洪花艳

[摘要] 目的 探討康复护理对脑卒中后遗症患者生活质量的影响。方法 按随机数字表法将方便选取的2016年12月—2018年4月该院收治的90例脑卒中后遗症患者分组，对照组进行常规化护理干预，实验组开展个性化护理。比较两组脑卒中后遗症患者对护理服务满意度；康复护理依从性、生活质量SF-36量表分值；护理前后患者肢体功能FMA评分、失语指数、VFSS吞咽评分、神经功能缺损评分；护理投诉出现率。 结果 实验组脑卒中后遗症患者对护理服务满意度100%高于对照组80%，（χ2=10.00，P<0.05）；实验组康复护理依从性、生活质量SF-36量表分值（96.21±3.61）分、（96.13±3.61）分优于对照组（82.24±3.57）分、（82.20±3.57）分，（t=9.121、9.154，P<0.05）；护理前两组肢体功能FMA评分、失语指数、VFSS吞咽评分、神经功能缺损评分相近（P>0.05）；护理后实验组肢体功能FMA评分、失语指数、VFSS吞咽评分、神经功能缺损评分优于对照组（P<0.05）。实验组护理投诉出现率4.44%低于对照组20.00%（χ2=5.074 8，P<0.05）。 结论 个性化护理在脑卒中后遗症护理中的应用效果确切，可提升患者康复护理依从性，改善语言、肢体、吞咽和神经功能，促使患者生活质量得到提升，提升患者对护理的满意度，减少投诉。

[关键词] 康复护理；脑卒中后遗症患者；生活质量；影响

[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2018）08（b）-0129-03

Effect of Rehabilitation Nursing on Quality of Life of Patients with Sequelae of Stroke

HONG Hua-yan

Department of Rehabilitation， Fengshun County People's Hospital， Meizhou， Guangdong Province， 514300 China

[Abstrac] Objective To investigate the effect of rehabilitation nursing on the quality of life of stroke sequelae. Methods According to the random number table method， 90 patients with stroke sequelae from December 2016 to April 2018 were convenient selected divided into two groups. The control group received routine nursing interventions. The experimental group carried out personalized nursing. The degree of satisfaction with nursing services was compared between the two groups of patients with stroke sequelae； the scores of rehabilitation nursing compliance and quality of life SF-36 scale； the limb function FMA score， aphasia index， VFSS swallowing score， neurological deficit score， nursing complaints， occurrence rate before and after nursing. Results In the experimental group， patients with stroke sequelae were 100% more satisfied with nursing services than those in the control group of 80%（χ2=10.00， P<0.05）； Rehabilitation-care compliance and quality of life in the experimental group were （96.21±3.61）points on the SF-36 scale. The score of （96.13±3.61）points was better than that of the control group [（82.24±3.57）points， （82.20±3.57）points]，（t=9.121， 9.154（P<0.05）. The preoperative FMA scores， aphasia index， VFSS swallowing score， and neurological deficit score were similar between the two groups（P>0.05）； After nursing， the FMA score， aphasia index， VFSS swallowing score and neurological deficit score of the experimental group were better than the control group（P<0.05）. The incidence of nursing complaints in the experimental group was 4.44% lower than that in the control group （χ2=5.074 8， P<0.05）. Conclusion The effect of personalized nursing in the care of patients with sequelae of stroke is definite， which can improve the compliance of rehabilitation care， improve the language， limbs， swallowing and nerve function， promote the quality of life of patients， and increase the satisfaction of patients with care， reduce the complaints.

[Key words] Rehabilitation care； Stroke sequelae； Quality of life； Influence

脑梗塞是由脑血流障碍引起的缺氧缺血性疾病，发病率高，且老年人多发，和高脂肪饮食关系密切。梗死后可能发生脑坏死，导致对相应功能区的损害，并且可能发生认知下降，运动障碍，语言表达和吞咽困难。 研究表明良好有效的早期康复护理对脑梗塞后遗症具有非常重要的作用[1-2]。该研究按随机数字表法将2016年12月—2018年4月该院收治的90例脑卒中后遗症患者分组，分析了康复护理对脑卒中后遗症患者生活质量的影响，现报道如下。

1 资料与方法

1.1 一般资料

按随机数字表法将方便选取的90例脑卒中后遗症患者分组，实验组男30例，女15例；年龄51～79岁，平均（58.86±2.24）岁。体重41～81 kg，平均值（61.24±1.24）kg。左侧瘫痪、右侧瘫痪各有22例和23例。对照组男27例，女18例；年龄52～79岁，平均（58.82±2.28）岁。……