摘要
目的 浅析急性脑卒中偏瘫患者采用循证护理进行早期康复指导。方法 选取2024年5月至2025年4月收治的急性脑卒中偏瘫患者60例，对照组采用基础护理；观察组采用循证护理，对比临床护理效果。结果 观察组患者的生活质量评分高于对照组，对比差异显著（P<0.05）；此外，观察组患者肢体功能评分高于对照组，对比差异显著（P<0.05）。结论 针对急性脑卒中偏瘫患者实施循证护理的效果显著，有助于改善患者的肢体功能，提升生活质量，干预效果确切。
关键词： 循证护理；急性脑卒中；偏瘫患者；早期康复
Abstract
Objective To analyze the use of evidence-based nursing for early rehabilitation guidance in patients with acute stroke hemiplegia. Methods Sixty patients with acute stroke hemiplegia admitted from May 2024 to April 2025 were selected, and the control group received basic nursing care; The observation group adopted evidence-based nursing and compared the clinical nursing effects. Results The quality of life score of the observation group patients was higher than that of the control group, and the difference was significant (P<0.05); In addition, the limb function scores of the observation group patients were higher than those of the control group, and the difference was significant (P<0.05). Conclusion The implementation of evidence-based nursing for patients with acute stroke hemiplegia has a significant effect, which helps improve their limb function, enhance their quality of life, and has a definite intervention effect.
Key words： Evidence-based nursing; Acute stroke; Hemiplegic patients; Early rehabilitation
参考文献 References
[1] 帅玉炜,陈洵,吴桂丽. 基于循证构建脑卒中偏瘫患者肩痛预防方案[C]// 上海市护理学会. 第六届上海国际护理大会论文汇编（上）. 汕头大学医学院;汕头大学医学院第二附属医院, 2024: 42.
[2] 肖倩,温绣蔺,罗利群,等. 脑卒中偏瘫患者良肢位管理循证护理审查指标的制订及障碍因素分析 [J]. 实用心脑肺血管病杂志, 2024, 32 (04): 121-127.
[3] 李阳,成毅. 神经内科护士的脑卒中偏瘫康复护理认知、态度、活动现状及其影响因素分析 [J]. 临床医学研究与实践, 2023, 8 (23): 5-8.
[4] 裴书萍,张慧,徐姝婷. 循证护理结合知信行健康教育在脑卒中偏瘫患者中的应用效果 [J]. 中西医结合护理(中英文), 2023, 9 (03): 109-111.
[5] 陈茜. 循证护理干预对脑卒中偏瘫患者的肢体功能与并发症的影响分析 [J]. 黑龙江医学, 2021, 45 (10): 1063-1064.
[6] 刘丽,阳雨璇,孙玉君. 综合康复护理对脑卒中偏瘫患者康复效果及日常生活活动能力的影响 [J]. 保健医学研究与实践, 2023, 20 (S2): 203-205.
[7] 曾英彩. 综合式康复护理对脑卒中偏瘫患者康复效果及日常生活活动能力的影响 [J]. 中国医药指南, 2024, 22 (01): 157-159.
[8] 黄丽珊,黄金莲,吴丽青. 分析基于赋能理论的强化康复护理联合心理护理对脑卒中偏瘫患者肢体运动功能及睡眠质量的影响 [J]. 世界睡眠医学杂志, 2023, 10 (11): 2645-2648.