时效性激励干预模式对高血压脑出血术后患者康复效果的影响

Influence of Timely Incentive Intervention Model on Rehabilitation Effect in Postoperative Patients with Hypertensive Intracerebral Hemorrhage

目的:探讨时效性激励干预模式对高血压脑出血术后患者的康复效果的影响.方法:选取2021年1月至2022年12月本院收治的80例高血压脑出血术后患者作为研究对象.随机将其分为研究组(n=40,给予时效性激励护理干预)和对照组(n=40,给予传统护理干预).比较两组患者的心理状态[焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分和运动锻炼自我效能感量表(ESES)评分],神经功能[美国国立卫生研究院卒中量表(NIHSS)评分],运动功能[Fugl-Meyer运动功能评估量表(FMAS)评分]和认知功能[蒙特利尔认知评估量表(MoCA)评分].结果:护理后,研究组患者SAS评分、SDS评分低于对照组,ESES评分高于对照组,差异均有统计学意义(P<0.05);研究组NIHSS评分低于对照组,FMAS、MoCA评分高于对照组,差异均有统计学意义(P<0.05).结论:对高血压脑出血患者术后采用时效性激励干预,可改善患者心理状态,提高神经功能、运动能力和认知功能.

Objective:To explore the influence of a timely incentive intervention model on rehabilitation effect in postoperative patients with hypertensive intracerebral hemorrhage.Methods:Eighty postoperative patients with hypertensive intracerebral hemorrhage admitted to our hospital from January 2021 to December 2022 were selected as the study subjects.They were randomly divided into the study group(n=40)and the control group(n=40).The study group implemented timely incentive nursing interventions,while the control group received traditional nursing interventions.The psychological states[the scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS),and exercise self efficacy scale(ESES)],the neurological function[the scores of the National Institutes of Health stroke scale(NIHSS)],motor function[Fugl-meyer assessment scale(FMAS)]and cognitive function[montreal cognitive assessment(MoCA)]were compared between the two groups.Results:The scores of SAS and SDS after nursing in the study group were lower than those in the control group,while the score of ESES was higher than that in the control group,and the differences were statistically significant(P<0.05).The NIHSS score of the study group was lower than that of the control group,while the FMAS and MoCA scores were higher than those of the control group,and there were significant differences(P<0.05).Conclusion:The timely incentive interventions after surgery for hypertensive intracerebral hemorrhage can improve the patient's psychological state,enhance neurological functions,motor ability,and cognitive functions.