Preventive effect of early rehabilitation nursing on disuse amyotrophy in patients with craniocerebral injury

Abstract

Objective To explore the preventive effect of path-type early rehabilitation nursing on disuse amyotrophy in patients with craniocerebral injury. Methods A total of 63 patients with craniocerebral injury in Tangshan Workers Hospital from June 2013 to May 2014 were treated as control group, and received routine rehabilitation nursing. Another 64 patients with craniocerebral injury hospitalized in the same hospital from June 2014 to May 2015, were selected as observation group, and received path-type rehabilitation nursing intervention on the basis of routine rehabilitation nursing. Motor function, muscle strength and quality of life were measured at the patient's admission and intervention for 3 months. Results After intervention, evaluation score of upper limb and lower extremity motor function of the observation group were higher than that of the control group (t=3.215, 2.965; P<0.01) . After 3 months' intervention, there were 54 cases having elevated muscle Ⅱ level and above in the observation group, compared with 34 cases in the control group; the total effective rate of the observation group was 84.38%, and which was higher than that of the control group, which was 53.97% (χ2=7.326, P=0.003) . Psychological function, social function, healthy self-awareness ability and overall quality of life score improvement of the observation group were higher than those of the control group (t=5.247, 4.678, 4.268, 4.184, 3.857; P<0.01) . Conclusions The path-type early rehabilitation nursing model can improve the physical function and muscle recovery of patients with craniocerebral injury, effectively prevent disuse amyotrophy and improve the quality of life of patients. Key words: Craniocerebral injury; Rehabilitation nursing; Quality of life; Disuse amyotrophy; Path nursing