基于HTR平台的康复运动方案治疗脑卒中的效果及其对患者自我效能水平、生活质量的影响

Effect of rehabilitation exercise program based on Home Tele-rehabilitation platform in the treatment of stroke and its impact on self-efficacy level and quality of life in the patients

目的 探讨基于家庭远程康复(HTR)平台的康复运动方案干预脑卒中的效果及对患者自我效能水平、生活质量的影响。方法 选择2020年1月至2021年1月陕西省森工医院神经内科门诊治疗并院外随访护理的100例脑卒中患者为研究对象,按随机数表法分为对照组和观察组各50例,分别采用常规护理和基于HTR平台的康复运动方案护理。院外随访8周后,比较两组患者的焦虑自评量表(SAS)、抑郁自评量表(SDS)、一般自我效能量表(GSES)、中文版简易智力状态检查量表(MMSE)及健康调查简表(SF-36)评分的变化,并统计两组患者的满意度评分。结果 护理后,两组患者的SAS、SDS评分均较护理前降低,且观察组的SAS、SDS评分分别为(23.19±2.67)分、(22.17±2.91)分,明显低于对照组的(32.67±3.29)分、(30.55±3.04)分,差异均有统计学意义(P<0.05);护理后,两组患者的GSES、MMSE评分均升高,且观察组的GSES、MMSE评分分别为(32.45±3.65)分、(27.12±4.01)分,明显高于对照组的(24.56±3.06)分、(22.40±3.96)分,差异均有统计学意义(P<0.05);护理后,两组患者的社会功能、躯体功能、物质生活、情感职能评分均升高,且观察组的社会功能、躯体功能、物质生活、情感职能评分明显高于对照组,差异均有统计学意义(P<0.05);护理后,观察组患者的护理态度、护理沟通、健康教育评分分别为(29.56±3.73)分、(28.31±3.66)分、(29.12±4.12)分,明显高于对照组的(27.12±2.95)分、(26.12±3.19)分、(27.18±3.82)分,差异均有统计学意义(P<0.05)。结论 基于HTR平台的康复运动方案可缓解脑卒中患者的负面情绪,提高患者自我效能、认知功能及生活质量,患者对护理的满意度高,可在临床推广运用。

Objective To explore the effect of rehabilitation exercise program based on Home Tele-rehabilita-tion(HTR)platform in the treatment of stroke and its impact on patients'self-efficacy and quality of life.Methods A total of 100 patients with stroke in the Department of Neurology,Sengong Hospital of Shaanxi Province from January 2020 to January 2021 were selected as the study objects.They were divided into a control group and an observation group according to the random number table method,with 50 patients in each group.They were treated with routine nurs-ing and rehabilitation exercise program based on HTR platform.After 8 weeks of follow-up,the changes in the scores of Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),General Self-efficacy Scale(GSES),Simplified Mental State Examination Scale(MMSE)in Chinese version and Short Form of Health Survey(SF-36)were compared between the two groups,and the satisfaction scores of the two groups were recorded.Results After nursing,the SAS and SDS scores of the two groups were significnatly lower than those before nursing,and the SAS and SDS scores in the observation group were(23.19±2.67)points and(22.17±2.91)points,respectively,which were significantly lower than(32.67±3.29)points and(30.55±3.04)points in the control group(P<0.05).After nursing,the GSES and MMSE scores of the two groups increased,and the GSEs and MMSE scores in the observation group were(32.45±3.65)points and(27.12±4.01)points,respectively,which were significantly higher than(24.56±3.06)points and(22.40±3.96)points in the control group(P<0.05).After nursing,the scores of social function,physical function,material life,and emotional function of the two groups increased,and the scores of the observation group were significantly higher than those of the control group(P<0.05).After nursing,the scores of nursing attitude,nursing communication,and health education in the observation group were(29.56±3.73)points,(28.31±3.66)points,and(29.12±4.12)points,which were significantly higher than(27.12±2.95)points,(26.12±3.19)points,and(27.18±3.82)points in the control group(P<0.05).Conclusion The rehabilitation exercise program based on HTR platform can alleviate the negative emotions of stroke patients,improve the self-efficacy,cognitive function and quality of life of patients,and enhance patient's satisfaction with nursing,which can be promoted and applied in clinical practice.