目的:探讨系统性阶梯式康复干预措施对硬膜外血肿术后患者的影响.方法:选取 2021 年 6 月—2023 年 1 月南华大学附属第二医院收治的 112 例硬膜外血肿术后患者.根据随机数表法将其分为试验组和参照组,各 56 例.参照组采用常规康复护理措施,试验组在对照组基础上给予系统性阶梯式康复干预措施.比较两组恢复情况,干预前后的神经功能及日常生活能力,预后情况及干预满意度,并发症.结果:试验组术后引流时间、抗生素应用时间和住院时间均短于参照组,差异有统计学意义(P<0.05).干预后,两组美国国立卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)评分降低,Barthel指数升高,试验组NIHSS评分低于参照组,Barthel指数高于参照组,差异有统计学意义(P<0.05).试验组格拉斯哥预后评分量表(Glasgow outcome scale,GOS)评分和干预满意度评分均高于参照组,差异有统计学意义(P<0.05).试验组并发症发生率低于参照组,差异有统计学意义(P<0.05).结论:系统性阶梯式康复干预措施可促进硬膜外血肿术后患者康复,缩短引流时间和住院时间,改善神经功能和日常生活能力,减少并发症.
Effect of Systematic Stepped Rehabilitation Intervention Measures on Patients after Epidural Hematoma Surgery
Objective:To explore the effect of systematic stepped rehabilitation intervention measures on patients after epidural hematoma surgery.Method:A total of 112 patients after epidural hematoma surgery admitted to the Second Affiliated Hospital of the University of South China from June 2021 to January 2023 were selected.According to random number table method,they were divided into experimental group and reference group,with 56 cases in each group.The reference group was given routine rehabilitation nursing measures,and the experimental group was given systematic stepped rehabilitation intervention measures on the basis of the reference group.The recovery condition,neurological function and daily living ability before and after intervention,prognosis condition,intervention satisfaction and complications were compared between the two groups.Result:Postoperative drainage time,antibiotic application time and hospital stay of experimental group were shorter than those of reference group,and the differences were statistically significant(P<0.05).After the intervention,the National Institute of Health stroke scale(NIHSS)score of the two groups decreased,and the Barthel index increased,the NIHSS score of the experimental group was lower than that of the reference group,and the Barthel index was higher than that of the reference group,the differences were statistically significant(P<0.05).The Glasgow outcome scale(GOS)scores and intervention satisfaction scores of the experimental group were higher than those of the reference group,the differences were statistically significant(P<0.05).The incidence of complications in experimental group was lower than that in reference group,and the difference was statistically significant(P<0.05).Conclusion:Systematic step rehabilitation intervention measures can promote the rehabilitation of patients after epidural hematoma surgery,shorten the drainage time and hospital stay,improve nerve function and daily living ability,and reduce complications.
万方数据
维普
