摘要
目的:探讨渐进式模拟居家康复护理模式在脑卒中后肢体功能障碍患者中的应用效果。方法:选取上饶市立医院在2022年1月—2024年1月收治的脑卒中后伴有肢体功能障碍患者共86例作为研究对象,根据随机数字表法将其分为康复组(43例)和对照组(43例)。康复组采用渐进式模拟居家康复护理模式,对照组采用常规康复护理,两组均护理干预1个月。比较两组干预前后的肢体运动功能、平衡功能及生活质量。结果:干预前,两组Fugl-Meryer运动功能评分(FMA)得分及6 min步行距离比较,差异均无统计学意义(P>0.05),干预后,两组FMA得分及6 min步行距离均有所升高,且康复组均高于对照组,差异均有统计学意义(P<0.05);干预前,两组Berg平衡量表(BBS)得分比较,差异无统计学意义(P>0.05);干预后,两组BBS得分均上升,且康复组高于对照组,差异均有统计学意义(P<0.05);干预前,两组脑卒中专用生活质量量表(SS-QOL)各维度得分比较,差异均无统计学意义(P>0.05),干预后,两组SS-QOL各维度得分均升高,且康复组均高于对照组,差异均有统计学意义(P<0.05)。结论:渐进式模拟居家康复护理模式能够有效改善脑卒中后肢体功能障碍患者的肢体运动功能及平衡能力,提高患者生活质量。
Objective:To explore the application effect of progressive simulated home rehabilitation nursing model on patients with limb dysfunction after stroke.Method:A total of 86 patients with limb dysfunction after stroke in Shangrao Municipal Hospital were selected from January 2022 to January 2024 as the research subjects.According to the random number table method,they were divided into rehabilitation group(43 cases)and control group(43 cases).The rehabilitation group was given progressive simulated home rehabilitation nursing model,while the control group was given routine rehabilitation nursing.Both groups were given 1 month of nursing intervention.The limb motor function,balance function and quality of life were compared before and after intervention.Result:Before intervention,there were no statistical significances in Fugl-Meryer assessment scale(FMA)score and 6-min walking distance between the two groups(P>0.05).After intervention,the FMA scores and 6-minute walking distance in both groups were increased,and those in rehabilitation group were higher than those of control group,with statistical differences(P<0.05).There was no statistical significance in Berg balance scale(BBS)score between groups before intervention(P>0.05).The BBS scores in both groups were enhanced after intervention,and that in the rehabilitation group was higher than that in control group(P<0.05).Before intervention,there were no statistical significances in all dimensions scores of stroke specific quality of life scale(SS-QOL)between the two groups(P>0.05).After intervention,all dimensions scores of SS-QOL in both groups were elevated,and those in the rehabilitation group were higher than those of the control group,with statistical significances(P<0.05).Conclusion:Progressive simulated home rehabilitation nursing model can effectively improve the limb motor function and balance ability of patients with limb dysfunction after stroke,and enhance the quality of life of patients.
作者
陈胜男
翁红林
俞嘉昳
CHEN Shengnan;WENG Honglin;YU Jiayi(Department of Neurology,Shangrao Municipal Hospital,Shangrao 334000,China;不详)
出处
《中国医学创新》
CAS
2024年第33期100-104,共5页
Medical Innovation of China
关键词
渐进式模拟居家康复护理模式
脑卒中
肢体功能障碍
平衡功能
Progressive simulated home rehabilitation nursing model Stroke
Limb dysfunction
Balance function
