黄晶晶

摘要：目的  研究連续康复护理干预对脑卒中偏瘫患者肢体功能和生活质量的影响。方法  选取2018年3月～2019年3月我院收治的84例脑卒中偏瘫患者作为研究对象，采用随机数字表法分为对照组和观察组，各42例，对照组采用常规护理，观察组采用连续康复护理干预，比较两组治疗总有效率、肢体功能评分及生活质量评分。结果  观察组治疗总有效率为95.23%，高于对照组的80.95%，差异有统计学意义（P<0.05）;护理后两组肢体功能评分（上肢、下肢）均高于护理前，且观察组高于对照组，差异有统计学意义（P<0.05）;护理后两组生活质量（心理状态、社会功能、躯体功能、工作情况）评分均高于护理前，且观察组高于对照组，差异有统计学意义（P<0.05）。结论  连续康复护理干预可促进脑卒中偏瘫患者肢体功能的恢复，提高患者生活质量，进一步改善患者的预后效果，具有临床应用价值。

关键词：连续康复护理;脑卒中;肢体功能;生活质量

中图分类号：R473.74                                文献标识码：A                               DOI：10.3969/j.issn.1006-1959.2019.200.061

文章编号：1006-1959（2019）20-0188-03

Effect of Continuous Rehabilitation Nursing Intervention on Limb Function and

Quality of Life in Stroke Patients with Hemiplegia

HUANG Jing-jing

Abstract：Objective  To study the effects of continuous rehabilitation nursing intervention on limb function and quality of life in stroke patients with hemiplegia.Methods  84 stroke patients with hemiplegia admitted to our hospital from March 2018 to March 2019 were randomly divided into the control group and the observation group， 42 cases in each group. The control group received routine nursing. The group used continuous rehabilitation nursing intervention to compare the total effective rate， limb function score and quality of life score of the two groups.Results  The total effective rate of the observation group was 95.23%， which was higher than that of the control group was 80.95%，the difference was statistically significant （P<0.05）. The limb function scores （upper limbs and lower limbs） of the two groups were higher than those before the nursing. The difference between the group and the control group was statistically significant （P<0.05）. The quality of life （psychological state， social function， physical function， work status） of the two groups was higher than that before the nursing， and the observation group was higher than the control group，the difference was statistically significant （P<0.05）.Conclusion  Continuous rehabilitation nursing intervention can promote the recovery of limb function in stroke patients with hemiplegia， improve the quality of life of patients， and further improve the prognosis of patients. It has clinical application value.

Key words：Continuous rehabilitation nursing;Stroke;Limb function;Quality of life

脑卒中（stroke）具有起病急、病情进展快、致残率高和死亡率高等特点，严重威胁患者的生命健康，常因脑动脉狭窄、闭塞、破裂等因素引起，临床发病后多伴有不同程度的肢体偏瘫，导致患者生活能力及生活质量降低。近年来，随着临床研究的不断深入，在治疗脑卒中偏瘫方面取得了一定的进展。研究显示，在积极治疗的同时实施连续康复护理干预，可促进患者肢体功能恢复，改善患者生活质量，具有良好的临床应用效果。本研究结合2018年3月～2019年3月我院收治的84例脑卒中偏瘫患者临床资料，分析连续康复护理干预对脑卒中偏瘫患者肢体功能和生活质量的影响，为临床治疗脑卒中偏瘫提供参考，现报告如下。

1资料与方法

1.1一般资料  选取2018年3月～2019年3月在天津市东丽区东丽医院诊治的84例脑卒中偏瘫患者为研究对象，采用随机数字表法分为对照组和观察组，各42例。纳入标准：①符合全国脑血管病会议制定的脑卒中偏瘫诊断标准;②均经过头颅CT 或MRI检查确诊;③均伴有肢体偏瘫。……