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Orem自理模式结合康复训练对于高血压脑卒中患者恢复期肢体功能及生活质量的影响 被引量:5

Effects of Orem Self-Care Model Combined with Rehabilitation Training on Limb Function and Quality of Life in Patients with Hypertensive Stroke
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摘要 目的给予高血压脑卒中患者Orem自理模式结合康复训练,观察患者在恢复期肢体功能及生活质量的变化情况。方法选取2020年4月至2021年3月于淅川县中医院诊治的104例高血压合并脑卒中患者作为研究对象,根据随机数表法将患者分为对照组与联合组,各52例。两组患者均接受康复训练治疗,对照组接受常规护理干预,联合组接受Orem自理模式干预,对两组患者均连续干预3个月。比较干预前后两组患者高血压脑卒中患者血压控制情况,采用美国国立卫生研究院卒中量表(NIHSS)与改良Barthel指数评价患者的神经功能与日常生活活动功能,Fugl-Meyer运动功能测评法(FMA)与脑卒中专用生活质量量表(SS-QOL)评价患者的肢体运动功能与生活质量。结果干预前,两组患者血压水平及各项量表指标评分比较,差异无统计学意义(P>0.05)。干预后两组患者血压水平均得到有效控制,神经功能、日常生活活动能力、肢体运动功能及生活质量均较干预前提高,且联合组各指标改善效果均优于对照组,差异有统计学意义(P<0.05)。结论 Orem自理模式结合康复训练有助于高血压脑卒中患者控制自身血压水平,提高肢体运动功能并改善日常生活质量。 Objective Orem self-care mode combined with rehabilitation training was given to hypertensive stroke patients to observe the changes of limb function and quality of life in the convalescing period.Methods A total of 104 patients with hypertension complicated with stroke who were admitted to Xichuan Hospital of Traditional Chinese Medicine from April 2020 to March 2021 were selected as research subjects.The patients were divided into control group and combination group according to random number table method,with 52 patients in each group.Patients in both groups received rehabilitation training treatment.Routine nursing intervention was given to the control group,and Orem self-care mode intervention was given to the combined group.The two groups of patients were continuous intervention for 3 months.The blood pressure control of hypertensive stroke patients before and after the intervention was recorded,and the neurological function and activities of daily living function of patients were evaluated by the National Institutes of Health Stroke Scale(NIHSS) and modified Barthel index.Fugl-Meyer assessment of motor function(FMA) and stroke specific quality of life Scale(SS-QOL) were used to evaluate the changes of limb motor function and quality of life of patients.Results Before the intervention,there was no significant difference in blood pressure level and scores of various scales between the two groups(P>0.05).After clinical intervention,the blood pressure level of 2 groups was effectively regulated,and the neurological function,activities of daily living,limb motor function and quality of life were significantly improved(P<0.05).The improvement effect of all indicators in the combined group were better than that in the control group(P<0.05).Conclusion Orem self-care mode combined with rehabilitation training is helpful to control blood pressure level,improve limb motor function and improve the quality of daily life in patients with hypertensive stroke.
作者 岳艳静 付晓蕾 闫君 YUE Yanjing;FU Xiaolei;YAN Jun(Department of Internal Medicine,Xichuan Hospital of Traditional Chinese Medicine,Nanyang 474450,China;Department of Internal Medicine,Zhang Zhongjing Hospital,Nanyang 473000,China)
出处 《河南医学研究》 CAS 2021年第32期6118-6121,共4页 Henan Medical Research
关键词 高血压 脑卒中 肢体功能 生活质量 OREM自理模式 hypertension cerebral apoplexy limb function quality of life Orem self care model
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