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目标导向式重复性功能训练对高血压脑出血患者神经功能、肢体功能及生活质量的影响

Effect of Goal Oriented Repetitive Functional Training on Neurological Function,Limb Function,and Quality of Life in Patients with Hypertensive Intracerebral Hemorrhage
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摘要 目的探讨目标导向式重复性功能训练在高血压脑出血患者中的应用价值。方法选取2021年6月—2023年6月于我院接受治疗的80例高血压脑出血患者为研究对象,应用随机数字表法将其分为对照组和观察组,各40例。对照组采取常规护理,观察组在对照组基础上联合应用目标导向式重复性功能训练。对比两组的神经功能、日常生活能力、肢体运动功能、生活质量。结果干预后,观察组意识水平、眼球活动、视野、肢体活动评分均低于对照组,组间差异有统计学意义(P<0.05)。干预后,观察组上、下肢Fugl-Meyer运动功能评定量表评分均高于对照组,组间差异有统计学意义(P<0.05)。干预后,观察组Barthel指数评分高于对照组,差异有统计学意义(P<0.05)。干预后,观察组生活质量综合评定问卷内各维度评分均高于对照组,组间差异有统计学意义(P<0.05)。结论将目标导向式重复性功能训练应用于高血压脑出血患者可促进患者神经功能与肢体运动功能改善,提升其日常生活能力及生活质量。 Objective To explore the application value of goal oriented repetitive functional training in patients with hypertensive intracerebral hemorrhage.Methods Eighty patients with hypertensive intracerebral hemorrhage who received treatment in our hospital from June 2021 to June 2023 were selected as the research subjects,they were randomly divided into a control group and an observation group using a random number table method,with 40 cases in each group.The control group received routine nursing,while the observation group combined with goal oriented repetitive functional training on the basis of the control group.Compare the neurological function,activity of daily living,limb motor function,and quality of life between two groups.Results After intervention,the consciousness level,eye movement,visual field,and limb activity scores of the observation group were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the Fugl-Meyer Assessment Scale scores of the upper and lower limbs in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the Barthel index score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After intervention,the scores of all dimensions in the generic quality of life inventory-74 were higher than those in the control group,and social function scores of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Patients with hypertensive intracerebral hemorrhage who cooperate with goal oriented repetitive functional training in intervention work have significant value in improving their neurological and limb motor functions,enhancing their activity of daily living and quality of life.
作者 杨晓燕 YANG Xiaoyan(Department of Neurology,Zhangye People's Hospital Affiliated to Hexi University,Zhangye 734000,China)
出处 《反射疗法与康复医学》 2024年第9期195-198,共4页 Reflexology And Rehabilitation Medicine
关键词 高血压脑出血 目标导向式重复性功能训练 神经功能 肢体运动功能 日常生活能力 生活质量 Hypertensive intracerebral hemorrhage Goal oriented repetitive functional training Neurological function Limb motor function Actinity of daily living Quality of Life
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