河南医学研究2024,Vol.33Issue(18) :3287-3291.DOI:10.3969/j.issn.1004-437X.2024.18.007

ACTED模式下综合康复训练在脑卒中患者住院-随访中的应用

Application of Comprehensive Rehabilitation Training in ACTED Mode in Hospitalization-Follow-Up of Stroke Patients

李文婷 王筱筱 宁文华 张洁
河南医学研究2024,Vol.33Issue(18) :3287-3291.DOI:10.3969/j.issn.1004-437X.2024.18.007

ACTED模式下综合康复训练在脑卒中患者住院-随访中的应用

Application of Comprehensive Rehabilitation Training in ACTED Mode in Hospitalization-Follow-Up of Stroke Patients

李文婷 1王筱筱 1宁文华 1张洁1
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作者信息

  • 1. 郑州大学第一附属医院康复医学科,河南郑州 450000
  • 折叠

摘要

目的 探讨ACTED模式下综合康复训练在脑卒中患者住院-随访中的应用.方法 选取2021年1月至2023年10月郑州大学第一附属医院康复医学科收治的150例脑卒中患者,按随机数字表法分为对照组和观察组,各75例.给予对照组常规康复训练,观察组在此基础上接受ACTED模式下综合康复训练.比较两组DE Morton活动指数(DEMMI)、平衡能力(BBS)、肢体功能(FMA)、步态参数、自我管理能力、生活质量(SIS).结果 观察组出院后3个月DEMMI、BBS、上下肢FMA评分高于对照组(P<0.05);观察组出院后3个月的步频、步长、步速高于对照组,双支撑期百分比低于对照组(P<0.05);观察组出院后3个月的自我管理能力、SIS评分评分高于对照组(P<0.05).结论 ACTED模式下综合康复训练能有效提高脑卒中患者自我效能与自我管理能力,改善患者运动功能,提高患者生活质量.

Abstract

Objective To explore the application of comprehensive rehabilitation training under ACTED mode in hospitalization-follow-up of stroke patients.Methods A total of 150 stroke patients admitted to the Department of Rehabilitation Medicine of the First Affiliated Hospital of Zhengzhou University from January 2021 to October 2023 were selected and divided into control group and observation group according to the random number table,with 75 cases each.Routine rehabilitation training was given to the control group,and the observation group received the comprehensive rehabilitation training under ACTED mode.The DE Morton activity index(DEMMI),Berg balance scale(BBS),Fugl-Meyer rating scale(FMA),gait parameters,self-management ability,stroke impact scale(SIS)were compared.Results DEMMI,BBS,upper and lower limb FMA scores were higher in the observation group than those in the control group(P<0.05).The observation group had higher step frequency,step length and step speed 3 months after discharge,and the percentage of the double support period was lower than the control group(P<0.05).The self-management ability and SIS score 3 months after discharge were higher in the observation group than those in the control group(P<0.05).Conclusion Comprehensive rehabilitation training under ACTED mode can effectively improve the self-efficacy and self-management ability of stroke patients,improve the motor function,and improve the quality of life of patients.

关键词

ACTED模式/康复训练/脑卒中/肢体功能/步态参数

Key words

ACTED mode/rehabilitation training/stroke/limb function/gait parameters

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基金项目

河南省高等学校重点科研项目(22A320073)

出版年

2024
河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
参考文献量4
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