基于运动想象的康复指导在脑卒中偏瘫患者中的应用  

Application of rehabilitation guidance based on motor imagery in stroke patients with hemiplegia

作　　者：谢立娟[1] 王建华[1] 田素斋[2] 王飞[1] 赵辉[1] 张军波[1] 郭文平[1] 史艳[1] 

机构地区：[1]河北省邢台市人民医院康复科,054001 [2]河北医科大学第二医院医院建设办公室,石家庄050005

出　　处：《中华现代护理杂志》2016年第26期3766-3769,共4页Chinese Journal of Modern Nursing

基　　金：河北省中医药管理局科研计划支撑项目（2014114）

摘　　要：目的探讨运动想象康复指导对脑卒中偏瘫患者的康复效果及意义。方法将60例脑卒中偏瘫患者随机分为观察组（n=31）和对照组（n=29），对照组的康复训练指导采用讲解示范法，观察组采用运动想象法。比较两组患者的运动功能、日常生活活动能力及满意度方面的差异。结果干预4周、8周后．两组患者在运动功能、日常生活活动能力及满意度的差异均有统计学意义（P〈0．05）。结论应用运动想象为脑卒中偏瘫患者进行康复锻炼指导能够提高健康指导的效果。提升运动功能，改善其日常生活自理能力。增进护患沟通，提高患者的满意度。Objective To explore the effect and significance of motor imagery therapy in the rehabilitation of stroke patients with hemiplegia.Methods A total of 60 stroke patients with hemiplegia were randomly assigned to the Observation group （n = 31 ） and the control group （n = 29）. Rehabilitation training and guidance of control group adopted interpretation of the demonstration method while observation group adopted motor imagery therapy. Movement function, ＇daily life activities and satisfaction were compared between two groups after 4 weeks and 8 weeks. Results The differences in motor function, daily life activities and satisfaction were significant （P〈0.05）.Conclusions The use of motor imagery therapy in rehabilitation training and guidance of stroke patients with＇ hemiplegia can improve the effect of health guidance, improve the motor function and daily life activities, promote the interaction and communication between nurses and patients, and improve the patients＇ satisfaction.

关 键 词：脑卒中 偏瘫 运动想象 康复 护理 

分 类 号：R473.74[医药卫生—护理学]