汕头大学医学院学报2025，Vol.38Issue(3)：169-173,5.DOI:10.13401/j.cnki.jsumc.2025.03.009
极早期康复护理对出血性脑卒中患者功能恢复和生活质量的影响
Impact of ultra-early rehabilitation nursing on functional recovery and quality of life in patients with hemorrhagic stroke
匡嫦娥 1高华丽 2陈东宏 3郭貔1
作者信息
- 1. 汕头大学医学院预防医学系,广东 汕头 515041
- 2. 广州医科大学附属中医医院儿科针灸科,广东 广州 510130
- 3. 汕头大学医学院第一附属医院神经外科,广东 汕头 515041
- 折叠
摘要
Abstract
Objective:To investigate the effect of ultra-early rehabilitation nursing initiated within 12 hours of admission on functional recovery and quality of life in patients with hemorrhagic stroke.Methods:A randomized controlled trial was conducted involving 258 patients with hemorrhagic stroke admitted to the First Affiliated Hospital of Shantou University Medical College from March 2024 to January 2025.Participants were divided into an ultra-early rehabilitation group(intervention within 12 hours of admission,n=128)and a conventional rehabilitation group(intervention 48 hours after hemodynamic stabilization,n=130).Assessments were performed at 48 hours(baseline)and 30 days after hemodynamic stabilization using the Neurological Deficit Score,Fugl-Meyer Assessment(FMA),Barthel Index(BI),and Quality of Life Index(QLI).Results:At baseline,there were no significant differences in scores between the two groups(all P>0.05).At 30 days post-intervention,the ultra-early rehabilitation group showed significantly lower neurological deficit scores(P<0.001)and significantly higher FMA,BI,and QLI scores(all P<0.001)compared to the conventional rehabilitation group.The change values(Δ values)from baseline to 30 days indicated significantly greater improvements in all outcomes in the ultra-early rehabilitation group(all P<0.001).Subgroup analysis revealed that patients with a history of diabetes or alcohol consumption had relatively poorer rehabilitation outcomes.Conclusion:Under close monitoring,ultra-early rehabilitation nursing initiated within 12 hours of admission can promote functional recovery and improve quality of life in patients with hemorrhagic stroke,although its efficacy may be influenced by underlying diseases and lifestyle factors.关键词
出血性脑卒中/极早期康复护理/随机对照试验/功能恢复/日常生活活动能力Key words
hemorrhagic stroke/ultra-early rehabilitation nursing/randomized controlled trial/functional recovery/activities of daily living分类
医药卫生引用本文复制引用
匡嫦娥,高华丽,陈东宏,郭貔..极早期康复护理对出血性脑卒中患者功能恢复和生活质量的影响[J].汕头大学医学院学报,2025,38(3):169-173,5.
