医院-社区-家庭康复护理模式联合核心稳定性训练对脑卒中恢复期患者功能康复的影响

Effect of hospital-community-family rehabilitation nursing model combined with core stability training on functional rehabilitation of stroke patients in convalescent stage

目的探讨医院-社区-家庭康复护理模式联合核心稳定性训练对脑卒中恢复期患者功能康复的影响。方法选取2020年5月至2021年5月该院收治的脑卒中恢复期患者106例,采用随机数字表法分为研究组和对照组,每组53例。对照组予以常规护理,研究组在常规护理基础上予以医院-社区-家庭康复护理模式联合核心稳定性训练。统计比较两组患者康复训练依从率,以及干预前、干预6个月后运动功能[简式Fugl-Meyer量表(FMA)评分]、平衡能力[Berg平衡量表(BBS)评分]、日常生活活动能力[改良Barthel指数评定量表(MBI)评分]等。结果研究组患者康复训练依从率,以及干预6个月后上、下肢FMA,BBS,MBI评分均明显高于对照组,差异均有统计学意义(P<0.05)。结论医院-社区-家庭康复护理模式联合核心稳定性训练可提高脑卒中恢复期患者康复训练依从性,改善患者运动能力及平衡能力,提高日常生活活动能力。

Objective To explore the effect of hospital community family rehabilitation nursing model combined with core stability training on functional rehabilitation of stroke patients in convalescent stage.Methods 106 stroke patients in convalescent stage in our hospital from May 2020 to may 2021 were selected,According to the random number table method,they were divided into control group(n=53)and study group(n=53).The control group was given routine nursing,and the study group was given hospital community family rehabilitation nursing mode combined with core stability training on the basis of the control group.The compliance rate of rehabilitation training and motor function,balance ability(BBS)and activities of daily living of the two groups were statistically compared before intervention and 6 months after intervention.Results The compliance rate of rehabilitation training in the study group was 96.23%higher than 79.25%in the control group(P<0.05);after 6 months of intervention,the motor function scores of upper and lower limbs in the study group were higher than those in the control group(P<0.05);after 6 months of intervention,the BBS and MBI scores in the study group were higher than those in the control group.Conclusion The hospital community family rehabilitation nursing model combined with core stability training can improve the compliance of rehabilitation training,improve the exercise ability and balance ability,and improve the ability of daily.