基于目标导向的康复策略对颅脑损伤术后患者恢复的影响

The Impact of Goal Oriented Rehabilitation Strategies on Postoperative Recovery of Patients with Traumatic Brain Injury

目的探讨基于目标导向的康复策略对颅脑损伤术后患者恢复的影响。方法本研究为前瞻性随机对照试验,纳入医院2020年2月-2022年8月84例颅脑损伤患者,根据随机数字表法分为对照组(n=42)和研究组(n=42)。对照组给予常规护理干预,研究组在对照组基础上实施基于目标导向的康复策略。分别于干预前、干预后采用Fugl-Meyer运动量表(FM)评估患者肢体运动功能,采用Brathel指数评分评估患者生活自理能力,采用美国国立卫生研究院卒中量表(NIHSS)评估患者神经功能。结果干预前,两组FM上肢、下肢、总分、Brathel指数、NIHSS评分比较,差异无统计学意义(P>0.05);干预后,研究组FM上肢、下肢、总分、Brathel指数评分均高于对照组(P<0.05),研究组NIHSS评分低于对照组(P<0.05)。结论基于目标导向的康复策略能提高颅脑损伤术后患者肢体运动功能和生活自理能力,改善患者神经功能。

Objective To explore the impact of goal oriented rehabilitation strategies on postoperative recovery of patients with traumatic brain injury.Method This study was a prospective randomized controlled trial,involving 84 patients with traumatic brain injury from the hospital from February 2020 to August 2022.They were divided into a control group(n=42)and a study group(n=42)according to the random number table method.The control group received routine nursing intervention,while the study group implemented a goal oriented rehabilitation strategy on the basis of the control group.Before and after intervention,the Fugl-Meyer Exercise Scale(FM)was used to assess the patient's limb motor function,the Brathel Index score was used to assess the patient's self-care ability,and the National Institutes of Health Stroke Scale(NINI HSS)was used to assess the patient's neurological function.Result Before intervention,there was no statistical significant difference in FM upper limb,lower limb,total score,Brathel index and NINI HSS score between the two groups(P>0.05).After intervention,the FM upper limb,lower limb,total score and Brathel index score of the study group were higher than those of the control group(P<0.05),and the NINI HSS score of the study group was lower than that of the control group(P<0.05).Conclusion A goal oriented rehabilitation strategy can improve limb motor function and self-care ability of patients after traumatic brain injury surgery,and improve their neurological function.