摘要
目的 急性脑梗死（ACI）致残率、病死率高，幸存者多遗留后遗症，给家庭及社会带来沉重负担，因此，本文旨在探析综合护理干预+早期康复训练模式对ACI患者神经功能、生活能力及预后的影响。方法 纳入2024年1月-2025年12月我院收治的60例ACI患者，对照组行常规护理，观察组实施综合护理干预+早期康复训练，比较两组的临床护理效果。结果 观察组预后良好率和护理满意度均显著高于对照组，神经功能、生活能力、生活质量等指标均优于对照组，观察组并发症发生率、再入院率低于对照组，住院时间缩短（P＜0.05）。结论 综合护理干预+早期康复训练可改善ACI患者神经功能与预后，降低并发症，缩短住院时间，提升护理满意度，值得临床推广。
关键词： 急性脑梗死；综合性护理；康复训练；神经功能；日常生活活动能力；并发症
Abstract
Objective Acute cerebral infarction (ACI) has a high disability rate and mortality, and survivors often have sequelae, which brings heavy burden to families and society. Therefore, this paper aims to explore the effects of comprehensive nursing intervention+early rehabilitation training mode on neurological function, life ability and prognosis of patients with ACI. Methods Sixty patients with ACI who were admitted to our hospital from January 2024 to December 2025 were included. Patients in the control group received routine nursing care, while those in the observation group received comprehensive nursing intervention plus early rehabilitation training. The clinical nursing effects of the two groups were compared. Results The good prognosis rate and nursing satisfaction degree of the observation group were significantly higher than those of the control group. The neurological function, life ability, and quality of life indexes were better than those of the control group. The complication incidence and readmission rate of the observation group were lower than those of the control group. The hospitalization time was shortened (P < 0.05). Conclusion Comprehensive nursing intervention+early rehabilitation training can improve neurological function and prognosis of patients with ACI, reduce complications, shorten hospital stay, and enhance nursing satisfaction, which is worthy of clinical promotion.
Key words： Acute cerebral infarction; Comprehensive care; Rehabilitation training; Neurological function; Activity of daily living; Complication
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