首页|群组管理联合打卡式训练在脑卒中伴偏瘫患者快速康复中的应用效果

群组管理联合打卡式训练在脑卒中伴偏瘫患者快速康复中的应用效果

Application effect of group management combined with punch card train-ing in rapid rehabilitation of stroke patients with hemiplegia

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目的 探讨群组管理联合打卡式训练在脑卒中伴偏瘫患者中的应用价值.方法 选取2022年1月至2022年12月九江市中医医院收治的68例脑卒中伴偏瘫患者作为研究对象,采用随机数字表法将其分为对照组和观察组,每组各34例.对照组采取常规康复护理,观察组在对照组的基础上加用群组管理联合打卡式训练,两组均护理3个月.比较两组患者的康复训练依从性、肢体运动功能、日常生活能力以及生活质量.结果 两组患者护理前的功能锻炼依从性问卷(EAQ)、改良Barthel指数(BI)评分比较,差异无统计学意义(P>0.05);护理后,两组患者的EAQ、BI评分均高于护理前,且观察组患者的EAQ、BI评分均高于对照组,差异有统计学意义(P<0.05).两组患者护理前的Fugel-Meyer功能评定量表(FMA)评分比较,差异无统计学意义(P>0.05);护理后,两组患者的FMA评分高于护理前,且观察组患者的FMA评分均高于对照组,差异有统计学意义(P<0.05).两组患者护理前的脑卒中专用生活质量量表(SS-QOL)评分比较,差异无统计学意义(P>0.05);护理后,两组患者的SS-QOL评分高于护理前,且观察组患者的SS-QOL评分均高于对照组,差异有统计学意义(P<0.05).结论 群组管理联合打卡式训练可提升脑卒中伴偏瘫患者康复训练依从性,促进患者肢体运动功能改善,改善患者日常生活能力,利于生活质量的提升.
Objective To explore the application value of group management combined with card training in stroke patients with hemiplegia.Methods A total of 68 stroke patients with hemiplegia admitted to Jiujiang Hospital of Traditional Chinese Medicine from January 2022 to December 2022 were selected.They were divided into the control group and the observation group by random number table method,with 34 cases in each group.The control group received routine rehabilitation care,while the observation group received group management combined with card training on the basis of the control group.Both groups were treated for 3 months.The rehabilitation training compliance,limb motor function,daily living ability and quality of life of the two groups were compared.Results There were no significant differences in evaluation activities questionnaire(EAQ)and modified Barthel index(BI)scores between the two groups before nursing(P>0.05).After nursing,the EAQ and BI scores of the two groups were higher than those before nursing,and the EAQ and Bl scores of observation group were higher than those of control group,the differences were statistically significant(P<0.05).There was no significant difference in the scores of the Fugl-Meyer motor function assessment(FMA)before nursing between the two groups(P>0.05).After nursing,the FMA score of the two groups was higher than that before nursing,and the FMA score of the observation group was higher than that of the control group,with statistical significance(P<0.05).There was no significant difference in the scores of stroke specific quality of life(SS-QOL)before nursing between the two groups(P>0.05).After nursing,the SS-QOL score of the two groups was higher than that before nursing,and the SS-QOL score of observation group was higher than that of control group,the differences were statistically significant(P<0.05).Conclusion Group management combined with card training can improve the compliance of rehabilitation training for stroke patients with hemiplegia,promote the im-provement of limb motor function,improve daily living ability,and promote the improvement of quality of life.

StrokeHemiplegiaGroup managementPunch card trainingRapid recoveryRehabilitation training compli-anceLimb function

徐丽华、黄碧、陈香

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江西省九江市中医医院脑病二科,江西九江 332000

江西省九江市中医医院老年病科,江西九江 332000

脑卒中 偏瘫 群组管理 打卡式训练 快速康复 康复训练依从性 肢体功能

江西省卫生健康委科技项目

202311593

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(1)
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