目的:探讨"互联网+"医院到家庭(hospital to home，H2H)康复模式在脑卒中后偏瘫患者中的应用效果及对睡眠质量的影响。方法:选取2021年7月—2023年7月广东省工伤康复医院收治的98例脑卒中后偏瘫患者。根据随机数表法将其分为研究组和对照组，各49例。对照组给予常规护理，研究组给予"互联网+"H2H康复模式。比较两组护理满意度，护理前后肢体功能及睡眠质量、生活质量、功能锻炼依从性、自我效能感。结果:研究组护理总满意度高于对照组，差异有统计学意义(P<0。05)。护理后，研究组Fugl-Meyer运动功能评定量表(Fugl-Meyer motor function rating scale，FMA)评分高于对照组，匹兹堡睡眠质量指数量表(Pittsburgh sleep quality index，PSQI)评分低于对照组，差异有统计学意义(P<0。05)。护理后，研究组工作情况、生理功能、心理状态及社会功能评分均高于对照组，差异有统计学意义(P<0。05)。护理后，研究组坚持参与锻炼、锻炼时主动学习、保持患肢功能位评分均高于对照组，差异有统计学意义(P<0。05)。护理后，研究组日常活动、自我管理评分及总分均高于对照组，差异有统计学意义(P<0。05)。结论:"互联网+"H2H康复模式应用于脑卒中后偏瘫患者中能够改善肢体功能及睡眠质量，提升满意度。
Application Effect of "Internet+" H2H Rehabilitation Mode in Patients with Hemiplegia after Stroke and Its Influence on Sleep Quality
Objective:To explore the application effect of "internet+" hospital to home (H2H) rehabilitation mode in patients with hemiplegia after stroke and its influence on sleep quality.Method:A total of 98 patients with hemiplegia after stroke were selected from July 2021 to July 2023 in Guangdong Industrial Injury Rehabilitation Hospital.According to the method of random number table,they were divided into study group and control group,49 cases in each group.The control group was given routine nursing,and the study group was given "Internet+" H2H rehabilitation mode.Nursing satisfaction,limb function,sleep quality,quality of life,functional exercise compliance and self-efficacy before and after nursing were compared between the two groups.Result:The total nursing satisfaction of the study group was higher than that of the control group,and the difference was statistically significant (P<0.05).After nursing,the Fugl-Meyer motor function rating scale (FMA) score of the study group was higher than that of the control group,and the Pittsburgh sleep quality index (PSQI) score of the study group was lower than that of the control group,the differences were statistically significant (P<0.05).After nursing,the work status,physiological function,psychological state and social function scores of the study group were higher than those of the control group,and the differences were statistically significant (P<0.05).After nursing,the study group insisted on participating in exercise,active learning during exercise,and maintaining the functional position scores of the affected limb were higher than those of the control group,the differences were statistically significant (P<0.05).After nursing,the daily activities,self-management scores and total scores of the study group were higher than those of the control group,and the differences were statistically significant (P<0.05).Conclusion:The application of "Internet+" H2H rehabilitation model in stroke patients with hemiplegia can improve limb function and sleep quality,improve satisfaction.
"Internet+"H2H rehabilitation modelHemiplegia after strokeSatisfactionSleep qualitySelf efficacy
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