时机理论护理结合表情肌康复训练对周围性面瘫患者面神经功能康复效果分析

Analysis of Rehabilitation Effect of Timing Theory Nursing Combined with Facial Muscle Rehabilitation Training on Facial Nerve Function in Patients with Peripheral Facial Paralysis

目的:探讨时机理论护理结合表情肌康复训练对周围性面瘫患者面神经功能康复的效果。方法:选择2021年6月-2023年6月枣庄市峄城区人民医院收治的68例周围性面瘫患者为研究对象,按照随机数字表法将患者分为对照组与观察组,各34例。对照组采用常规护理,观察组采用时机理论护理结合表情肌康复训练,两组均护理6个月。比较两组的面神经功能、负性情绪、生活质量及护理满意度。结果:护理后,观察组面瘫House-Brackmann分级优于对照组,差异有统计学意义(P<0.05);两组焦虑自评量表、抑郁自评量表评分均低于护理前,且观察组低于对照组,差异均有统计学意义(P<0.05);观察组面部残疾指数躯体功能、面部残疾指数社会功能评分均高于护理前,且观察组高于对照组,差异均有统计学意义(P<0.05)。观察组护理满意度为94.12%,高于对照组的76.47%,差异有统计学意义(P<0.05)。结论:时机理论护理结合表情肌康复训练能够改善周围性面瘫患者面神经功能,减轻负性情绪,提高生活质量及护理满意度。

Objective:To explore the effect of timing theory nursing combined with facial muscle rehabilitation training on facial nerve function rehabilitation in patients with peripheral facial paralysis.Methods:Sixty-eight patients with peripheral facial palsy treated in Yicheng District People’s Hospital of Zaozhuang City,from June 2021 to June 2023 were selected as the study objects.According to the random number table method,the patients were divided into a control group and an observation group,with 34 cases in each group.The control group received routine nursing,the observation group received timing theory nursing combined with facial muscle rehabilitation training,and both groups received nursing for 6 months.Facial nerve function,negative emotion,quality of life and nursing satisfaction were compared between the two groups.Results:After nursing,the House-Brackmann in the observation group was better than that in the control group,the difference was statistically significant(P<0.05);the scores of Self-Rating Anxiety Scale and Self-Rating Depression Scale in both groups were lower than before nursing,and the observation group was lower than the control group,with statistical significance(P<0.05);the scores of physical function and social function of facial disability index in the observation group were higher than those before nursing,and the observation group was higher than the control group,with statistical significance(P<0.05).Nursing satisfaction in the observation group was 94.12%,which was higher than 76.47%in the control group,the difference was statistically significant(P<0.05).Conclusion:Timing theory nursing combined with facial muscle rehabilitation training can improve facial nerve function,reduce negative emotions,improve quality of life and nursing satisfaction in patients with peripheral facial paralysis.