阶段式康复锻炼在脑卒中患者中的效果观察

Effect of staged rehabilitation exercise on patients with stroke

目的探讨分析阶段式康复锻炼在脑卒中患者中的临床应用效果。方法204例脑卒中患者,随机分为研究组和观察组,每组102例。观察组采用常规康复锻炼,研究组采用阶段式康复锻炼。对比两组锻炼前后依从情况、健康知识认知情况、锻炼前后脑卒中专用生活质量量表(SS-QOL)评分。结果锻炼后,研究组患者的健康知识认知度明显优于观察组,健康知识认知评分(92.16±7.50)分明显高于观察组的(83.65±7.25)分,差异均有统计学意义(P<0.05)。锻炼后,研究组患者的依从性明显优于观察组,依从性评分(7.52±0.45)分明显高于观察组的(7.01±0.40)分,差异均有统计学意义(P<0.05)。锻炼后,研究组患者的躯体功能、社会参与、心理状态、主观感受、特异性评分分别为(71.38±5.63)、(70.28±5.84)、(65.65±6.24)、(68.78±6.02)、(60.75±5.05)分,均明显高于观察组的(62.52±5.13)、(57.87±4.46)、(53.16±5.26)、(56.63±5.11)、(51.64±4.42)分,差异有统计学意义(P<0.05)。结论阶段式康复锻炼在脑卒中患者中的应用效果良好,对提高患者的治疗依从性和生活质量具有积极的临床意义。

Objective To discuss the clinical effect of staged rehabilitation exercise on patients with stroke.Methods A total of 204 patients with stroke were randomly divided into research group and observation group,with 102 cases in each group.The observation group used conventional rehabilitation exercises,while the research group used staged rehabilitation exercises.The compliance,health knowledge cognition,and stroke specific quality of life scale(SS-QOL)scores before and after exercise were compared between the two groups.Results After exercise,the health knowledge cognition of in the research group was significantly better than that in the observation group,and the score of health knowledge cognition(92.16±7.50)points was significantly higher than(83.65±7.25)points of the observation group.All the differences were statistically significant(P<0.05).After exercise,the compliance in the research group was significantly better than that in the observation group,and the compliance score(7.52±0.45)points was significantly higher than(7.01±0.40)points in the observation group.All the differences were statistically significant(P<0.05).After exercise,the physical function,social participation,psychological state,subjective feeling and specificity scores in the research group were(71.38±5.63),(70.28±5.84),(65.65±6.24),(68.78±6.02),and(60.75±5.05)points,which were significantly higher than(62.52±5.13),(57.87±4.46),(53.16±5.26),(56.63±5.11),and(51.64±4.42)points in the observation group,and the differences were statistically significant(P<0.05).Conclusion The application of staged rehabilitation exercise is effective in patients with stroke,which has positive clinical significance to improve the treatment compliance and quality of life of patients.