阶梯式融合MOTOmed训练护理对脑出血后偏瘫患者FMA、BBS及SPBS评分的影响

Effect of Stepwise Integrated MOTOmed Training Nursing on FMA, BBS and SPBS Scores of Hemiplegia Patients after Cerebral Hemorrhage

目的:研究阶梯式融合MOTOmed训练护理对脑出血后偏瘫患者Fugl-Meyer运动功能评分量表(FMA)、Berg平衡量表(BBS)及自我感受负担量表(SPBS)评分的影响。方法:将2019年1月-2020年11月沈阳医学院附属第二医院收治的83例脑出血后偏瘫患者纳入研究,将其以电脑随机数字表法分为阶梯组41例和常规组42例。常规组开展常规康复训练护理,阶梯组则开展阶梯式融合MOTOmed训练护理。分析两组干预前后FMA、BBS、SPBS及生活质量评分变化情况,并发症发生情况。结果:干预3个月后,阶梯组FMA、BBS评分均高于常规组(P<0.05)。干预3个月后,阶梯组各项SPBS评分及总分均低于常规组(P<0.05)。阶梯组并发症发生率低于常规组,差异有统计学意义(P<0.05)。干预1、3个月后,阶梯组的生活质量评分均高于常规组(P<0.05)。结论:阶梯式融合MOTOmed训练护理可显著改善脑出血后偏瘫患者的肢体运动功能及平衡功能,同时有助于减轻自我感受负担,降低并发症发生率,提高生活质量。

Objective:To study the effects of stepwise integrated MOTOmed training nursing on Fugl-Meyer motor function scale (FMA),Berg balance scale (BBS) and self-perceived burden scale (SPBS) scores of hemiplegia patients after cerebral hemorrhage.Method:A total of 83 patients with hemiplegia after intracerebral hemorrhage admitted to the Second Affiliated Hospital of Shenyang Medical College from January 2019 to November 2020 were enrolled in this study,they were divided into ladder group (n=41) and conventional group (n=42) by computer random number table method.The conventional group carried out conventional rehabilitation training and nursing,while the ladder group carried out stepwise integrated MOTOmed training and nursing.The changes of FMA,BBS,SPBS and quality of life score before and after intervention and the incidence of complications were analyzed.Result:After3 months of intervention,FMA and BBS scores in ladder group were higher than those in conventional group (P<0.05).After 3 months of intervention,SPBS scores and total scores of the ladder group were lower than those of the conventional group (P<0.05).The complication rate of the ladder group was lower than that of the conventional group,the difference was statistically significant (P<0.05).After 1 and 3 months of intervention,the quality of life scores of ladder group were higher than those of conventional group (P<0.05).Conclusion:Stepwise integrated MOTOmed training nursing can significantly improve the limb motor function and balance function of hemiplegia patients after intracerebral hemorrhage,and help to reduce the burden of self-perception,reduce the incidence of complications,and improve the quality of life.