摘 要
脑卒中是临床常见且危害严重的神经系统疾病，其发病率、致残率和死亡率均较高，给患者家庭及社会带来沉重负担。为提高脑卒中患者的康复效果，改善患者生活质量，本研究旨在探讨系统化康复护理模式在脑卒中患者中的应用价值。选取某院收治的120例脑卒中患者作为研究对象，随机分为观察组与对照组各60例，对照组采用常规护理方式，观察组实施涵盖心理干预、运动疗法、作业疗法、吞咽功能训练等多方面的系统化康复护理措施。经3个月的护理干预后，对比两组患者的神经功能缺损评分、日常生活活动能力评分、 Barthel指数以及患者满意度等指标。结果显示，观察组患者的神经功能缺损评分明显低于对照组，日常生活活动能力评分和Barthel指数显著高于对照组，患者对护理工作的满意度也更高。这表明系统化康复护理能够有效促进脑卒中患者的神经功能恢复，提高其生活自理能力，增强患者战胜疾病的信心，该护理模式相较于传统护理具有创新性，为脑卒中患者的康复护理提供了新的思路与方法，有助于推动脑卒中康复护理水平的提升。
关键词：脑卒中；系统化康复护理；神经功能恢复；日常生活活动能力；患者满意度
Abstract
Stroke is a common and highly detrimental neurological disorder with high incidence, disability, and mortality rates, imposing a heavy burden on patients' families and society. To improve rehabilitation outcomes and enhance the quality of life for stroke patients, this study aimed to investigate the application value of a systematic rehabilitation nursing model in stroke patients. A total of 120 stroke patients admitted to a hospital were selected as research subjects and randomly divided into an observation group and a control group, each consisting of 60 patients. The control group received conventional nursing care, while the observation group underwent a comprehensive rehabilitation nursing intervention that included psychological support, physical therapy, occupational therapy, and swallowing function training. After three months of nursing intervention, comparisons were made between the two groups regarding neurological deficit scores, activities of daily living (ADL) scores, Barthel Index, and patient satisfaction. The results showed that the neurological deficit scores in the observation group were significantly lower than those in the control group, while ADL scores and the Barthel Index were markedly higher in the observation group. Additionally, patients in the observation group expressed higher satisfaction with the nursing care. These findings indicate that systematic rehabilitation nursing can effectively promote neurological recovery, improve self-care abilities, and boost patients' confidence in overcoming their illness. This nursing model demonstrates innovation compared to traditional care methods and provides new insights and approaches for the rehabilitation nursing of stroke patients, contributing to the advancement of stroke rehabilitation care.
Keywords：Stroke；Systematized Rehabilitation Nursing；Neural Function Recovery；Activities Of Daily Living Ability；Patient Satisfaction
目 录
摘 要 I
Abstract II
引 言 1
第一章 脑卒中康复护理的现状分析 2
1.1 国内外研究进展综述 2
1.2 康复护理面临的挑战 2
1.3 当前护理模式的特点 3
第二章 康复护理中的早期干预措施 4
2.1 急性期护理要点 4
2.2 早期功能锻炼方法 4
2.3 并发症预防策略 5
第三章 康复护理中的心理支持体系 6
3.1 患者心理状态评估 6
3.2 心理干预措施实施 6
3.3 家属支持与配合 7
第四章 康复护理效果评价与展望 8
4.1 康复效果量化评估 8
4.2 影响康复效果的因素 8
4.3 未来护理发展方向 9
结 论 10
参考文献 11
致 谢 12
