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Nursing intervention on physical rehabilitation of stroke patients the impact of early

Cerebral hemorrhage in 46 cases (33.8%), cerebral infarction 89 cases (65.5%), mixed stroke in 1 case (0.7%), duration of 1 ~ l2 days. All patients were confirmed by brain CT and MRI examination confirmed acute stroke patients. 1.2 Methods 136 patients were divided into intervention group and control group, 68 patients in both groups before treatment, no significant difference in limb function,[link widoczny dla zalogowanych], all patients received routine treatment of Neurology (including control of blood pressure, reduce intracranial pressure, anticoagulant thrombolysis, cell activation, etc.), the intervention group, while in the physical training to give psychological comfort, promotional materials, music therapy and other care interventions; control group, only the implementation of regular training. 2.1 2 nursing interventions to patients and their families for publicity information on the general knowledge of stroke, limb paralysis to explain the characteristics of stroke; promote good emotional communication between patients, restore their own experiences of patients do better publicity obligations; strengthening on psychological counseling patients and their families to relieve their anxiety, fear, negative and pessimistic mood, so that patients recover on their own have a correct understanding of disease, establish confidence, so that family members of patients with the hospital to do ideological work and life care. 2.2 to enable patients to listen to some slow, melodic classical music, folk songs, or fast-paced music. So that patients in a relaxed and beautiful environment stimulate interest in rehabilitation training, to complete each training task seriously. 2.3 in patients with acute limb should be kept in bed in the right, good posture and body position, turn over 1 time every 2 hours, changing position, to prevent limb contractures, joint dislocation and other complications of deformation and pressure sores. 2.4 stable condition,[link widoczny dla zalogowanych], the sensory stimulation to the limb to take by, Moldova, and push, take, rubbing, rolling, shaking and pelvic rotation and other practices, bridge movement,[link widoczny dla zalogowanych], turning around, so that patients gradually transition from the passive motion to the independent movement. Furthermore, it should be sitting, kneeling Author: 273500 Shandong Province People's Hospital Zoucheng position, standing position and walking the balance training. · . · 'I ◆,. ·in vital signs,[link widoczny dla zalogowanych], blood pressure, heart rate under normal circumstances. blood pressure> 23.9/15.3kPa (180/115mmI-Ig) temporarily to do. 3 Results The treatment of 13 to 15 days, an average of l4 days. before and after treatment the intervention group and the control groups were Brunnstrcma motor function classification comparison method. treatment: two on the comparison of lower limb motor function classification is basically the same. treatment: intervention group 61.8% from the upper class I down to O ; legs I level by the 60.3% down to 0. I upper stage from the control group decreased 60.3% to 41.2%; lower extremity class I dropped by the 61.8% to 38.2%. The results showed that: the intervention group treatment was significantly better than the control group. 4 stroke patients discussed the central nervous system as irreversible damage, lesions and edema caused some motor neurons are not completely injury, medication alone is difficult to make full recovery of motor function, actively creating compensatory damage nerve repair or condition, can be destroyed in benign conditions, reflecting the movement of the stimulation to re-establish [. early intervention, promote disease and rehabilitation related knowledge, can achieve the transfer and restructuring of functional areas, so that the damaged to restore limb function. early nursing intervention enhance the sensory input limb to reduce the patient's neglect of the phenomenon of hemiplegic limbs. When the patient is when the excitement and good feelings, nerves disinhibition, when adjusted to achieve the best neuromuscular good state L3j, through psychological counseling, to improve and eliminate the psychological barriers, enhance confidence in the rehabilitation of patients. This set of data results show that early to take a positive and correct nursing intervention is to improve the quality of life of hemiplegic stroke patients an important means.
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