早期肢體功能訓練在腦梗死患者護理中的應用及對生活質量的影響觀察

【摘要】目的：觀察早期肢體功能訓練在腦梗死患者護理中的應用效果及對生活質量的影響。方法：按照隨機法將我院診治的60例腦梗死患者分為兩組，每組30例，入院起止期限為2021年1月—2023年12月，對照組接受常規護理，觀察組接受早期肢體功能訓練，對比兩組生活自理能力、神經功能、護理滿意度及生活質量。結果：護理后，兩組Barthel指數及SF-36評分均升高，NIHSS評分均下降，且與對照組相比，觀察組Barthel指數及SF-36評分偏高，NIHSS評分偏低（P<0.05）；與對照組相比，觀察組總滿意度偏高（P<0.05）。結論：腦梗死患者護理中應用早期肢體功能訓練可行，對患者的神經功能及生活能力均有改善作用，并且可提高生活質量和護理滿意度。

【關鍵詞】腦梗死；早期肢體功能訓練；護理；生活質量

Application of early limb function training in nursing of cerebral infarction patients and observation of its impact on quality of life

HU Huibo

Taoyang Town Central Health Center， Dingxi， Gansu 730500， China

【Abstract】Objective：Toobserve the application effect of early limb function training in the nursing of patients with cerebral infarction and its impact on quality of life.Methods：Sixty patients with cerebral infarction treated in our hospital were randomly divided into two groups，with30cases in eachgroup.The admission period was from January 2021 to December 2023.The control group received routine nursing care，while the observation group received early limb function training.The self-care ability，neurological function，nursing satisfaction and quality of life between the two groups were compared.Results：After nursing，both groups showed an increase in Barthel index and SF-36 score，while NIHSS score decreased，and compared with the control group，the observation group had higher Barthel index and SF-36 score and lower NIHSS score （P<0.05）；Compared with the control group，the overall satisfactionin the observation group was relatively higher （P<0.05）.Conclusion：The application of early limb function training in the nursing of patients with cerebral infarction is feasible，and it has an improvement effect on the patient’s neurological function and life ability，and can improve the quality of life and nursing satisfaction.

【Key Words】Cerebral infarction； Early limb function training； Nursing； Quality of life

腦梗死是腦部血液循環異常所致疾病，在中老年人中比較常見[1]。患者的腦組織因缺血、缺氧而受損，帶有神經功能缺損癥狀，即使及時接受治療，后期仍舊預后不佳[2]。多數患者存在肢體功能方面的異常表現，使其生活自理能力下降，影響生活質量[3]。神經具有可修復性，盡早接受干預，可促進神經功能的恢復，雖然經過溶栓、抗凝等治療可在一定程度上改善神經功能，但實際上患者的肢體運動功能恢復緩慢，需要盡早進行康復訓練。有研究[4]發現，早期肢體功能訓練可促進運動功能的恢復，并改善生活質量。

1.資料與方法

1.1一般資料

納入60例腦梗死患者，于2021年1月—2023年12月入院治療，執行隨機法分組，每組30例。兩組一般資料相比差異不大（P>0.05），見表1。……