首页|基于视频互动的远程康复指导在脑梗死后偏瘫患者中的应用

基于视频互动的远程康复指导在脑梗死后偏瘫患者中的应用

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目的 探讨基于视频互动的远程康复指导在脑梗死后偏瘫患者中的应用效果。方法 选取 2021 年 6 月—2023 年 2 月中国人民解放军联勤保障部队天津康复疗养中心收治的 80 例脑梗死后偏瘫患者为对象,根据随机数字表法分为对照组和观察组。对照组的 40 例患者进行常规康复指导,观察组的40 例患者则进行基于视频互动的远程康复指导。比较 2 组干预前后的自我效能感[一般自我效能感量表(general self-efficacy scale,GSES)]、康复效果[平衡能力Berg平衡量表(Berg balance scale,BBS)及肢体运动功能Fugl-Meyer运动功能评分(Fugl-Meyer assessment scale,FMA)]、患者及家属对康复指导模式的满意度。结果 干预前,2 组的GSES、BBS及FMA评分比较,差异无统计学意义(P>0。05);干预 3 个月后,观察组的GSES量表及BBS量表构成优于对照组,FMA评分高于对照组,2 组FMA评分高于干预前,差异有统计学意义(P<0。05);干预 3 个月后,观察组患者及家属对康复指导模式的总满意度分别为 100%、100%,高于对照组的 82。50%、87。50%(P<0。05)。结论 基于视频互动的远程康复指导可显著改善脑梗死后偏瘫患者的自我效能感及康复效果,更受患者及家属的认可。
Application of Remote Rehabilitative Guidance Based on Video Interaction in Patients With Hemiplegia After Cerebral Infarction
Objective To investigate the influence of remote rehabilitative guidance based on video interaction for self-efficacy and rehabilitation effects of patients with hemiplegia after cerebral infarction.Methods A total of 80 patients with hemiplegia after cerebral infarction admitted to Tianjin Rehabilitation and Convalescence Center of Joint Logistic Support Force of People's Liberation Army of China from June 2021 to February 2023 were selected as the subjects and divided into control group and observation group according to random number table method.A total of 40 cases of control group were treated with routine rehabilitative guidance,40 cases of observation group were treated with remote rehabilitative guidance based on video interaction.Then the self-efficacy[general self-efficacy scale(GSES)]and rehabilitation effects[Berg balance scale(BBS)and Fugl-Meyer assessment scale(FMA)]before and after the intervention,satisfaction of patients and their families with the rehabilitation guidance model of two groups were compared.Results Before intervention,there was no significant difference in GSES,BBS and FMA scores between the two groups(P>0.05).After 3 months of intervention,the GSES scale and BBS scale composition of the observation group were better than those of the control group,the FMA score was higher than that of the control group,and the FMA score of the two groups was higher than that before intervention,with statistical significance(P<0.05).After 3 months of intervention,the total satisfaction of patients and their families on the rehabilitation guidance mode in the observation group was 100%and 100%,respectively,higher than 82.50%and 87.50%in the control group(P<0.05).Conclusion The remote rehabilitative guidance based on video interaction can significantly improve the self-efficacy and rehabilitation effects of patients with hemiplegia after cerebral infarction,and it is more recognized by patients and their families.

video interactionremote rehabilitative guidancecerebral infarctionhemiplegiaself-efficacyrehabilitation effects

王佳、张燕、鞠晓明

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中国人民解放军联勤保障部队天津康复疗养中心手术室,天津 300381

视频互动 远程康复指导 脑梗死 偏瘫 自我效能感 康复效果

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(8)
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