黄小惠　林清兰　陈冬桂

【摘要】 目的 探討个性化康复护理对脑梗死患者的效果及对其神经功能、生活质量的影响。

方法 140例脑梗死患者， 随机分为对照组和观察组， 每组70例。对照组患者采取常规护理， 观察组患者在常规护理的基础上采取个性化康复护理。比较两组患者干预前后生活自理能力、生活质量、神经功能缺损情况。结果 护理后1、2、3个月， 两组患者Barthel指数（MBI）评分均高于本组护理前， 且观察组患者高于对照组， 差异具有统计学意义（P<0.05）。护理后1、2、3个月， 两组患者生活质量量表（QOL）评分均高于本组护理前， 且观察组患者高于对照组， 差异具有统计学意义（P<0.05）。护理后3个月， 两组患者美国国立卫生研究院卒中量表（NIHSS）评分均低于本组护理前， 且观察组患者（10.00±3.60）分低于对照组的（19.90±3.20）分， 差异具有统计学意义（P<0.05）。结论 个性化康复护理对脑梗死患者神经功能的改善效果显著， 对提高患者的生活质量起着重要的作用， 应用价值高。

【关键词】 个性化康复护理;脑梗死;神经功能;生活质量;效果

DOI：10.14163/j.cnki.11-5547/r.2019.20.066

Evaluation on effect of individualized rehabilitation nursing on cerebral infarction patients and its influence on neurological function and quality of life   HUANG Xiao-hui， LIN Qing-lan， CHEN Dong-gui. Guangdong Leizhou Peoples Hospital， Leizhou 524200， China

【Abstract】 Objective   To discuss the effect of individualized rehabilitation nursing on cerebral infarction patients and its influence on neurological function and quality of life. Methods   A total of 140 cerebral infarction patients were randomly divided into control group and observation group， with 70 cases in each group. The control group received conventional nursing， and the observation group received individualized rehabilitation nursing on the basis of conventional nursing. Comparison were made on self-care ability， quality of life and neurological deficits before and after intervention between the two groups. Results   After 1， 2 and 3 months of nursing， both groups had higher modified Barthel index （MBI） score score than those before nursing， and the observation group was higher than the control group. Their difference was statistically significant （P<0.05）. After 1， 2 and 3 months of nursing， both groups had higher quality of life （QOL） score than those before nursing， and the observation group was higher than the control group. Their difference was statistically significant （P<0.05）. After nursing， both groups had lower National Institutes of Health stroke scale （NIHSS） score than that before nursing， and the observation group had lower score as （10.00±3.60） points than （19.90±3.20） points in the control group. Their difference was statistically significant （P<0.05）. Conclusion   Individualized rehabilitation nursing has a significant effect on improving neurological function of patients with cerebral infarction， and it plays an important role in improving the quality of life of patients. It has high application value.