老年脑卒中后偏瘫患者康复期健康干预联合体的构建及实践研究
作者:
作者单位:

安徽医科大学第二附属医院神经内科,安徽 合肥 230601

作者简介:

邵梅(1980―),女,本科,主管护师,研究方向:神经内科护理。Email:shaomei198007@163.com。

通信作者:

胡玮玮(1984―),女,本科,主管护师,研究方向:神经内科护理。Email:21756854@qq.com。

基金项目:


Construction and practice of a health intervention consortium for elderly patients with post-stroke hemiplegia during rehabilitation
Author:
Affiliation:

Department of Neurology, Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230601, China

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    摘要:

    目的 构建老年脑卒中后偏瘫患者康复期健康干预联合体并探讨其实践效果。方法 选取2020年1月至2021年8月安徽医科大学第二附属医院收治的93例老年脑卒中后偏瘫患者,随机分为对照组(46例)与研究组(47例)。对照组给予康复期的常规健康干预,研究组构建康复期健康干预联合体并将其应用于患者。比较2组入院时、出院当天及出院3个月的美国国立卫生研究院卒中量表(National Institute of Health Stroke Scale,NIHSS)评分、简化Fugl-Meyer运动功能评分(Fugl-Meyer Motor Function Assessment,FMA)、改良Barthel指数、10 m步行时间测试(10 meter walk time test,10MWT)、脑卒中专用生活质量量表(Stroke Specific Quality of Life Scale,SS-QOL)评分及起立―行走计时测试(timed up and go test,TUGT)时间,并比较患者依从性。结果 与对照组相比,研究组出院当天、出院3个月的NIHSS评分、10MWT、TUGT较低(P<0.05);简化FMA运动功能评分、改良Barthel指数、SS-QOL评分较高(P<0.05)。研究组患者依从性良好率高于对照组(P<0.05)。结论 在老年脑卒中后偏瘫患者康复期实施基于健康干预联合体的干预,可减轻神经功能缺损,促进患者肢体运动功能、步行能力及日常生活活动能力改善,并促进其依从性及生活质量提升。 [国际神经病学神经外科学杂志, 2023, 50(3): 32-36]

    Abstract:

    Objective To construct a health intervention consortium for elderly patients with post-stroke hemiplegia during rehabilitation, and to investigate its practice effect.Methods A total of 93 elderly patients with post-stroke hemiplegia who were admitted to the Second Affiliated Hospital of Anhui Medical University from January 2020 to August 2021 were enrolled and randomly divided into control group with 46 patients and research group with 47 patients. The patients in the control group received routine health intervention during rehabilitation, while those in the research group received intervention with a health intervention consortium during rehabilitation. The two groups were compared in terms of National Institutes of Health Stroke Scale (NIHSS) score, simplified Fugl-Meyer Assessment (FMA) score, modified Barthel index, 10-meter walk time test (10MWT), Stroke-Specific Quality of Life (SS-QOL) score, and timed up and go test (TUGT) time on admission, on the day of discharge, and at 3 months after discharge, and compliance was also compared between the two groups.Results Compared with the control group, the research group had significantly lower NIHSS score, 10MWT, and TUGT (P<0.05) and significantly higher FMA score, modified Barthel index, and SS-QOL score (P<0.05) on the day of discharge and at 3 months after discharge. The study group had a significantly higher good compliance rate than the control group (P<0.05).Conclusions For the elderly patients with post-stroke hemiplegia, intervention based on a health intervention consortium during rehabilitation can reduce neurological defects, promote the improvement in limb motor function, walking ability, and activities of daily living, and increase compliance and quality of life. [Journal of International Neurology and Neurosurgery, 2023, 50(3): 32-36]

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邵梅,胡玮玮,潘茜茜,汪晨456.老年脑卒中后偏瘫患者康复期健康干预联合体的构建及实践研究[J].国际神经病学神经外科学杂志,2023,50(3):32-36111SHAO Mei, HU Weiwei, PAN Qianqian, WANG Chen222. Construction and practice of a health intervention consortium for elderly patients with post-stroke hemiplegia during rehabilitation[J]. Journal of International Neurology and Neurosurgery,2023,50(3):32-36

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  • 收稿日期:2022-06-28
  • 最后修改日期:2023-06-02
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  • 在线发布日期: 2023-08-16
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