Open Access Article
Journal of Modern Nursing Medicine. 2026; 5: (1) ; 89-92 ; DOI: 10.12208/j.jmnm.20260026.
Exploring the nursing effect of early rehabilitation guidance and training on stroke patients
探讨早期康复指导及康复训练对脑卒中病人的护理效果
作者：
李娜,
边小林 *
新疆维吾尔族自治区乌鲁木齐市友谊医院 新疆乌鲁木齐
*通讯作者：
边小林,单位：新疆维吾尔族自治区乌鲁木齐市友谊医院 新疆乌鲁木齐；
发布时间: 2026-01-30 总浏览量: 27
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摘要
目的 探究早期康复指导及康复训练在脑卒中患者护理中的应用价值，为完善临床护理方案提供依据。方法 选取2024年5月至2025年5月本院100例（50-80岁）、2023年5月至2025年5月40例（40-60岁）脑卒中患者为研究对象，随机分为对照组和实验组各140例。对照组采用常规护理，实验组在常规护理基础上实施早期康复指导及康复训练。比较两组护理前、护理1个月及3个月后的运动功能（FMA）、日常生活活动能力（ADL）、神经功能缺损（NIHSS）评分，统计并发症发生率。结果 护理前，两组各项评分差异无统计学意义（P>0.05）；护理1个月及3个月后，实验组FMA、ADL评分显著高于对照组，NIHSS评分显著低于对照组，差异均有统计学意义（P<0.05）；实验组并发症发生率7.14%（10/140）显著低于对照组22.86%（32/140），差异有统计学意义（P<0.05）。结论 对脑卒中患者实施早期康复指导及康复训练，可促进运动和神经功能恢复，提高日常生活活动能力，降低并发症发生率，值得临床推广。
关键词： 早期康复指导；康复训练；脑卒中；运动功能；日常生活活动能力
Abstract
Objective To investigate the application value of early rehabilitation guidance and rehabilitation training in stroke patient care, providing evidence for optimizing clinical nursing protocols. Methods A total of 100 stroke patients (aged 50-80 years) admitted to our hospital from May 2024 to May 2025 and 40 patients (aged 40-60 years) from May 2023 to May 2025 were randomly divided into a control group (140 cases) and an experimental group (140 cases). The control group received standard nursing care, while the experimental group received early rehabilitation guidance and training in addition to standard care. Comparative analyses were conducted on motor function (Functional Movement Assessment, FMA), daily living activities (Activities of Daily Living, ADL), neurological deficits (Neurological Impairment Hypothesis Scale, NIHSS) scores before, 1 month, and 3 months after intervention, along with complication incidence rates. Results No statistically significant differences were observed in baseline scores between groups (P>0.05). After 1 and 3 months of intervention, the experimental group showed significantly higher FMA and ADL scores and significantly lower NIHSS scores compared to the control group (P<0.05). The complication incidence rate in the experimental group (7.14%,10/140) was significantly lower than that in the control group (22.86%,32/140) (P<0.05). Conclusion Early rehabilitation guidance and training for stroke patients can promote motor and neurological function recovery, improve daily living activities, and reduce complication rates, making it worthy of clinical promotion.
Key words： Early rehabilitation guidance; Rehabilitation training; Stroke; Motor function; Ability to perform daily living activities
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引用本文
李娜, 边小林, 探讨早期康复指导及康复训练对脑卒中病人的护理效果[J]. 现代护理医学杂志, 2026; 5: (1) : 89-92.