Effect of rehabilitation nursing intervention on quality of life of patients with sequelae of cerebral hemorrhage in neurology department
康复护理干预对神经内科脑出血后遗症患者生活质量的影响

摘要

目的 探讨康复护理用于神经内科脑出血后遗症对改善患者生活质量的提升作用。方法 遴选80例脑出血后遗症患者，划分患者为康复护理组、传统护理组，入院且待患者病情平稳后，为传统护理组患者选择常规干预，常规干预基础上，为康复护理组患者提供综合康复护理。结果 经护理后的两组生活能力、肢体运动功能均得到改善，尤其是康复护理组的BI评分、FMA评分更高，说明该组生活能力提升更明显，且肢体运动功能更高，数据差异存在统计学价值，即P<0.05；接受护理干预后的所有患者手功能、记忆思维、行动以及腕部力量等日常生活质量均实现不同程度的提升，尤其是康复护理组的日常生活质量提升幅度更大，两组数据差异有统计价值，即P<0.05；康复护理组、传统护理组护理满意度分别为97.50%、75.00%，对比数据可知，康复护理组护理满意度更高，P<0.05，差异有统计价值。结论 综合康复护理对脑出血后遗症患者肢体运动功能的改善效果显著。通过针对性的肌肉强化和关节活动练习、平衡功能训练、日常生活活动能力训练以及心理支持与护理等措施，可以有效促进患者的康复进程并提高其生活质量与护理满意度。

Abstract

Objective To explore the effect of rehabilitation nursing for sequelae of cerebral hemorrhage in neurology department on improving the quality of life of patients.
Methods 80 patients with sequelae of cerebral hemorrhage were selected and divided into rehabilitation nursing group and traditional nursing group. After admission and patients' condition stabilized, routine intervention was selected for patients in the traditional nursing group. Based on routine intervention, comprehensive rehabilitation nursing was provided for patients in the rehabilitation nursing group.
Results After nursing, the life ability and limb motor function of the two groups were improved, especially the BI score and FMA score of the rehabilitation nursing group were higher, indicating that the life ability of the group was improved more obviously, and the limb motor function was higher, and the data difference was statistically significant, that is, P<0.05. After receiving nursing intervention, all patients' daily quality of life, such as hand function, memory thinking, action and wrist strength, were improved to varying degrees, especially the improvement of daily quality of life in the rehabilitation nursing group was greater, and the data difference between the two groups was statistically significant, that is, P<0.05; The nursing satisfaction of the rehabilitation nursing group and the traditional nursing group was 97.50% and 75.00%, respectively. The comparative data showed that the nursing satisfaction of the rehabilitation nursing group was higher (P<0.05), and the difference was statistically significant.
Conclusion   Comprehensive rehabilitation nursing has a significant effect on the improvement of limb motor function in patients with sequelae of cerebral hemorrhage. Through targeted muscle strengthening and joint movement exercises, balance function training, daily living ability training and psychological support and nursing measures, it can effectively promote the rehabilitation process of patients and improve their quality of life and nursing satisfaction.