肌力分级的功能训练视频宣教对脑梗死偏瘫患者康复效果的影响

Effect of video education on functional training of muscle strength grading on rehabilitation of hemiplegic patients with cerebral infarction

目的 探讨肌力分级的功能训练视频宣教对脑梗死偏瘫患者功能锻炼依从性及日常生活自理能力的影响。方法 采用随机抽样法,选取2020年12月至2021年11月该院收治的188例脑梗死偏瘫患者为研究对象,按照随机数字表法分为试验组和对照组各94例,试验组给予个性化的肌力分级功能训练视频宣教进行干预,对照组给予传统的健康宣教进行干预。分别统计两组干预前及干预后1个月的功能锻炼依从率、功能锻炼依从性得分、美国国立卫生研究院卒中量表(NIHSS)得分和Barthel指数得分。结果 干预后试验组功能锻炼依从率、功能锻炼依从性得分、NIHSS得分和Barthel指数得分优于对照组(P<0.05)。结论 对脑梗死偏瘫患者应用肌力分级的功能训练视频宣教,能提高患者功能锻炼依从性,促进肢体功能恢复,提高患者生活自理能力。

Objective To explore the effect of video education on functional training of muscle strength grading on functional exercise compliance and self-care ability of daily living of hemiplegic patients with cerebral infarction.Methods A total of 188hemiplegic patients with cerebral infarction in this hospital from December 2020 to November 2021 were selected by random sampling method.According to the random number table,all patients were divided into the experimental group and the control group,with 94 cases in each group.The experimental group was given personalized functional training video education of muscle strength grading,while the control group was given traditional health education.The functional exercise compliance score and compliance rate,National Institute of Health stroke scale(NIHSS) score and Barthel score were evaluated in the two groups before and one month after intervention.Results After the intervention,the functional exercise compliance rate,the score of functional exercise compliance and scores of all dimensions,NIHSS score and Barthel score were better than those in the control group(P<0.05).Conclusion The application of functional training video education of muscle strength grading for hemiplegic patients with cerebral infarction can improve the compliance of patients with functional exercise,promote the recovery of limb function,and improve the self-care ability of patients.