早期康复护理干预对急性脑卒中患者神经功能恢复的效果研究
Effect of Early Rehabilitation Nursing Intervention on Neurological Function Recovery in Patients with Acute Stroke

目的：探讨早期康复护理干预对急性脑卒中患者神经功能恢复的效果，为优化脑卒中患者的康复护理提供科学依据。方法：本研究采用简单随机抽样法，2024年1月到2024年9月共纳入70例急性脑卒中患者。将患者随机分为观察组和对照组，每组各35例。对照组接受常规护理干预，包括药物治疗、基础护理和定期病情监测；观察组在此基础上增加早期康复护理干预，内容包括肢体功能训练、呼吸功能训练、日常生活活动训练、心理支持及健康教育。通过神经功能缺损评分(NIHSS)、日常生活活动能力(ADL)评分和肌力等级评分评价干预效果，并记录两组患者的并发症发生情况。结果：干预后，观察组患者的NIHSS评分和ADL评分较对照组显著改善(P < 0.01)，肌力等级提升明显，高级别肌力患者比例显著增加。同时，观察组和对照组的并发症发生率无显著差异，显示早期康复护理具有较好的安全性。结论：早期康复护理干预能够有效改善急性脑卒中患者的神经功能、日常生活能力和肌力水平，对提高患者生活质量、促进康复具有重要意义，值得临床推广应用。
Objective: To investigate the effect of early rehabilitation nursing intervention on neurological function recovery in patients with acute stroke and to provide scientific basis for optimizing rehabilitation nursing for patients with stroke. Methods: A total of 70 patients with acute stroke were enrolled by simple random sampling from January 2024 to September 2024. Patients were randomly divided into observation group and control group, with 35 cases in each group. The control group received routine nursing intervention, including drug therapy, basic nursing, and regular disease monitoring. On this basis, the observation group added early rehabilitation nursing intervention, including limb function training, respiratory function training, activities of daily living training, psychological support, and health education. The effects of the intervention were evaluated by neurological impairment score (NIHSS), activity of daily living (ADL) score, and muscle strength grade score, and the incidence of complications in the two groups was recorded. Results: After the intervention, NIHSS score and ADL score of observation group were significantly improved compared with control group (P < 0.01), muscle strength grade was significantly improved, and the proportion of high-grade muscle strength patients was significantly increased. At the same time, there was no significant difference in the incidence of complications between the observation group and the control group, indicating that early rehabilitation nursing has good safety. Conclusion: Early rehabilitation nursing intervention can effectively improve the neurological function, daily living ability and muscle strength of patients with acute stroke, which is of great significance to improve the quality of life of patients and promote rehabilitation and is worthy of clinical application.