Effect of professional nurses-dominated rehabilitation management mode for acute stroke patients
10.7619/jcmp.201722006
- VernacularTitle:急性期卒中单元康复管理模式的应用效果观察
- Author:
Xuefang AN
1
;
Siyuan TANG
;
Bailang LIN
;
Cuixia LIU
;
Haili LIN
Author Information
1. 中南大学湘雅护理学院
- Keywords:
acute stage;
stroke unit;
acute ischemic stroke;
rehabilitation management
- From:
Journal of Clinical Medicine in Practice
2017;21(22):16-18,25
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the application effect of nurses-dominated rehabilitation management mode in acute stroke patients.Methods A total of 86 patients with acute ischemic stroke (AIS) in the department of neurology were selected for the study and were randomly divided into observation group (n =43) and control group (n =43) according to the order of admission.All patients were given routine treatment and nursing,and the control group was given the routine rehabilitation training for self-choice after in a stable condition,and the observation group was followed by a multidisciplinary team consultation to carry out the early comprehensive rehabilitation training.The activities of daily living in the two groups,nerve function,nutrition risk condition were compared before intervention and at 14d after intervention,and the related complications within 1 month after intervention were analyzed between the two groups.Results At 7 d after intervention,the MBI score and nutritional adequacy rate of the observation group were significantly higher than intervention before and were significantly higher than that of the control group (P ＜ 0.05).The NIHSS score and nutritional risk rate of the observation group were significantly lower than intervention before and were significantly lower than that of the control group (P ＜ 0.05).At 14 d and 1 month after intervention,the MBI score and nutritional adequacy rate of the two groups were significantly higher than intervention before,and those in the observation group were significantly higher than that of the control group at the same time period (P ＜ 0.05).The NIHSS score and nutritional risk rate of the two groups were significantly lower than intervention before,and the observation group were lower than the control group at the same time period (P ＜0.05).The incidence rates of post-stroke depression,brain-induced spasm,swallowing dysfunction and shoulder-hand syndrome were significantly lower in the observation group than that in the control group within 1 month after intervention (P ＜ 0.05).Conclusion Nurses-dominated ASU rehabilitation management mode can effectively improve the rehabilitation effect of patients.
