网络视频健康教育在急性脑梗死后遗症患者康复锻炼中的应用

Application of Network Video Health Education in Rehabilitation Exercise for Acute Cerebral Infarction Patients with Sequelae

目的:探讨网络视频健康教育在急性脑梗死(ACI)后遗症患者康复锻炼中的应用效果。方法:选取2014年3月1日~2016年3月31日收治的30例ACI后遗症患者为对照组,在其康复锻炼期间给予常规健康教育;选取2016年4月1日~2018年10月31日收治的30例ACI后遗症患者为观察组,在其康复锻炼期间给予网络视频健康教育,两组均干预3个月。比较两组康复锻炼依从性、神经功能缺损程度恢复情况[采用美国国立卫生院卒中量表(NHISS)]、干预前后日常生活能力[采用Barthel指数(BI)量表]、运动功能[采用Fugl-Meyer运动功能量表(FMA)]、认知功能[采用简易智力状态检查量表(MMSE)]。结果:观察组康复锻炼完全依从性、神经功能缺损程度恢复有效率均高于对照组(P<0.05);干预后,观察组BI、FMA及MMSE评分均高于干预前(P<0.01),且观察组均高于对照组(P<0.01,P<0.05)。结论:网络视频健康教育有助于提高ACI后遗症患者康复锻炼依从性,促进神经功能恢复,提高患者日常生活能力、运动和认知功能。

Objective:To explore the application effect of network video health education in rehabilitation exercise for patients with acute cerebral infarction(ACI)sequelae.Methods:A total of 30 patients with ACI sequelae admitted from March 1,2014 to March 31,2016 were selected as the control group,and they received routine health education during rehabilitation exercise.From April 1,2016 to October 31,2018,30 patients with ACI sequelae admitted were selected as the observation group,and they were given network video health education during their rehabilitation exercise.The intervention last for 3 months for both groups.The two groups were compared in terms of rehabilitation exercise compliance,degree of neurological impairment recovery,daily living ability before and after intervention[Barthel index(BI)scale],motor function[Fugl-meyer assessment(FMA)],and cognitive function[Mini-mental State Examination(MMSE)].Results:The rehabilitation exercise compliance and degree of neurological impairment recovery in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of BI,FMA and MMSE in the observation group were higher than those before intervention(P<0.01),and those in the observation group were higher than those in the control group(P<0.01,P<0.05).Conclusion:Network video health education is helpful to improve the rehabilitation exercise compliance of ACI sequelae patients and promote the recovery of neurological function,which can improve the daily living ability,motor and cognitive functions of patients.