脑血管病偏瘫患者影响个体预后的因素及早期康复护理模式的研究.docVIP

精品论文 参考文献 脑血管病偏瘫患者影响个体预后的因素及早期康复护理模式的研究 河南省漯河市漯河医学高等专科学校第二附属医院 河南漯河 462300 摘要：目的：探讨并分析影响脑血管病偏瘫患者的个体预后因素，对这些患者的早期康复护理模式进行探讨。方法：选取患者122例，将这些患者随机分为观察组与对照组，观察组60例，对照组62例。对照组只是进行一般的护理以及内科的常规治疗，观察组在此基础按照早期康复护理的模式来进行训练。比较两组患者的Barthel指数以及Fugle-Meyer评分。结果：多元逐步回归分析的结果是影响患者的个体预后因素有年龄，Plt;0.05；多发性的卒中，Plt;0.05.单因素分析的结果是：年龄，Plt;0.05；多发性的卒中，Plt;0.05.最终的治疗结果显示，观察组的康复程度优于对照组，Plt;0.05.两组患者的Barthel指数差异明显，具有统计学意义。结论：脑血管病偏瘫患者影响其个体的预后因素有多发性卒中、病灶部位以及年龄等。对患者实施早期康复护理模式，具有明显的治疗效果，提高了患者的自理能力和生活质量。 关键词：脑血管病；偏瘫；个体预后因素；早期康复；护理 [abstract]objective：to study and analyze the factors affecting the individual prognosis of cerebral vascular disease in patients with hemiplegia，early rehabilitation nursing mode of these patients were discussed.Methods：choose 122 cases of patients，the patients were randomly divided into observation group and control group，the observation group of 60 cases，control group 62 cases.Control group was general nursing and medical conventional treatment，the observation group based on this，according to the pattern of early rehabilitation nursing training.Comparison of two groups of patients with Barthel index and Fugle -- Meyer score.Results：the results of multiple stepwise regression analysis of individual prognostic factors in patients with age，P lt; 0.05；Multiple stroke，P lt; 0.05.As a result of single factor analysis，age，P lt; 0.05；Multiple stroke，P lt; 0.05.In the end of treatment，according to the results of observation group recovery degree is better than that of control group，P lt; 0.05.Two groups of patients with Barthel index difference is obvious，with statistical significance.Conclusion：cerebrovascular disease in patients with hemiplegia factors affecting the prognosis of the individual with multiple stroke，lesion and age.For patients with early rehabilitation nursing mode，has obvious treatment effect，improve the patients self-care ability and life quality. [key words]：cerebrovascular disease；Hemiplegia；Individual prognostic factors；Early rehabilitation；Nursing；