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多元化护理宣教对脑卒中偏瘫患者康复的影响

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目的 探讨多元化护理宣教对脑卒中偏瘫患者焦虑、抑郁情绪及肢体功能障碍恢复的影响.方法 选择柳州市人民医院神经内科2020年7月—2022年6月符合诊断标准且自愿进入临床研究的住院120例脑卒中偏瘫患者作为研究对象,按照组间基线资料均衡可比的原则分为观察组和对照组,每组60例.对照组进行常规护理干预,观察组在常规护理的基础上进行多元化护理宣教护理干预.对比两组患者功能锻炼依从率,出院前、出院1个月、3个月、6个月时的肢体运动功能评分、日常活动能力评分,血压、血脂、血糖达标率及焦虑、抑郁情绪.结果 观察组患者功能锻炼依从性高于对照组,两组比较差异有统计学意义(P<0.05).两组患者出院1个月、3个月、6个月时的肢体运动功能评分、日常活动能力评分逐渐升高,差异有统计学意义(P时间<0.05);各时点肢体运动功能评分、日常活动能力评分观察组均高于对照组,差异有统计学意义(P组间<0.05);随着观察时间的延长,两组肢体运动功能评分、日常活动能力评分差别逐渐增大,差异有统计学意义(P交互<0.05).观察组患者血压、血脂、血糖达标率高于对照组,两组比较差异有统计学意义(P<0.05).观察组汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评分均低于对照组,两组比较差异有统计学意义(P<0.05).结论 多元化护理宣教对缓解脑卒中偏瘫患者焦虑、抑郁情绪及促进其肢体功能障碍恢复均有积极的影响.
Effect of diversified nursing education on the rehabilitation of hemiplegic stroke patients
Objective To explore the effect of diversified nursing education on anxiety,depression and recovery of limb dysfunction in patients with hemiplegia after stroke.Methods A total of 120 stroke and hemiplegia patients hospitalized in the department of neurology of Liuzhou People's Hospital from July 2020 to June 2022 who met the diagnostic criteria and voluntarily entered clinical research were selected as research subjects.According to the principle of balanced and comparable baseline data between groups,they were divided into observation group and control group,with 60 cases in each group.The control group received routine nursing intervention,and the observation group received diversified nursing education and nursing intervention on the basis of routine nursing to compare the functional exercise compliance rate of the two groups of patients,limb motor function scores,daily activity ability scores,blood pressure,blood lipids,and blood glucose compliance rates before discharge,and 1 month,3 months,and 6 months after discharge,as well as anxiety and depression.Results The functional exercise compliance of patients in the observation group was higher than that in the control group,the difference between the two groups was statistically significant(P<0.05).The limb motor function scores and daily activity ability scores of the two groups of patients gradually increased 1 month,3 months,and 6 months after discharge,and the differences were statistically significant(P<0.05);limb motor function scores and daily activity ability scores at each time point in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05);as the observation time extended,the differences in limb motor function scores and daily activity ability scores between the two groups gradually increased,and the differences were statistically significant(P<0.05).The blood pressure,blood lipids,and blood glucose compliance rates of patients in the observation group were higher than those in the control group,the differences between the two groups were statistically significant(P<0.05).The Hamilton depression scale(HAMD)and Hamilton anxiety scale(HAMA)scores of patients in the observation group were lower than those in the control group,the differences between the two groups were statistically significant(P<0.05).Conclusion Diversified nursing education had a positive impact on alleviating anxiety and depression in stroke and hemiplegic patients and promoting the recovery of their limb dysfunction.

Diversified nursing educationStrokeHemiplegiaLimb dysfunctionRecoveryDepressionAnxiety

李晓虹、彭彩义、许娟、韦晓媚、樊金花

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柳州市人民医院神经内科(广西柳州,545006)

多元化护理宣教 脑卒中 偏瘫 肢体功能障碍 恢复 抑郁 焦虑

广西卫生健康委科研项目

Z20200290

2024

护理实践与研究
河北省儿童医院

护理实践与研究

影响因子:1.354
ISSN:1672-9676
年,卷(期):2024.21(4)
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