王欣

[摘要]目的 探讨延续性护理在脑梗死后偏瘫患者中的应用效果。方法 选取我院2017年5月～2018年5月收治的75例脑梗死后偏瘫患者作为研究对象，按照随机数字表法分为参照组和试验组，参照组38例患者予以常规护理干预，试验组37例患者给予常规护理联合延续性护理干预。比较两组患者的护理依从性，以及两组患者护理前后的日常生活功能与运动功能、生活质量改善情况。结果 试验组的护理依从优良率（94.59%）高于参照组（76.32%），差异有统计学意义（P<0.05）。护理前，两组患者的日常生活能力评定量表（ADL）、运动功能评定量表（FMA）评分比较，差异无统计学价值（P>0.05）;护理后，试验组的ADL、FMA评分均高于参照组，差异有统计学意义（P<0.05）。试验组患者护理后的生活质量量表（SF-36）评分高于参照组，差异有统计学意义（P<0.05）。结论 在脑梗死后偏瘫患者治疗中应用延续性护理的实践效果较为突出，值得应用。

[关键词]脑梗死;偏瘫;延续性护理;运动功能;生活质量

[中图分类号] R473.74          [文献标识码] A          [文章编号] 1674-4721（2020）8（c）-0246-04

[Abstract] Objective To explore the application effect of continuous nursing in patients with hemiplegia after cerebral infarction. Methods A total of 75 patients with hemiplegia after cerebral infarction admitted to our hospital from May 2017 to May 2018 were selected as the research objects. They were divided into the reference group and the experimental group according to the random number table method， and 38 patients in the reference group were given routine nursing intervention， 37 patients in the experimental group were given routine nursing combined with continuous nursing intervention. The nursing compliance of the two groups of patients， as well as the improvement of daily life function， motor function and quality of life of the two groups before and after nursing were compared. Results The excellent and good rate of nursing compliance in the experimental group （94.59%） was higher than that of the reference group （76.32%）， and the difference was statistically significant （P<0.05）. Before nursing， there were no significant differences in the activity of daily living scale （ADL） and fugl-meyer assessment （FMA） scores  of patients in the two groups （P>0.05）; after the nursing， the ADL and FMA scores of the experimental group were higher than those of the reference group， the differences were statistically significant （P<0.05）. The quality of life scale （SF-36） score of the patients in the experimental group after nursing was higher than that of the reference group， and the difference was statistically significant （P<0.05）. Conclusion The practical effect of applying continuous nursing in the treatment of hemiplegic patients after cerebral infarction is more prominent and worthy of application.

[Key words] Cerebral infarction; Hemiplegia; Continuing nursing; Motor function; Quality of life

腦梗死又称为缺血性脑卒中，是脑血管疾病最常见的一种类型，在急性脑血管病中占比高达70.00%[1]。该病多见于45～70岁中老年人，以半身不遂、猝然昏倒、智力与言语障碍等临床表现为主，具有较高致残率及致死率[2]。部分患者可能发生偏瘫，不仅会影响其正常的日常生活，还会对患者的心理造成巨大损伤，一些患者还可能会出现自杀倾向或抑郁障碍。因此，护理工作的开展尤为重要，直接影响脑梗死患者的预后。目前，临床上多采用常规护理干预，以减轻病理因素对患者带来的影响，保证临床医护工作质量。但脑梗死后偏瘫患者出院后仍需要照护，单凭家属进行照料，无法保证护理的有效性。延续性护理是近年来用于临床上的一种新型护理方式，具有连续性、长期性特点，可满足脑梗死后偏瘫患者院外护理需求。……