行动研究法在急性脑卒中康复期患者中的应用效果

Effects of action research method on patients in the acute stroke rehabilitation period

目的探究基于行动研究法的干预模式对急性脑卒中患者康复期的护理效果。方法选取2016年1月-2017年1月我院收治的行常规干预的急性脑卒中康复期患者53例作为对照组,选取2017年2月-2018年2月我院收治的采用行动研究法干预的急性脑卒中康复期患者53例作为观察组。比较2组干预前后焦虑抑郁情况、运动功能、日常生活能力以及并发症发生率。结果干预后,观察组SAS及SDS评分均低于对照组(t=4.424,P<0.001;t=4.795,P<0.001);FMA及Barthel评分均高于对照组(t=8.546,P<0.001;t=7.364,P<0.001);关节挛缩、肩关节半脱位及肩手综合征发生率均低于对照组(P<0.05)。结论采用行动研究法对急性脑卒中康复期患者进行干预可有效改善其不良情绪,提高患者运动功能及日常生活能力,降低并发症发生率,值得推广。

Objective To explore the effect of intervention model based on action research method on the rehabilitation of acute stroke survivors.Methods A total of 53 acute stroke survivors treated between January 2016 and January 2017 were selected as the control group,while another 53 counterparts treated between February 2017 and February 2018 were chosen into the experimental group.The control group was given routine nursing,while the experimental group was provided with nursing based on action research.The adverse emotions of depression and anxiety,motor function,daily living ability and the incidence of complications were compared between the two groups before and after the intervention.Results After the intervention,the self-rating anxiety and depression scale scores of the observation group were significantly lower than those of the control group(t=4.424,P<0.001;t=4.795,P<0.001),while the FMA and Barthel scores of the former were significantly higher than the latter(t=8.546,P<0.001;t=7.364,P<0.001).Moreover,the incidence of joint contracture,shoulder subluxation and shoulder-hand syndrome of the observation group were lower than the latter(P<0.05).Conclusion The intervention based on action research can effectively relieve adverse moods,improve motor function and daily living ability,and reduce the incidence of complications of acute stroke survivors.Therefore,it is worth of promoting in the clinical practice.