The application of stepwise rehabilitation nursing intervention in patients with limb hemiplegia after cerebral infarction
阶梯式康复护理干预在脑梗死后肢体偏瘫患者中的应用

摘要

目的 应对脑梗死后肢体偏瘫康复护理，给予患者阶梯式康复护理干预应用效果分析。方法 本次脑梗死后肢体偏瘫患者康复护理研究方面，选择时间段为2023年3月到2024年3月，选择脑梗死后肢体偏瘫患者94人，分为各47人对照组（采用脑梗死后肢体偏瘫患者常规康复护理）及阶梯组（采取脑梗死后偏瘫患者阶梯式康复护理干预），对比两组患者干预前后偏瘫恢复效果、运动能力改善情况。结果 阶梯组恢复程度良好以上39人，良好率为82.98%，相比较于对照组恢复程度良好以上32人，良好率为68.09%。两组脑梗死后肢体偏瘫患者康复偏瘫恢复效果数据差异性明显，P<0.05。阶梯组与对照组康复治疗后运动能力改善差异方面较大，Bobath评分、下肢活动评分和室外行走评分方面，阶梯组得分较高，两组脑梗死后肢体障碍患者运动能力改善差异性明显，P<0.05。结论 脑梗死后肢体偏瘫患者采用阶梯式康复护理干预效果更显著，有利于加强肢体恢复，且明显提高了运动能力。

Abstract

Objective To analyze the application effect of implementing a stepped rehabilitation nursing intervention for patients undergoing rehabilitation nursing after cerebral infarction-induced hemiplegia.
Methods In this study on rehabilitation nursing for patients with hemiplegia following cerebral infarction, a total of 94 patients with hemiplegia after cerebral infarction were selected during the period from March 2023 to March 2024. They were divided into a control group (47 patients) and a stepped group (47 patients). The control group received conventional rehabilitation nursing for patients with hemiplegia after cerebral infarction, while the stepped group underwent a stepped rehabilitation nursing intervention for patients with hemiplegia after cerebral infarction. The recovery effects of hemiplegia and the improvement in motor abilities were compared between the two groups before and after the intervention.
Results In the stepped group, 39 patients achieved a good or better level of recovery, with a good recovery rate of 82.98%. In contrast, the control group had 32 patients with a good or better level of recovery, resulting in a good recovery rate of 68.09%. There was a significant difference in the data regarding the recovery effects of hemiplegia between the two groups of patients with hemiplegia after cerebral infarction, with P<0.05. Additionally, there was a substantial difference in the improvement of motor abilities between the stepped group and the control group after rehabilitation treatment. The stepped group scored higher in terms of the Bobath score, lower limb activity score, and outdoor walking score. There was a significant difference in the improvement of motor abilities between the two groups of patients with motor impairments after cerebral infarction, with P<0.05.
Conclusion   The stepped rehabilitation nursing intervention for patients with hemiplegia after cerebral infarction yields more significant effects. It is conducive to enhancing limb recovery and markedly improving motor abilities.