基于问题导向的分级康复策略在脑梗死恢复期患者中的应用

Application of Problem-Based Graded Rehabilitation Strategy in Patients with Cerebral Ischemic Stroke during Recovery Period

目的:探讨基于问题导向的分级康复策略,在脑梗死恢复期患者中的应用效果.方法:选取2022年1月至2023年6月本院78例脑梗死恢复期患者为研究对象.以随机数字表法将其分为观察组(n=39,采用常规康复护理联合基于问题导向的分级康复策略干预)和对照组(n=39,仅采用常规康复护理).对两组患者均干预3个月.采用统计学分析方法,对两组患者干预前、后运动能力评定量表(FMA)评分、日常生活能力评定量表(ADL)评分及生活质量综合评定问卷(GQOLI-74)评分进行比较.结果:观察组FMA评分、ADL评分、GQOLI-74评分,均高于对照组,差异均有统计学意义(P<0.05).结论:基于问题导向的分级康复策略,可提高脑梗死恢复期患者运动能力及日常生活自理能力,并提高患者生活质量.

Objective:To explore the application effect of problem-based graded rehabilitation strategy in patients with cerebral ischemic stroke during the recovery period.Methods:A total of 78 patients with cerebral ischemic stroke during the recovery period in our hospital from January 2022 to June 2023 were selected in the study.They were divided into observation group(n=39,received routine rehabilitation nursing and problem-based graded rehabilitation strategy)and control group(n=39,received routine rehabilitation nursing only)by a random number table method.Both groups were intervened for 3 months.The scores of the Fugl-Meyer motor function assessment(FMA),activities of daily living assessment scale(ADL)and general quality of life inventory-74(GQOLI-74)before and after the intervention were compared between the two groups by statistical method.Results:After the intervention,the FMA score,ADL score,and GQOLI-74 score in observation group were higher than those in control group,with a statistical significant differences(P<0.05).Conclusion:The problem-based graded rehabilitation strategy can improve the motor ability and daily life self-care ability of patients with cerebral ischemic stroke during the recovery periodrecovery,and improve the quality of life of patients.