摘要
目的 探究"三师共管"模式下康复管理对脑卒中患者神经、运动功能恢复、生活质量及预后的影响.方法 选择2018年1月-2022年12月医院接受治疗脑卒中患者116例作为研究对象,在组间性别、年龄、疾病分类等基线资料均衡可比的原则上,根据康复管理方法分为康复组58例与常规组58例.比较两组患者的神经功能恢复[美国国立卫生研究院卒中量表(NIHSS)]、运动功能恢复[运动功能评定量表(FMA)]、情绪[汉密尔顿焦虑量表-14(HAMA-14)、汉密尔顿抑郁量表-17(HAMA-17)]及睡眠质量[匹兹堡睡眠质量指数(PSQI)]评分、日常生活能力[Barthel指数]、生活质量评分[健康调查简表(SF-36)].结果 干预前,康复组患者的NIHSS评分、FMA上肢评分、FMA下肢评分、情绪(HAMA-14、HAMD-17)、睡眠质量(PSQI)评分、Barthel指数、SF-36评分与常规组相比,差异无统计学意义(P＞0.05);干预后,两组患者的NIHSS评分、情绪及睡眠质量评分相对于干预前明显降低,而FMA上肢评分、FMA下肢评分、Barthel指数、SF-36评分明显升高;组间比较,康复组患者的NIHSS评分、情绪及睡眠质量评分明显低于常规组,FMA上肢评分、FMA下肢评分、Barthel指数、SF-36评分明显高于常规组,差异有统计学意义(P＜0.05).结论 "三师共管"模式下康复管理对脑卒中能够提高患者的神经、运动功能恢复、缓解患者的情绪及睡眠质量评分,提高患者日常生活能力及生活质量.
Abstract
Objective To explore the impact of rehabilitation management under the"three teacher co management"model on the neurological and motor function recovery,quality of life,and prognosis of stroke patients.Methods A total of 116 stroke patients who received treatment in hospitals from January 2018 to December 2022 will be selected as the research subjects.Based on the principle of balanced and comparable baseline data such as gender,age,and disease classification between groups,they will be divided into a rehabilitation group of 58 cases and a conventional group of 58 cases according to rehabilitation management methods.Compare the neurological function recovery[National Institutes of Health Stroke Scale(NIHSS)],motor function recovery[Motor Function Assessment Scale(FMA)],emotional[Hamilton Anxiety Scale-14(HAMA-14),Hamilton Depression Scale-17(HAMA-17)],and sleep quality[Pittsburgh Sleep Quality Index(PSQI)]scores,daily living ability[Barthel Index],and quality of life score[Health Survey Brief(SF-36)]between two groups of patients.Results Before intervention,there was no statistically significant difference in NIHSS score,FMA upper limb score,FMA lower limb score,mood(HAMA-14,HAMD-17),sleep quality(PSQI)score,Barthel index,SF-36 score between the rehabilitation group and the conventional group(P＞0.05);After intervention,the NIHSS scores,emotional and sleep quality scores of both groups of patients were significantly reduced compared to before intervention,while the FMA upper limb score,FMA lower limb score,Barthel index,and SF-36 score were significantly increased;Inter group comparison showed that the NIHSS score,emotional and sleep quality scores of patients in the rehabilitation group were significantly lower than those in the conventional group,while the FMA upper limb score,FMA lower limb score,Barthel index,and SF-36 score were significantly higher than those in the conventional group,with statistically significant differences(P＜0.05).Conclusion Rehabilitation management under the"three teacher co management"model can improve the neurological and motor function recovery of stroke patients,alleviate their emotional and sleep quality scores,and enhance their daily living abilities and quality of life.
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