阶段性康复护理干预对脑梗死后偏瘫患者锻炼依从性及肢体运动功能的影响研究

Effects of Staged Rehabilitation Nursing Intervention on Exercise Compliance and Limb Motor Function of Patients with Hemiplegia after Cerebral Infarction

目的:探讨阶段性康复护理干预对脑梗死后偏瘫患者锻炼依从性及肢体运动功能的影响.方法:选取2017年11月至2020年11月于本院就诊的98例脑梗死后偏瘫患者作为研究对象.采用随机数字表法,将其分为研究组(n=49,采取阶段性康复护理干预)和对照组(n=49,采取常规护理干预).比较两组患者的锻炼依从性、生存质量[简明健康调查问卷(SF-36)]及肢体运动功能评分[Fugl-Meyer评分量表(FMA)].结果:①研究组总依从率为95.92%(47/49),显著高于对照组总依从率87.76%(43/49),差异有统计学意义(P<0.05);②干预后,研究组SF-36各项评分高于对照组,差异有统计学意义(P<0.05);③干预后,两组FAM评分均较干预前升高,且研究组升高明显,差异有统计学意义(P<0.05).结论:对脑梗死后偏瘫患者采取阶段性康复护理能够提高其运动功能,提高患者的锻炼依从性及生存质量,具有推广使用价值.

Objective:To study effects of phased rehabilitation nursing intervention on exercise compliance and limb motor function in patients with hemiplegia after cerebral infarction.Methods:Ninety-eight patients with hemiplegia after cerebral infarction who were treated in our hospital from November 2017 to November 2020 were selected,and they were randomly divided into study group(n=49,stage rehabilitation nursing intervention)and control group(n=49,routine nursing intervention).The exercise compliance,quality of life[determined by the MOS 36-item short from health survey(SF-36)] and Fugl-Meyer motor function assessment scale(FMA)scores were compared between the two groups.Results:The total compliance rate of the study group(95.92%,47/49)was significantly higher than that of the control group(87.76%,43/49),the difference was statistically significant(P<0.05).After intervention,the SF-36 scores of the study group were higher than those of control group,and the differences were statistically significant(P<0.05).After the intervention,the FAM scores of the two groups were higher than those before the intervention(P<0.05),the increase was more obvious in the study group,the difference was statistically significant(P<0.05).Conclusion:Taking staged rehabilitation nursing intervention for patients with hemiplegia after cerebral infarction can promote the recovery of their motor function,improves the patient's exercise compliance and quality of life,and has application value.