Observation on the effectiveness of comprehensive nursing in elderly stroke patients with secondary epilepsy
综合护理在老年脑卒中继发癫痫患者中的应用效果观察

摘要

目的 观察在对老年脑卒中继发癫痫患者护理过程中开展综合护理的作用。方法 在本院2024年5月至2025年5月老年脑卒中继发癫痫患者中选择78例为对象，数字表随机抽样均分2组（对照组、观察组，各39例）。对照组开展常规护理，观察组进行综合护理。对两组日常活动能力、神经功能缺损程度、癫痫症状改善情况进行对比。结果 观察组护理后日常活动能力评分高于对照组，神经功能缺损评分低于对照组，P＜0.05。癫痫症状评估，观察组护理后发作次数、持续时间均少于对照组，P＜0.05。结论 在对老年脑卒中继发癫痫患者护理过程中开展综合护理，可以帮助患者受损神经功能恢复，提升患者日常活动能力，并对患者癫痫症状进行改善。

Abstract

Objective To observe the effect of comprehensive nursing in the care of elderly stroke patients with secondary epilepsy.
Methods A total of 78 elderly stroke patients with secondary epilepsy from May 2024 to May 2025 in our hospital were selected as subjects and randomly divided into two groups (control group and observation group, with 39 cases each) using a random number table. The control group received routine nursing, while the observation group received comprehensive nursing. The daily activity ability, neurological deficit severity, and improvement in epilepsy symptoms were compared between the two groups.
Results After nursing, the daily activity ability score in the observation group was higher than that in the control group, and the neurological deficit score was lower than that in the control group (P<0.05). In terms of epilepsy symptom assessment, the frequency and duration of seizures in the observation group after nursing were shorter than those in the control group (P<0.05).
Conclusion   Implementing comprehensive nursing in the care of elderly stroke patients with secondary epilepsy can help restore impaired neurological functions, improve daily activity ability, and alleviate epilepsy symptoms.