically significant （P<0.05）. Conclusion The rehabilitation nursing path for stroke patients with hemiplegia can not only greatly improve the degree of their nerve defect， but also effectively promote the early recovery of their limb motor function ， thus improving their quality of life

[Key words] Stroke； Hemiplegia； Rehabilitation nursing path

由于急性腦血管破裂或闭塞导致局部或全脑神经功能所导致的神经功能缺损综合征即为脑卒中，而偏瘫则是此疾病最关键的一个临床表现[1-2]。在我国，该疾病每年的发病率高达217/10万，且致残率则高达86.5%[3]。康复护理早期介入，对患者肢体运动功能的尽早恢复十分有帮助，将伤残程度降至最低[4]。然而，就临床活动的现实状况而言，以往老旧的康复护理模式在系统性及连续性方面总是不尽人意，从而使患者的康复训练受到一定的负面干扰。康复护理路径是一种新型的护理模式，它是针对疾病制订的一种科学化、规范化的护理方案，它既可以让护士在工作中有章可循，又可以避免工作的盲目性，使患者能得到更加规范的、科学的、有效的护理服务，从而规避了旧方法的不足之处，进而使护理工作的质量得到大幅的提升[5]。……