摘要
目的探讨基于家庭远程康复(HTR)平台的康复训练运动方案对脑卒中患者肢体功能恢复和认知功能的作用。方法前瞻性选取2020年6月至2022年7月于陕西省康复医院接受治疗且符合脑卒中临床诊断标准的100例患者作为研究对象,所有患者均自愿出院,选择居家康复治疗,按照随机数表法分为观察组和对照组各50例。对照组患者采用常规护理,观察组患者在对照组的基础上采用基于HTR平台的康复训练运动方案。分别于入组时和出院1、3个月时,采用Fugl-Meyer运动功能量表(FMA)、Berg平衡能力量表(BBS)比较两组患者肢体功能恢复情况;采用美国国立卫生院卒中量表(NIHSS)比较两组患者认知功能恢复状况;采用改良的Barthel指数(MBI)及脑卒中专用生活质量量表(SS-QOL)比较两组患者日常生活质量情况;出院康复训练3个月回院复查时,采用自制调查问卷比较两组患者的护理满意度。结果入组时,两组患者的FMA、BBS评分比较差异均无统计学意义(P>0.05);干预1、3个月后,两组各评分均升高,且观察组患者的FMA、BBS评分分别为(62.88±4.93)分、(85.76±10.54)分,(32.88±4.23)分、(44.43±5.43)分,明显高于对照组的(50.32±4.53)分、(74.38±9.73)分、(25.32±4.56)分、(38.72±2.47)分,差异均有统计学意义(P<0.05);入组时,两组患者的NIHSS、MBI评分比较差异均无统计学意义(P>0.05);干预后1、3个月后,两组NIHSS评分均降低MBI评分均升高,组内比较差异均有统计学意义(P<0.05),且观察组患者的NIHSS评分分别为(15.88±4.34)分、(6.13±0.23)分,明显低于对照组的(19.32±4.53)分、(9.82±1.63)分,MBI评分分别为(49.88±4.56)分、(67.43±7.13)分,明显高于对照组的(48.32±4.73)分、(61.72±2.63)分,差异均具有统计学意义(P<0.05);入组时,两组患者的SS-QOL评分比较差异无统计学意义(P>0.05),干预后1、3个月后,两组各评分均升高,组内比较差异有统计学意义(P<0.05),且观察�
Objective To explore the effect of rehabilitation training exercise program based on home tele-rehabilitation(HTR)platform on limb function recovery and cognitive function in stroke patients.Methods A total of 100 patients who were treated in Shaanxi Rehabilitation Hospital from June 2020 to July 2022 and met the clinical diagnostic criteria for stroke were prospectively selected as the research subjects.All patients voluntarily selected home rehabilitation treatment.According to random number table method,they were divided into an observation group and a control group,with 50 patients in each group.The patients in the control group were treated with routine care,while the patients in the observation group were given rehabilitation training exercise program based on the HTR platform on the basis of the control group.Fugl-Meyer Assessment Scale(FMA)and Berg Balance Scale(BBS)were used to compare the recovery of limb function between the two groups at the time of enrollment and 1 month and 3 months after discharge.The National Institutes of Health Stroke Scale(NIHSS)was used to compare the cognitive function recovery between the two groups.The modified Barthel Index(MBI)and the Stroke Special Quality of Life Scale(SS-QOL)were used to compare the daily life quality of the two groups.When returning to the hospital for re-examination after 3 months of home rehabilitation training,a self-made questionnaire was used to compare the satisfaction with nursing between the two groups.Results At enrollment,there were no significant differences in FMA and BBS scores between the two groups(P>0.05).After 1 month and 3 months of intervention,the scores of both groups were increased,while the FMA and BBS scores in the observation group were(62.88±4.93)points,(85.76±10.54)points,(32.88±4.23)points,(44.43±5.43)points,respectively,significantly higher than(50.32±4.53)points,(74.38±9.73)points,(25.32±4.56)points,(38.72±2.47)points in the control group(P<0.05).At enrollment,there were no significant differences in NIHSS and MBI
作者
王力
李莉莉
杨延辉
郭玲玲
王长春
魏爽
弥蓉
WANG Li;LI Li-li;YANG Yan-hui;GUO Ling-ling;WANG Chang-chun;WEI Shuang;MI Rong(The Second Department of Exercise Therapy,Shaanxi Rehabilitation Hospital,Xi'an 710065,Shaanxi,CHINA;Speech Language Therapy Department,Shaanxi Rehabilitation Hospital,Xi'an 710065,Shaanxi,CHINA;Occupational Therapy Department,Shaanxi Rehabilitation Hospital,Xi'an 710065,Shaanxi,CHINA)
出处
《海南医学》
CAS
2024年第7期928-933,共6页
Hainan Medical Journal
关键词
脑卒中
家庭远程康复平台
康复训练
认知功能
生存质量
Cerebral apoplexy
Home tele-rehabilitation platform
Rehabilitation training
Cognitive function
Quality of life
