作　　者： (王清）; (李红丽）; (张敏）; (刘草梅）;

机构地区： 南京大学医学院附属鼓楼医院神经内科,江苏南京210008

出　　处： 《护理学杂志》 2017年第17期29-33,共5页

摘　　要： 目的探讨基于行动研究法的急性缺血性脑卒中患者早期活动方案的实践效果。方法采用行动研究法,对急性缺血性脑卒中患者早期活动及其态度进行问题识别,再按照计划-行动-观察-反思的螺旋循环过程,基于循证构建急性缺血性脑卒中患者早期活动方案与流程、制定家属参与早期活动方案,并经过2轮行动方案的实践,观察早期活动实践规范的实施效果。结果第2轮早期活动方案实施后患者早期活动开始时间、活动频率、活动强度、神经功能缺损程度、日常生活活动能力、不良预后、住院时间与第1轮比较,差异有统计学意义(P<0.05,P<0.01)。结论规范急性缺血性脑卒中患者早期活动方案,可显著缩短早期活动的开始时间,提高患者活动频率与活动强度,从而促进患者神经功能恢复,改善患者预后。 Objective To explore the practice effect of early mobilization program for patients with acute ischemic stroke based on ac- tion research method. Methods Action research method was adopted to identify the problems in early mobilization and attitudes to ward acute ischemic stroke patients, then according to the spiral cycle process of plan-act-observe reflect, the early mobilization program and process for patients with acute ischemic stroke was constructed based on evidence, and family involvement program was also set up. The program was practiced for 2 rounds to observe its effect. Results After the implementation of the 2nd round of the program, the early mobilization start time, frequency, intensity, patients＇ degree of neurological deficits, activities of daily living, adverse prognosis and length of hospitalization were statistically different from those after the 1st round of the program （P〈0.05 ,P〈0.01）. Conclusion Regulating the early mobilization program for patients with acute ischemic stroke can obviously shorten the start time of early mobilization, increase the frequency and intensity of the activities, thus to promote the recovery of neurological function and improve the prognosis of patients.

关 键 词： 急性缺血性脑卒中 早期活动 活动方案 行动研究