早期康复护理干预在脑卒中偏瘫患者中的应用[摘要]目的探究与分析早期康复护理干预对脑卒中偏瘫患者肢体功能及生活质量的影响。方法选取哈尔滨医科大学附属第一医院2014年5月～2016年5月收治的90例脑卒中偏瘫患者，按随机数字表法分为常规护理组与早期康复护理干预组，每组各45例。对比两组患者护理前后日常生活能力评级量表（Barthel指数）评分、髋关节Harris评分、汉密尔顿焦虑量表（HAMA）评分、汉密尔顿抑郁量表（HAMD）评分及生活质量。结果两组患者护理前Barthel评分及Harris评分差异无统计学意义（P>0.05）。与护理前比较，两组患者护理后Barthel评分及Harris评分均明显提高，早期康复护理干预组提高更加显著，差异有统计学意义（P<0.05）。两组患者护理前HAMA评分及HAMD评分差异无统计学意义（P>0.05）。与护理前比较，两组患者护理后HAMA评分及HAMD评分均降低，早期康?突だ砀稍ぷ榻档透?加显著，差异有统计学意义（P<0.05）。与常规护理组相比，早期康复护理干预组躯体功能、角色功能、情感功能、认知功能及社会功能评分均较高，差异有统计学意义（P<0.05）。结论将早期康复护理干预应用于脑卒中偏瘫患者中可有效促进患者肢体功能的恢复，降低焦虑抑郁情绪，改善生活质量。[关键词]早期康复护理干预；脑卒中；偏瘫；肢体功能；生活质量[]R47[文献标识码]A[]1673-7210（2017）03（b）-0156-04TheapplicationoftheearlyrehabilitationnursinginterventioninpatientswithcerebralapoplexyhemiplegiaCHENBingkunZHANGWeibinLUZhengLUOYangWANGHongjuanDepartmentofRehabilitation，theFirstAffiliatedHospitalofHarbinMedicalUniversity，Heilong激angProvince，Harbin150010，China[Abstract]ObjectiveToexploretheinfluenceofearlyrehabilitationnursinginterventioninpatientswithcerebralapoplexyhemiplegiaonlimbfunctionandlifequality.Methods90caseswithcerebralapoplexyhemiplegiatreatedattheFirstAffiliatedHospitalofHarbinMedicalUniversityfromMay2014toMay2016wereselected.Allthepatientsweredividedintoroutinenursinggroupandearlyrehabilitationnursinginterventiongroup，accordingtorandomnumbertable，with45casesineachgroup.TheBarthelindex，Harrisscore，HAMAscores，HAMDscoresandqualityoflifeofthetwogroupswerecompared.ResultsTheBarthelindexandtheHarrisscoreofthetwogroupsbeforenursinghadnostatisticallysignificantdifference（P>0.05）.AndtheBarthelindexandtheHarrisscoreofthetwogroupsafternursingwereincreasedobservably，theincreaseoftheearlyrehabilitationnursinginterventiongroupwasmoreremarkablethanthatoftheroutinenursinggroup，withstatisticallysignificantdifference（P<0.05）.TheHAMAscoresandHAMDscoresofthetwogroupsbeforenursinghadnostatisticallysignificantdifference（P>0.05）.AndtheHAMAscoreandHAMDscoresofthetwogroupsafternursingweredecreasedobservably，thedecreaseoftheearlyrehabilitationnursinginterventiongroupwasmoreremarkablethantheroutinenursinggroup，withstatisticallysignificantdifference（P<0.05）.Thescoresofphysicalfunction，rolefunction，emotionalfunction，cognitivefunctionandsocialfunctionoftheearlyrehabilitationnursinginterventiongroupwerehigherthanroutinenursinggroup，withstatisticallysignificantdifference（P<0.05）.ConclusionTheearlyrehabilitationnursinginterventionappliedtopatientswithcerebralapoplexyhemiplegiacaneffectivelypromotetherecoveryoflimbfunction，reduceanxietydepression，improvethequalityoflife.[Keywords]Earlyrehabilitationnursingintervention；Stroke；Hemiplegia；Limbfunction；Lifequalityoflife脑卒中作为临床上一类发病率较高的脑血管疾病，主要是指由急性脑血管循环障碍引起的持续性大脑半球及脑干局灶性功能缺损，以偏瘫为最常见的临床症状；绝大多数患者因偏瘫导致患肢长期处于制动的状态，极易发生继发...