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目的探讨良肢位摆放早期康复护理在脑卒中偏瘫患者中的应用效果。方法选取2012年11月—2015年11月于阳泉市第三人民医院神经内科收治的脑卒中偏瘫患者906例,随机分为试验组与对照组,各453例。试验组患者在入院后治疗脑卒中偏瘫的同时联合良肢位摆放康复护理;对照组患者在疾病治疗稳定后开始良肢位摆放康复护理。比较两组患者临床疗效、护理满意度、日常生活活动能力评分。结果试验组患者总有效率、护理满意度高于对照组,差异有统计学意义(P<0.05);治疗前两组患者日常生活活动能力评分比较,差异无统计学意义(P>0.05);治疗后试验组患者日常生活活动能力评分高于对照组,差异有统计学意义(P<0.05)。结论良肢位摆放早期康复护理在脑卒中偏瘫患者中的应用效果显著,可提患者护理满意度,促进患者生活能力的恢复。
Objective To investigate the effect of early rehabilitation nursing on patients with hemiplegia after stroke. Methods Nine hundred and sixty patients with hemiplegia were randomly divided into experimental group and control group (n = 453), from November 2012 to November 2015 in Department of Neurology, Third People ’s Hospital of Yangquan. Patients in the experimental group were treated with paralysis of stroke and paraplegia combined with rehabilitation nursing after admission. Patients in the control group began to receive rehabilitation nursing after the treatment of the disease was stable. The clinical efficacy, nursing satisfaction and daily living activity scores of two groups were compared. Results The total effective rate and nursing satisfaction of the experimental group were significantly higher than those of the control group (P <0.05). There was no significant difference in scores of daily living activities between the two groups before treatment (P> 0.05). After treatment, the activity of patients in experimental group was higher than that in control group, the difference was statistically significant (P <0.05). Conclusion The application of early rehabilitation nursing care in patients with hemiplegia stroke is a significant effect, which can improve patient satisfaction and promote the recovery of patients’ living ability.