方园

[摘要]目的 探究綜合护理方法对脑卒中（CVA）并发癫痫患者的应用效果。方法 选取2018年8月～2019年8月我院收治的100例CVA并发癫痫患者，将其按照随机数字表法分为对照组和观察组，每组各50例。对照组应用常规护理，观察组应用综合护理，比较两组的生活自理能力、运动功能、神经功能缺损评分、护理总满意度及并发症总发生率。结果 观察组的躯体功能[（47.23±4.55）分]、心理功能[（68.89±5.57）分]、社会功能[（50.23±5.12）分]、物质生活评分[（66.74±5.53）分]及总分[（79.68±3.45）分]，高于对照组[（35.45±3.76）分、（46.65±4.31）分、（45.65±5.03）分、（43.58±4.48）分、（53.26±3.52）分]，差异均有统计学意义（P<0.05），观察组的运动功能评分[（67.47±3.45）分]高于对照组[（55.56±5.23）分]，差异有统计学意义（P<0.05），观察组的神经功能缺损评分[（15.23±2.32）分]低于对照组[（18.75±3.31）分]，差异有统计学意义（P<0.05），观察组的护理满总意度（94.00%）高于对照组（80.00%），差异有统计学意义（P<0.05），观察组并发症总发生率（4.00%）低于对照组（18.00%），差异有统计学意义（P<0.05）。结论 对CVA并发癫痫患者应用综合护理方法不仅能有效改善患者运动功能及自理能力，还能降低其神经功能缺损情况，减少并发症的发生，且其还能促进患者与护理人员间的关系，增加患者对护理工作的满意度，值得临床应用。

[关键词]脑卒中;癫痫;综合护理;应用效果;运动功能;满意度;自理能力

[中图分类号] R473.74          [文献标识码] A          [文章编号] 1674-4721（2020）6（c）-0249-04

Application effect of comprehensive nursing in patients with stroke and epilepsy

FANG Yuan

Department of Rehabilitation， Shenyang Mental Health Center， Liaoning Province， Shenyang   110000， China

[Abstract] Objective To explore the application effect of comprehensive nursing methods on patients with stroke （CVA） and epilepsy. Methods A total of 100 patients with CVA and epilepsy treated in our hospital from August 2018 to August 2019 were selected and divided into  control group and  observation group according to the random number table method， 50 cases in each group. The control group was given routine nursing care. The observation group applied comprehensive nursing. Self-care ability， motor function， neurological deficit score， total nursing satisfaction and total incidence of complications were compared between two groups. Results The physical function （[47.23±4.55] points）， psychological function （[68.89±5.57] points）， social function （[50.23±5.12] points）， material life score （[66.74±5.53] points）， and the total score （[79.68±3.45] points） in the observation group were higher than those of the control group for （35.45±3.76） points， （46.65±4.31） points， （45.65±5.03） points， （43.58±4.48） points， （53.26±3.52） points， the differences were statistically significant （P<0.05）， the motor function score of patients in the observation group was （67.47±3.45） points， which was higher than that in the control group for （55.56±5.23） points， and the difference was statistically significant （P<0.05）， the neurological deficit score of the observation group was （15.23±2.32） points， lower than the control group for （18.75±3.31） points， the difference was statistically significant （P<0.05）， and the nursing total satisfaction of the observation group patients （94.00%） was higher than that of the control group （80.00%）， the difference was statistically significant （P<0.05）. The total incidence of complications in the observation group （4.00%） was lower than that in the control group （18.00%）， the difference was statistically significant （P<0.05）. Conclusion The application of comprehensive nursing methods for patients with CVA and epilepsy can not only effectively improve patients′ motor function and self-care ability， but also reduce their neurological deficits and complications， and it can also promote the relationship between patients and caregivers， increase patients′ satisfaction with nursing work， it is worth clinical applying.

[Key words] Stroke; Epilepsy; Comprehensive nursing; Application effect; Motor function; Satisfaction; Self-care ability

脑卒中（CVA）在临床疾病中很常见，使患者出现癫痫，随着我国人口老龄化速度的不断提升，CVA并发癫痫的患者逐年增加，再加上老年人可能还伴有其他慢性疾病，如高血压、冠心病、糖尿病等，不仅对患者的生活造成严重影响，甚至直接威胁其生命，所以治疗很关键，另外患者在治疗中可能受疾病的影响而产生负面情绪，为避免对其治疗效果造成影响，对其实施有效的护理措施显得尤为重要[1]。综合护理以患者为中心，为其提供全方面的护理服务，尽可能满足患者一切需求，综合护理不仅能促进护理人员与患者间的关系，还能促使患者主动配合治疗，而加快其康复的速度。本研究主要我院收治的CVA并发癫痫的患者应用综合护理的效果进行探讨，现报道如下。

1资料与方法

1.1一般资料

选取2018年8月～2019年8月我院收治的100例CVA并发癫痫患者作为研究对象，根据随机数字表法分为对照组与观察组，每组各50例。……