ABSTRACT
OBJECTIVE: To study the effect of early systematic rehabilitation nursing on the quality of life and limb function in elderly patients with stroke sequelae. METHODS: This prospective study was conducted in 97 elderly patients with stroke sequelae. These patients were randomly allocated to the control group (n=49) and the experimental group (n=48). Patients in the control group received routine rehabilitation nursing, while those in the experimental group received early systematic rehabilitation nursing. Upper limb motor function (Fugl-Meyer assessment (FMA) score), upper limb sensory function (tactile threshold and two-point discrimination), physiological state (Hamilton anxiety (HAMA) scale and Hamilton depression (HAMD) scale score), ability of daily living (ADL) (the Barthel index score and ability of daily living score), and the quality of life (generic quality of life inventory-74 (GQOLI-74) score) before and 3 months after intervention were compared between the two groups. RESULTS: Compared with before intervention, FMA scores in the two groups after intervention were increased, while modified Ashworth scores were decreased (all P<0.05). The changes in the experimental group after intervention were more than those in the control group (both P<0.05). Tactile threshold and two-point discrimination in both groups after intervention were reduced when compared with before intervention (all P<0.05); tactile threshold and two-point discrimination in the experimental group after intervention group were smaller than those in the control group (both P<0.05). HAMA scale and HAMD scale scores in the two groups after intervention were lower than those before intervention (all P<0.05); HAMA scale and HAMD scale score in the experimental group after intervention were reduced when compared with the control group (both P<0.05). The Barthel index scores, ADL scores, and GQOLI-74 scores in both groups after intervention were increased when compared with before intervention (all P<0.05). The Barthel index score, ADL score, and GQOLI-74 score in the experimental group after intervention were higher than those in the control group (all P<0.05). CONCLUSION: For elderly patients with stroke sequelae, early systemic rehabilitation nursing is more beneficial for the improvement of upper limb motor and sensory function, alleviation of negative psychology, raise in ability of daily living, and increase of life quality. It is therefore worthy of clinical application.
ABSTRACT
Objective To investigate the effect of rehabilitation nursing system of manipulative reduction and tradi-tional Chinese medicine fumigation treatment to alleviate the clinical stage of lumbar intervertebral disc protrusion promoting effect.Methods 200 cases of remission in patients with lumbar disc herniation were divided into intervention group and con-trol group with 100 cases in each group, the control group of the implementation of general nursing, intervention group re-ceived rehabilitation nursing system based on general nursing.Results 20 days later, compare the lumbar function score, the intervention group was significantly better than the control group, and the difference was statistically significant (p<0.01). The intervention group: the total efficiency of 98%.Control group: the total efficiency of 85%.The total efficiency of two groups were significant difference ( p <0.05 ) .Conclusion rehabilitation nursing treatment to alleviate the superposition effect of lumbar disc herniation, has an important significance to improve the clinical efficacy and quality of life.
