循证施护对脑梗塞偏瘫失语患者语言以及肢体恢复效果早期康复探讨

Research on the Effect of Evidence-Based Nursing on Language and Early Limb Rehabilitation of Patients with Cerebral Infarction Hemiplegia Aphasia

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(6)
作者
作者单位

海南省海口市人民医院神经内科 ;

摘要
目的:探究循证施护对脑梗赛偏瘫失语患者语言与肢体早期康复效果。方法:随机选择我院68例脑梗塞偏瘫失语患者,利用电脑随机排序分为对照组与研究组,每组各34例。两组患者均采用相同的基础治疗方案,按照脑梗塞偏瘫病护理常规给予两组患者相同的基础护理干预,研究组则在此基础上实施循证护理,对比分析两组患者语言及肢体恢复效果。结果:对照组患者治疗总有效率为61.8%,研究组患者治疗总有效率为88.2%,两组相比差异具有统计学意义(P<0.05);两组患者实施护理干预前AG值无显著差异性(P>0.05);实施护理干预后,研究组患者AG值(61.2±5.2)明显低于对照组(81.1±4.3),差异具有统计学意义(P<0.05);两组患者实施护理干预前Fugl-meyer值无显著差异性(P>0.05);实施护理干预后,研究组患者Fugl-meyer值明显高于对照组,差异具有统计学意义(P<0.05)。结论:循证施护能明显改善脑梗塞偏瘫失语患者语言及肢体恢复效果,对改善患者生存质量具有重要作用。
Abstract
Objective: To study the effect of evidence-based nursing on language and early limb rehabilitation effect on patients with cerebral infarction hemiplegia aphasia. Method: To choose 68 cases of cerebral infarction patients with hemiplegia aphasia in our hospital and divide them into control group and research group in a random order by computer, 34 cases each. Both groups of patients were treated with the same basic treatment program and were given the same basic nursing intervention according to the routine nursing of cerebral infarction, while the research group was given evidence-based nursing on this basis. Compared and analyzed the language and limb recovery effect of the two groups of patients. Result: The total effective rate was 61.8% in the control group and the total effective rate was 88.2% in the research group. The difference between the two groups was statistically significant (P<0.05); There was no significant difference between nursing intervention before the implementation of AG patients in the two groups (P>0.05); after the implementation of nursing intervention, the value of AG in research group(61.2±5.2) was significantly lower than that in the control group (81.1±4.3), the difference between which was statistically significant(P<0.05); the Fugl - meyer values of the two group of patients before implementation of nursing intervention had no significant difference(P>0.05); the Fugl-meyer values of research group after the implementation of nursing intervention were apparently higher than that of control group, the difference was statistically significant(P<0.05). Conclusion: Evidence-based nursing can obviously improve cerebral infarction patients with hemiplegia aphasia and body language recovery effect, which plays an important role in improving the quality of patients’ life.
关键词
循证施护;脑梗塞偏瘫失语;肢体恢复;早期康复
KeyWord
Evidence-based nursing; Cerebral infarction hemiplegia aphasia; Limb recovery; Early rehabilitation
基金项目
页码 1118-1121
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林海丽*. 循证施护对脑梗塞偏瘫失语患者语言以及肢体恢复效果早期康复探讨 [J]. 国际精神病学杂志. 2017; 44; (6). 1118 - 1121.

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