基于目标导向康复训练对脑出血术后患者神经功能缺损及肢体康复的影响

Effect of Goal-directed Rehabilitation Training on Neurological Deficit and Limb Rehabilitation of Patients with Cerebral Hemorrhage after Operation

目的:探讨基于目标导向康复训练在脑出血术后患者中的应用效果。方法:选取2021年8月-2023年8月莆田涵江医院收治的94例脑出血患者,采用随机数表法将其分为对照组和观察组,对照组47例患者采取常规护理,观察组47例患者实施基于目标导向康复训练,两组均持续训练干预3个月。比较两组神经功能缺损、日常生活能力、肢体康复、生活质量及患者满意度。结果:观察组干预后美国国立卫生研究院卒中量表(NIHSS)评分比对照组低,日常生活活动量表(BI)评分高于对照组,差异有统计学意义(P<0.05);观察组干预后Fugel-Meyer功能评定量表(FMA)各项评分、脑卒中影响量表(SIS)各维度评分、患者满意度各方面评分均比对照组高,差异有统计学意义(P<0.05)。结论:基于目标导向康复训练可减轻脑出血术后患者神经功能缺损,促进其肢体功能快速康复,进而提升患者日常生活能力和生活质量改善,故患者对护理服务更加满意。

Objective:To explore the application effect of goal-directed rehabilitation training in patients with cerebral hemorrhage after operation.Method:A total of 94 patients with cerebral hemorrhage in Putian Hanjiang Hospital from August 2021 to August 2023 were selected,and they were divided into the control group and the observation group by random number table method.And 47 patients in the control group were treated with routine nursing,while 47 patients in the observation group were treated with goal-based rehabilitation training.Both groups continued training intervention for 3 months.Neurological deficits,activities of daily living,limb rehabilitation,quality of life and patient satisfaction were compared between the two groups.Result:After the intervention,the National Institutes of Health stroke scale scale(NIHSS)score of the observation group was lower than that of the control group,and the Barthel index(BI)score of the observation group was higher than that of the control group,the differences were statistically significant(P<0.05).After the intervention,the scores of Fugel-Meyer functional assessment(FMA),each dimension of stroke impact scale(SIS)and all aspects of patient satisfaction in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Goal oriented rehabilitation training can reduce the neurological deficit of patients with cerebral hemorrhage after operation,promote the rapid recovery of limb function,and then improve the ability of daily living and quality of life of patients,so patients are more satisfied with nursing services.