基于依从性曲线变化规律的阶段性护理干预对脑卒中偏瘫患者的影响

Effect of phased Nursing Intervention based on Compliance Curve Change on Stroke Patients with Hemiplegia

目的分析脑卒中偏瘫病患康复训练时开展基于依从性曲线变化规律的阶段性护理干预作用。方法选择驻马店市中心医院2020年3月至2021年12月收治的94例脑卒中偏瘫病患者为研究对象。使用随机数字表法将患者分为常规组(47例)及试验组(47例),将常规护理应用于常规组病患中,将基于依从性曲线变化规律的阶段性护理应用于试验组病患中。针对每组病患各时期自我效能感、训练依从性、下肢运动能力[Fugl-Meyer运动功能量表(FMA)]、平衡功能[Berg平衡量表(BBS)]、自我护理能力及日常生活能力进行比较。结果同组组内护理后自我效能感得分相较护理前高,护理后试验组病患自我效能感得分相较常规组高,差异有统计学意义(P<0.05)。同组组内护理后主动寻求建议、锻炼效果监测、身体锻炼得分相较护理前高,护理后试验组病患主动寻求建议、锻炼效果监测、身体锻炼得分相较常规组高,差异有统计学意义(P<0.05)。同组组内护理后FMA得分及BBS得分相较护理前高,护理后试验组病患FMA得分及BBS得分相较常规组高,差异有统计学意义(P<0.05)。同组组内护理后自我护理能力得分相较护理前高,护理后试验组病患自我护理能力得分相较常规组高,差异有统计学意义(P<0.05)。同组组内护理后日常生活能力得分相较护理前高,护理后试验组病患日常生活能力得分相较常规组高,差异有统计学意义(P<0.05)。结论脑卒中偏瘫病患康复训练时开展基于依从曲线变化规律的阶段性护理干预,能够提高自我效能感,强化训练依从性,提升下肢运动能力、平衡功能及自我护理能力,进一步提高其日常生活能力,发挥重要作用。

Objective To analyze the effect of phased nursing intervention based on the change rule of compliance curve in the rehabilitation training of stroke patients with hemiplegia.Methods A total of 94 stroke patients with hemiplegia admitted to Zhumadian Central Hospital from March 2020 to December 2021 were selected as the study subjects.The patients were divided into the conventional group(47 cases)and the test group(47 cases)by using the random number table method.Routine nursing was applied to the patients in the conventional group,and phased nursing based on the change rule of compliance curve was applied to the patients in the test group.The self-efficacy,training compliance,lower limb motor ability[Fugl-Meyer motor function assessment(FMA)],balance function[Berg balance scale(BBS)],self-care ability and daily living ability of each group of patients in each period were compared.Results In the same group,the score of self-efficacy after nursing was higher than that before nursing,and the score of self-efficacy of patients in the test group after nursing was higher than that in the conventional group,the difference was statistically significant(P<0.05).The scores of active seeking advice,exercise effect monitoring and physical exercise in the same group after nursing were higher than those before nursing,and the scores of active seeking advice,exercise effect monitoring and physical exercise in the test group after nursing were higher than those in the conventional group,with a statistically significant difference(P<0.05).In the same group,the FMA score and BBS score after nursing were higher than those before nursing,and the FMA score and BBS score of patients in the test group after nursing were higher than those in the conventional group,with a statistically significant difference(P<0.05).The scores of self-care ability after nursing in the same group were higher than those before nursing,and the scores of self-care ability of patients in the test group after nursing were higher than those in the conventional group,with a statistically significant difference(P<0.05).In the same group,the score of daily living ability after nursing was higher than that before nursing,and the score of daily living ability of patients in the test group after nursing was higher than that in the conventional group,with a statistically significant difference(P<0.05).Conclusion The phased nursing intervention based on the change rule of compliance curve in rehabilitation training of stroke patients with hemiplegia can improve their sense of self-efficacy,strengthen training compliance,improve their lower limb movement ability,balance function and self-care ability,further improve their daily life ability and play an important role.