摘要
目的:探讨肢体功能锻炼联合健康信念干预对脑梗塞偏瘫患者的影响。方法:选取2019年3月至2020年6月收治的114例脑梗塞偏瘫患者为研究对象,随机分为观察组和对照组;对照组进行常规西药治疗,观察组进行肢体功能锻炼联合健康信念干预;比较两组患者临床疗效及治疗前后NIHSS、Lindmark、FMA评分及Barthel指数。结果:观察组患者的临床疗效总有效率为94.74%,高于对照组的82.46%(P<0.05);治疗前两组患者的NIHSS、Lindmark、FMA评分及Barthel指数相比,差异无统计学意义(P>0.05);治疗后观察组患者的NIHSS评分低于对照组(P<0.05),Lindmark评分(感觉功能、运动协调功能)、FMA评分和Barthel指数高于对照组(P<0.05)。结论:对于脑梗塞偏瘫的患者,在常规西医治疗的基础上进行肢体功能锻炼联合健康信念干预可提高临床疗效,减轻神经功能缺损,促进肢体功能康复和日常生活能力的提高。
Objective:To explore and analyze the impact of physical exercise combined with health belief intervention on patients with cerebral infarction hemiplegia.Methods:114 patients with cerebral infarction hemiplegia admitted from March 2019 to June 2020 were selected and divided into the observation group and the control group.The control group was given conventional western medicine treatment,while the observation group was given limb function exercise combined with health belief intervention.The clinical efficacy of the two groups was compared,including NIHSS,Lindmark,FMA score and Barthel index before and after treatment.Results:The total effective rate of the observation group was 94.74%compared with the control group 82.46%(P<0.05).There was no significant difference in NIHSS,Lindmark,FMA score and Barthel index between the two groups before treatment(P>0.05).After treatment,the NIHSS score of the observation group decreased more significantly(P<0.05),Lindmark score(sensory function,motor coordination function)increased more significantly(P<0.05),and FMA score and Barthel index increased more significantly(P<0.05).Conclusion:For the patients with cerebral infarction hemiplegia,limb exercise combined with health belief intervention on the basis of conventional western medicine treatment can improve the clinical efficacy,reduce the neurological function defect,promote limb function rehabilitation and improve the ability of daily life.
作者
毛淑云
李少玲
MAO Shuyun;LI Shaoling(Dafeng Hospital in Chaoyang District of Shantou City,Shantou 515154,China)
出处
《包头医学院学报》
CAS
2020年第11期26-29,共4页
Journal of Baotou Medical College
关键词
肢体功能
健康信念干预
脑梗塞偏瘫
康复效果
Limb function
Health belief intervention
Cerebral infarction hemiplegia
Rehabilitation effect
