超早期护理对基底节脑出血肢体偏瘫患者的应用效果研究-临床护理进展.docx

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超早期护理对基底节脑出血肢体偏瘫患者的应用效果研究

【摘要】目的探讨超早期护理对基底节脑出血肢体偏瘫患者的生活自理能力、运动功能、抑郁焦虑状况以及护理依从率的影响效果。方法采用对照研究设计，对照组（n=28）接受常规护理，观察组（n=28）在此基础上，实施超早期护理。结果护理后，观察组患者生活自理能力、运动功能恢复均显著优于对照组（P0.05）；抑郁焦虑评分显著低于对照组（P0.05）；观察组患者的生理状态、心理状态、躯体功能和社会交往等生活质量评分均显著优于对照组（P0.05）；观察组患者护理依从率显著高于对照组（P＜0.01）。结论对基底节脑出血肢体偏瘫患者实施超早期护理能够显著提高其生活自理能力和运动功能，缓解其抑郁焦虑情绪，提高生活质量，且患者对护理的依从性较好，具有显著的应用效果，值得在临床护理中推广应用。

【关键词】超早期护理；基底节脑出血；肢体偏瘫；护理依从率；生活自理能力

【基金项目】新疆神经系统疾病研究重点实验室科研项目（项目编号：XJDX1711-2217）

【收稿日期】2024年8月16日【出刊日期】2024年9月29日【DOI】10.12208/j.jacnStudyontheeffectofultra-earlynursingonhemiplegiapatientswithbasalgangliacerebralhemorrhage

【Abstract】ObjectiveToinvestigatetheeffectofultra-earlynursingonself-careability,motorfunction,depressionandanxietystatusandnursingcompliancerateofpatientswithhemiplegiaofbasalgangliahemorrhage.MethodsThecontrolgroup(n=28)receivedroutinenursing,andtheobservationgroup(n=28)receivedsuperearlynursingonthisbasis.ResultsAfternursing,therecoveryofself-careabilityandmotorfunctioninobservationgroupwassignificantlybetterthanthatincontrolgroup(P0.05).Thescoreofdepressionandanxietywassignificantlylowerthanthatofcontrolgroup(P0.05);Thequalityoflifescoresofphysiologicalstate,psychologicalstate,physicalfunctionandsocialcommunicationinobservationgroupweresignificantlybetterthanthoseincontrolgroup(P0.05).Thenursingcompliancerateofobservationgroupwassignificantlyhigherthanthatofcontrolgroup(P0.01).ConclusionTheimplementationofultra-earlynursingforpatientswithbasalgangliacerebralhemorrhageandhemiplegiacansignificantlyimprovetheirself-careabilityandmotorfunction,relievetheirdepressionandanxiety,improvetheirqualityoflife,andthepatientscompliancewithnursingisgood,whichhasasignificantapplicationeffect,andisworthyofpromotionandapplicationinclinicalnurs