三位一体化康复护理模式结合共情护理对老年脑卒中后偏瘫患者功能恢复的影响

Effect of trinity rehabilitation nursing model combined with empathy nursing on functional recovery of elderly patients with hemiplegia after stroke

目的研究三位一体化康复护理模式结合共情护理对老年脑卒中后偏瘫患者功能恢复的影响。方法选取2021年2月至2022年2月收治的120例老年脑卒中后偏瘫患者作为研究对象,随机将其分为对照组和观察组,各60例。对照组给予共情护理,观察组在对照组基础上施加三位一体化康复护理模式。比较两组的运动功能、神经功能、康复指标及心理状态。结果干预后,观察组的Fugl-Meyer运动功能评分量表上肢部分(FMA-UL)、下肢部分(FMA-LL)评分均高于对照组,美国国立卫生研究院卒中量表(NIHSS)评分低于对照组,差异具有统计学意义(P<0.05)。观察组的住院时间、至负重站立时间、恢复正常行走时间均短于对照组,差异具有统计学意义(P<0.05)。干预后,观察组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于对照组,差异具有统计学意义(P<0.05)。结论三位一体化康复护理模式联合共情护理不仅能促进老年脑卒中后偏瘫患者功能恢复,缩短恢复时间,还能改善其心理状态,值得推广。

Objective To study the effect of trinity rehabilitation nursing model combined with empathy nursing on functional recovery of elderly patients with hemiplegia after stroke.Methods A total of 120 elderly patients with hemiplegia after stroke admitted from February 2021 to February 2022 were selected as the study objects and randomly divided into control group and observation group,with 60 cases in each group.The control group was given empathy nursing,and the observation group was given trinity rehabilitation nursing model on the basis of the control group.The motor function,neurological function,rehabilitation indicators and psychological status of the two groups were compared.Results After intervention,the scores of Fugl-Meyer Assessment-Upper Limb(FMA-UL)and Fugl-Meyer Assessment-Lower Limb(FMA-LL)in the observation group were higher than those in the control group,the National Institutes of Health Stroke Scale(NIHSS)score was lower than that in the control group,and the differences were statistically significant(P<0.05).The hospitalization time,the time to weight-bearing standing and restore normal walking time of the observation group were shorter than those of the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The trinity rehabilitation nursing model combined with empathy nursing can not only promote the functional recovery of elderly patients with hemiplegia after stroke,shorten the recovery time,but also improve their psychological state,which is worthy of promotion.