首页|基于家庭赋权的护理干预结合感觉运动训练对脑卒中恢复期患者肢体功能及康复锻炼积极性的影响

基于家庭赋权的护理干预结合感觉运动训练对脑卒中恢复期患者肢体功能及康复锻炼积极性的影响

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目的 探讨基于家庭赋权的护理干预结合感觉运动训练对脑卒中恢复期患者肢体功能及康复锻炼积极性的影响。方法 选取 2020 年1月至2022年 1 月我院收治的88例脑卒中恢复期伴有下肢偏瘫后遗症患者,以随机数字表法将其分为对照组和观察组,各44例。对照组实施常规护理,观察组在对照组基础上实施基于家庭赋权的护理干预结合感觉运动训练。比较两组的干预效果。结果 干预后,观察组的Fugl-Meyer评估量表下肢部分(FMA-LE)、Holden步行功能分级量表(FAC)评分高于对照组(P<0。05)。干预后,观察组的股直肌、股二头肌积分肌电值(iEMG)高于对照组(P<0。05)。干预后,观察组的积极举动、康复护理配合度评分高于对照组,放弃举动评分低于对照组(P<0。05)。结论 基于家庭赋权的护理干预结合感觉运动训练可促进脑卒中恢复期患者肢体功能恢复,提高康复锻炼积极性,值得推广。
Effects of nursing intervention based on family empowerment combined with sensorimotor training on limb function and enthusiasm of rehabilitation exercise in stroke patients during recovery period
Objective To explore the effects of nursing intervention based on family empowerment combined with sensorimotor training on limb function and enthusiasm of rehabilitation exercise in stroke patients during recovery period.Methods From January 2020 to January 2022,88 stroke patients with sequelae of lower limb hemiplegia during recovery period in our hospital were selected and divided into control group and observation group by random number table method,with 44 cases in each group.The control group was given routine nursing,and the observation group was given nursing intervention based on family empowerment combined with sensorimotor training on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of Fugl-Meyer Assessment Scale for Lower Extremity(FMA-LE)and Functional Ambulation Classification(FAC)in the observation group were higher than those in the control group(P<0.05).After intervention,the integral electromyography(iEMG)of rectus femoris and biceps femoris in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of positive behavior and rehabilitation nursing cooperation in the observation group were higher than those in the control group,and the score of abandonment behavior was lower than that in the control group(P<0.05).Conclusion Nursing intervention based on family empowerment combined with sensorimotor training can promote the recovery of limb function in stroke patients during recovery period and improve the enthusiasm of rehabilitation exercise,which is worthy of promotion.

nursing intervention based on family empowermentsensorimotor trainingstrokerecovery periodlimb functionrehabilitation exercise enthusiasm

张亚静、刘昱宏、许美丽

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延安大学咸阳医院,陕西 咸阳,712000

基于家庭赋权的护理干预 感觉运动训练 脑卒中 恢复期 肢体功能 康复锻炼积极性

延安大学咸阳医院科学研究专项

2021ZX012

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(9)
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