摘 要
中风后遗症严重影响患者生活质量，给家庭及社会带来沉重负担。为改善这一现状，本研究旨在探讨系统化康复护理方案对中风后遗症患者的临床效果。选取某三甲医院神经内科2019年1月至2022年1月收治的120例中风后遗症患者作为研究对象，按照随机数字表法分为观察组和对照组各60例，对照组采用常规护理模式，观察组在常规护理基础上实施个性化、全程化的康复护理干预，包括早期肢体功能训练、吞咽障碍评估与治疗、心理支持等多维度护理措施。通过 Barthel 指数、Fugl - Meyer 运动功能评定量表、焦虑抑郁自评量表于干预前及干预3个月、6个月时进行评估。结果显示，干预6个月后，观察组患者Barthel指数评分、Fugl - Meyer运动功能评分均显著高于对照组(P0.05)，焦虑抑郁情绪明显改善(P0.05)。本研究表明，系统化康复护理方案能有效提高中风后遗症患者的生活自理能力，改善肢体运动功能，减轻负面情绪，其创新之处在于将康复护理前置并贯穿整个治疗过程，强调个体化护理方案制定，为中风后遗症患者的康复提供了新的思路与方法，对促进患者全面康复具有重要意义。
关键词：中风后遗症；系统化康复护理；生活自理能力；肢体运动功能；心理支持
Abstract
Post-stroke sequelae significantly impair patients' quality of life and impose a heavy burden on families and society. To address this issue, this study aimed to investigate the clinical effects of a systematic rehabilitation nursing program on patients with post-stroke sequelae. A total of 120 patients with post-stroke sequelae admitted to the neurology department of a tertiary hospital from January 2019 to January 2022 were selected as subjects and divided into an observation group and a control group of 60 patients each using a random number table method. The control group received routine care, while the observation group underwent personalized and comprehensive rehabilitation nursing interventions based on routine care, including early limb function training, dysphagia assessment and treatment, psychological support, and other multidimensional nursing measures. Assessments were conducted using the Barthel Index, Fugl-Meyer Motor Function Assessment Scale, and Self-Rating Anxiety and Depression Scales before intervention and at 3 and 6 months post-intervention. Results showed that after 6 months of intervention, the Barthel Index scores and Fugl-Meyer motor function scores in the observation group were significantly higher than those in the control group (P0.05), and anxiety and depression levels were markedly improved (P0.05). This study demonstrates that a systematic rehabilitation nursing program can effectively enhance the self-care ability and limb motor function of patients with post-stroke sequelae and alleviate negative emotions. Its innovation lies in advancing rehabilitation nursing and integrating it throughout the entire treatment process, emphasizing the formulation of individualized care plans, providing new ideas and methods for the rehabilitation of patients with post-stroke sequelae, and playing a significant role in promoting their overall recovery.
Keywords：Post-Stroke Sequelae；Systematized Rehabilitation Nursing；Activities Of Daily Living；Limb Motor Function；Psychological Support
目 录
引 言 1
第一章 中风后遗症患者的整体评估 2
1.1 中风后遗症的临床表现 2
1.2 患者功能状态的评估方法 2
1.3 心理状态与社会支持评估 3
第二章 康复护理计划的制定与实施 5
2.1 康复目标的设定原则 5
2.2 个性化护理方案的制定 5
2.3 康复护理计划的执行与调整 6
第三章 躯体功能康复护理的具体措施 8
3.1 运动功能障碍的康复训练 8
3.2 吞咽功能障碍的护理干预 8
3.3 排泄功能障碍的管理策略 9
第四章 心理及社会支持在康复中的作用 10
4.1 心理健康维护的重要性 10
4.2 家属参与对康复的影响 10
4.3 社区资源的支持与利用 11
结 论 13
参考文献 14
致 谢 15
中风后遗症严重影响患者生活质量，给家庭及社会带来沉重负担。为改善这一现状，本研究旨在探讨系统化康复护理方案对中风后遗症患者的临床效果。选取某三甲医院神经内科2019年1月至2022年1月收治的120例中风后遗症患者作为研究对象，按照随机数字表法分为观察组和对照组各60例，对照组采用常规护理模式，观察组在常规护理基础上实施个性化、全程化的康复护理干预，包括早期肢体功能训练、吞咽障碍评估与治疗、心理支持等多维度护理措施。通过 Barthel 指数、Fugl - Meyer 运动功能评定量表、焦虑抑郁自评量表于干预前及干预3个月、6个月时进行评估。结果显示，干预6个月后，观察组患者Barthel指数评分、Fugl - Meyer运动功能评分均显著高于对照组(P0.05)，焦虑抑郁情绪明显改善(P0.05)。本研究表明，系统化康复护理方案能有效提高中风后遗症患者的生活自理能力，改善肢体运动功能，减轻负面情绪，其创新之处在于将康复护理前置并贯穿整个治疗过程，强调个体化护理方案制定，为中风后遗症患者的康复提供了新的思路与方法，对促进患者全面康复具有重要意义。
关键词：中风后遗症；系统化康复护理；生活自理能力；肢体运动功能；心理支持
Abstract
Post-stroke sequelae significantly impair patients' quality of life and impose a heavy burden on families and society. To address this issue, this study aimed to investigate the clinical effects of a systematic rehabilitation nursing program on patients with post-stroke sequelae. A total of 120 patients with post-stroke sequelae admitted to the neurology department of a tertiary hospital from January 2019 to January 2022 were selected as subjects and divided into an observation group and a control group of 60 patients each using a random number table method. The control group received routine care, while the observation group underwent personalized and comprehensive rehabilitation nursing interventions based on routine care, including early limb function training, dysphagia assessment and treatment, psychological support, and other multidimensional nursing measures. Assessments were conducted using the Barthel Index, Fugl-Meyer Motor Function Assessment Scale, and Self-Rating Anxiety and Depression Scales before intervention and at 3 and 6 months post-intervention. Results showed that after 6 months of intervention, the Barthel Index scores and Fugl-Meyer motor function scores in the observation group were significantly higher than those in the control group (P0.05), and anxiety and depression levels were markedly improved (P0.05). This study demonstrates that a systematic rehabilitation nursing program can effectively enhance the self-care ability and limb motor function of patients with post-stroke sequelae and alleviate negative emotions. Its innovation lies in advancing rehabilitation nursing and integrating it throughout the entire treatment process, emphasizing the formulation of individualized care plans, providing new ideas and methods for the rehabilitation of patients with post-stroke sequelae, and playing a significant role in promoting their overall recovery.
Keywords：Post-Stroke Sequelae；Systematized Rehabilitation Nursing；Activities Of Daily Living；Limb Motor Function；Psychological Support
目 录
引 言 1
第一章 中风后遗症患者的整体评估 2
1.1 中风后遗症的临床表现 2
1.2 患者功能状态的评估方法 2
1.3 心理状态与社会支持评估 3
第二章 康复护理计划的制定与实施 5
2.1 康复目标的设定原则 5
2.2 个性化护理方案的制定 5
2.3 康复护理计划的执行与调整 6
第三章 躯体功能康复护理的具体措施 8
3.1 运动功能障碍的康复训练 8
3.2 吞咽功能障碍的护理干预 8
3.3 排泄功能障碍的管理策略 9
第四章 心理及社会支持在康复中的作用 10
4.1 心理健康维护的重要性 10
4.2 家属参与对康复的影响 10
4.3 社区资源的支持与利用 11
结 论 13
参考文献 14
致 谢 15
