吴诚洁

【摘要】 目的：探究早期康复护理对脑出血术后偏瘫患者的影响。方法：随机选取笔者所在医院2017年5月-2018年10月接诊的78例脑出血术后偏瘫患者为研究对象，按照电脑随机法将其分为对照组、研究组，各39例，对照组予以常规护理，基于此，研究组加用早期康复护理，比较两组护理效果。结果：护理后，研究组BI指数、FMA评分、生活质量总分均高于对照组，差异均有统计学意义（P<0.05）;研究组护理总满意度（94.87%）高于对照组（79.49%），差异有统计学意义（P<0.05）。结论：对脑出血术后偏瘫患者予以早期康复护理，有利于患者肢体功能的恢复，以及日常生活能力的改善，使其在短时间内恢复正常生活，从而实现满足患者护理要求目的，积极建立良好护患关系。

【关键词】 脑出血术后偏瘫 早期康复护理 BI指数 生活质量

doi：10.14033/j.cnki.cfmr.2019.29.049 文献标识碼 B 文章编号 1674-6805（2019）29-0-03

[Abstract] Objective： To explore the effect of early rehabilitation nursing on hemiplegia patients after cerebral hemorrhage operation. Method： A total of 78 patients with hemiplegia after cerebral hemorrhage in our hospital from May 2017 to October 2018 were randomly selected as the research objects. According to the computer random method， they were divided into control group and research group， 39 cases in each group. The control group was given routine nursing. Based on this， the research group was given early rehabilitation nursing， and the nursing effects of the two groups were compared. Result： After nursing， the BI index， FMA score and the total score of quality of life in the study group were higher than those in the control group， the differences were statistically significant （P<0.05）. The total nursing satisfaction in the study group （94.87%） was higher than that in the control group （79.49%）， the difference was statistically significant （P<0.05）. Conclusion： Early rehabilitation nursing for hemiplegic patients after cerebral hemorrhage is beneficial to the recovery of limb function and the improvement of daily living ability， so that they can resume normal life in a short time， so as to achieve the purpose of satisfying patients nursing requirements and actively establish a good nurse-patient relationship.

[Key words] Hemiplegia after cerebral hemorrhage operation Early rehabilitation nursing BI index Quality of life

First-authors address： Zhongshan Hospital Affiliated to Fudan University， Xiamen Hospital， Xiamen 361000， China

脑出血是常见的心脑血管疾病之一，具有致残率高、病死率高、发病率高、预后差等特点，主要以外科手术疗法为首选，疗效确切，有助于及时挽救患者生命安全，但术后患者普遍存在不同程度肢体偏瘫现象，直接影响整体康复效果[1]。随着当前相关研究对脑出血术后偏瘫发生情况的深入分析，发现尽早向术后患者进行康复护理，能够最大限度降低患者致残率，优化生活质量，改善预后效果[2-3]。为此，本文随机选取笔者所在医院收治的脑出血手术后偏瘫患者为例，在常规护理基础上，对其施行早期康复护理，具体如下。

1 资料与方法

1.1 一般资料

选取笔者所在医院2017年5月-2018年10月收治的78例脑出血术后偏瘫患者作为研究对象。纳入标准：（1）神志清楚，配合良好;（2）符合全国脑血管第四次学术会议提出的脑出血相关诊断确，经影像学检查确诊;（3）首发脑出血，且伴肢体瘫痪。排除标准：（1）存在心理疾患、肝肾功能不全、恶性肿瘤等疾病;（2）合并肌肉恢复障碍;（3）合并智力及沟通障碍;（4）患者在研究过程中因个人原因主动退出。……