奥塔戈运动联合萧氏双C护理模式在脑出血后遗运动障碍老年患者中的应用

Application of Otago Movement combined with Xiao’s Double C nursing mode in elderly patients with dyskinesia after cerebral hemorrhage

目的分析奥塔戈运动联合萧氏双C护理模式在脑出血后遗运动障碍老年患者中应用的效果。方法选取2015年11月至2018年11月新沂市人民医院收治确诊为脑出血后遗症运动障碍患者82例作为研究对象,采用随机数字表将所选患者分为试验组和对照组,各41例。对照组患者给予常规护理+奥塔戈运动康复训练,试验组在对照组护理的基础上采取萧氏双C护理模式对患者进行护理。采用Berg平衡量表(BBS)评价患者的平衡功能,应用Fugl-Meyer评定量表评价患者肢体运动功能,选择Barthel指数评价日常生活能力。结果两组患者干预前各评价指标比较差异均无统计学意义(均P>0.05);干预后,两组的Fugl-Meye、BBS、Barthel指数评分均显著高于干预前(均P<0.05),与同期对照组比较,试验组均提高的更加明显(P<0.05)。结论奥塔戈运动联合萧氏双C护理模式较常规护理+奥塔戈运动康复训练对改善脑出血后遗运动障碍老年患者的肢体运动功能、平衡功能及生活自理能力更加有效。

Objective To analyze the application effect of Otago Movement combined with Xiao s Double C nursing mode in elderly patients with dyskinesia after cerebral hemorrhage.Methods From November 2015 to November 2018,82 patients admitted to Xinyi People s Hospital and diagnosed as dyspraxia of cerebral hemorrhage sequelae were selected and divided into experimental group and control group by random number table method,with 41 patients in each group.Patients in the control group were given routine nursing and Otago sports rehabilitation training.Meanwhile,patients in the experimental group were given the Xiao s Double C nursing mode on the basis of intervention in the control group.The Berg balance scale(BBS)was used to evaluate the patients balance function.And the Fugl-Meyer scale was used to evaluate the patients limb motor function.The Barthel index was selected to evaluate daily living ability of the patients.Results There was no significant difference in each evaluation index between the two groups before intervention(P>0.05).The scores of Fugl-Meye scale,BBS and Barthel index in the two groups after intervention were significantly higher than those before intervention(P<0.05).Compared with the control group during the same period,the patients experimental group showed more significant improvement(P<0.05).Conclusions The integration of Otago exercise and Xiao s Double C nursing mode shows better effect than conventional nursing+Otago rehabilitation training in improving limb motor function,balance function and self-care ability of elderly patients with dyspraxia after cerebral hemorrhage.