摘要
目的:探讨奥塔戈运动在老年急性脑卒中患者中的应用效果.方法:回顾性选取 2022 年 6 月—2023 年 6 月广州市第一人民医院急诊科收治的 83 例老年急性脑卒中患者为研究对象.根据护理方法的不同将其分为对照组(41 例)和观察组(42 例).对照组给予常规护理,观察组在对照组基础上给予奥塔戈运动.比较两组干预前后认知功能、运动功能及平衡能力,干预后依从性及满意度.结果:干预后,两组定向力、记忆、语言、回忆及注意和计算评分均升高,观察组定向力、记忆、语言、回忆及注意和计算评分均高于对照组,差异有统计学意义(P<0.05).干预后,两组上肢简易Fugl-Meyer运动功能量表(FMA)、下肢FMA、Holden步行功能分级量表(FAC)及Berg平衡量表(BBS)评分均升高,观察组上肢FMA、下肢FMA、FAC及BBS评分均高于对照组,差异有统计学意义(P<0.05).观察组遵医治疗、定期复查及生活管理依从率和干预方法、服务态度及症状改善满意度均高于对照组,差异有统计学意义(P<0.05).结论:奥塔戈运动用于老年急性脑卒中患者中,有助于改善患者认知功能,提高运动功能和平衡能力,可获得较高的依从性及满意度.
Abstract
Objective:To explore the application effect of Otago exercise in elderly patients with acute stroke.Method:A total of 83 elderly patients with acute stroke admitted to the Emergency Department of Guangzhou First People's Hospital from June 2022 to June 2023 were retrospectively selected as the study objects.According to different nursing methods,they were divided into control group(41 cases)and observation group(42 cases).Control group was given routine nursing,observation group was given Otago exercise on the basis of control group.The cognitive function,motor function and balance ability before and after intervention,and the compliance and satisfaction after intervention of the two groups were compared.Result:After intervention,the scores of orientation,memory,language,recall and attention and calculation were increased in both groups,and the scores of orientation,memory,language,recall and attention and calculation in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).After intervention,the scores of upper limb simple Fugl-Meyer motor function scale(FMA),lower limb FMA,Holden walking function rating scale(FAC)and Berg balance scale(BBS)were all increased in both groups,and the scores of upper limb FMA,lower limb FMA,FAC and BBS in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The compliance rates of follow medical treatment,regular check ups,and life management and satisfaction of intervention method,service attitude and symptom improvement of observation group were higher than those of control group,the differences were statistically significant(P<0.05).Conclusion:Otago exercise is used in elderly patients with acute stroke,which helps to improve cognitive function,motor function and balance ability,and can obtain high compliance and satisfaction.
国家科技期刊平台
NSTL
维普
万方数据