早期康复护理对急性脑梗死患者预后影响.docx

早期康复护理对急性脑梗死患者预后影响【摘要】目的：探讨早期康复护理对急性脑梗死患者神经功能恢复，日常生活能力及卒中后抑郁发生率的影响。方法：随机选择住院24小时内的76例急性脑梗死患者，早期康复护理组36例，在常规护理基础上进行早期康复护理；对照组40例，仅进行常规护理。两组患者均于入院24小时内及一月，采用中国卒中量表，日常生活能力量表，汉密尔顿抑郁量表评分，对比观察二组患者神经功能恢复、日常生活能力及卒中后抑郁的发生率。结果：两组患者CSS、ADL、HAMD评分及卒中后抑郁发生率在护理前差异无显着性。两组护理一月后，与护理前比较，CSS评分降低、ADL评分升高，差异均有显着性。HAMD评分较护理前均升高，早期康复护理组差异无显着性，对照组差异有显着性，早期康复护理组与对照组同期比较CSS、ADL、HAMD评分差异有显着性。一月后两组卒中后抑郁发生率分别为%、%，两组同期比较差异有显着性。结论：早期康复护理对急性脑梗死患者神经功能恢复和日常生活能力均有明显促进作用，且能降低卒中后抑郁发生率。【关键词】脑梗死急性早期康复护理Effectsofearlyrehabilitationnursingonprognosisofpatientswithcerebralinfarction【AbstractObjective】Tostudytheeffectsofearlyrehabilitationnuringonfunctionalrestoration,activitiesofdailyliving(ADL)andtherateofpost-strokedepressionofpatientswithacutecerebral:Therewere76casesrandomlyselectedfromtheacutecerebralinfarctionwithin24totalof36patientsasearlyrehabilitationnursinggroupweregivenactiverehabilitationtreatandgeneralnursing,and40patientsascontrolswereonlygivengeneralofneurologicaldeficit,ADLandtherateofpost-strokedepressionwereassessedwithChinastrokescale(CSS),ADLandHamiltondepressionratingscales(HAMD)beforenursing,1monthafternursing:TherewerenosignificantdifferenceonCSS,ADL,HAMDandtherateofpost-strokedepressionbeforethenursing,withthebaseline,CSSscoresdecreased,ADLscoresincreasedsignificantlyinthetwogroupsafter1monthnursing(P＜).HAMDscoresincreasedinthetwogroups,HAMDscoresofcontrolgroupincreasedsignificantlycomparedwiththebaseline(P＜).CSS,ADLandHAMDscoresofearlyrehabilitationnursinggroupdifferentsignificantlycomparedwithcontrolgroup(P＜，P＜).Attheendof1monthnursing,therateofpost-strokedepressionoftwogroupswere%,%,earlyrehabilitationnursinggrouphadlowerrateofpost-strokedepressionthanthatofcontrol:EarlyrehabilitationnursingcouldimprovetheneurologicalfunctionandADLofpatientswithacutecerebralinfarction,anddecreasedtherateofpost-strokedepression.【Keywords】cerebralinfarction;acute;earlyrehabilitation;nursing急性脑梗死是神经系统的常见病和多发病，死亡率高。且存活者中多遗留有瘫痪、失语、抑郁等残疾，给社会和家庭带来沉重负担，已有研究显示早期康复治疗能有效促进患者瘫痪肢体功能恢复。本文皆在观察早期康复护理对急性脑梗死患者神经功能