基于互联网平台的运动训练指导在脑卒中偏瘫患者居家康复中的应用效果  

Effect of sports training guidance based on Internet platform in home rehabilitation of stroke hemiplegic patients

作　　者：霍娟娟 刘丽爽 郭亚娟 张慧[1] 高雅 杜文军 刘红叶 Huo Juanjuan;Liu Lishuang;Guo Yajuan;Zhang Hui;Gao Ya;Du Wenjun;Liu Hongye(Nerve Rehabilitation Center of Beijing Rehabilitation Hospital Affiliated to Capital Medical University,Beijing 100041,China)

机构地区：[1]首都医科大学附属北京康复医院神经康复中心,100041

出　　处：《中国实用护理杂志》2021年第20期1521-1526,共6页Chinese Journal of Practical Nursing

摘　　要：目的探讨脑卒中偏瘫患者居家康复中开展互联网平台下的运动训练对其肢体功能和生命质量的影响。方法选取2018年6月至2019年12月首都医科大学附属北京康复医院收治的脑卒中偏瘫患者80例,按照随机数字表法分为观察组和对照组,每组40例。对照组给予常规康复训练,观察组除常规康复训练外,在居家康复中加用基于微信平台的改良强制性运动训练指导。比较2组患者干预前后的肢体运动功能Fugl-Meyer量表(FMA)评分、上肢功能指数量表(UEFT)评分、脑卒中专用生命质量量表(SS-QOL)评分,以及患者满意度与照顾者满意度评分。结果2组患者出院前FMA、UEFT、SS-QOL评分比较差异无统计学意义(P>0.05)。出院后,观察组患者FMA、UEFT评分及SS-QOL中的躯体功能、生理功能、精神健康、社会功能评分分别为(68.87±6.64)、(72.38±7.33)、(35.28±4.13)、(36.55±4.23)、(37.22±3.84)、(38.23±3.44)分,均高于对照组的(55.25±6.20)、(61.24±6.47)、(28.72±4.56)、(30.85±5.30)、(31.28±4.63)、(31.02±5.16)分,差异有统计学意义(t值为5.316~9.482,P<0.01)。护理期间,观察组患者及照顾者总满意度分别为92.50%(37/40)、87.50%(35/40),均高于对照组的72.50%(29/40)、67.50%(27/40),差异有统计学意义(χ2值为5.541、4.588,P<0.05)。结论基于互联网平台的改良强制性运动训练指导有助于促进脑卒中偏瘫患者肢体运动功能恢复,提升患者及家属护理满意度,对提高患者生命质量具有积极作用。Objective To explore the effect of sports training guidance based on Internet platform on the limb function and quality of life in home rehabilitation of stroke hemiplegic patients.Methods Eighty patients with stroke and hemiplegia admitted to Beijing Rehabilitation Hospital Affiliated to Capital Medical University from June 2018 to December 2019 were selected and divided into observation group and control group with 40 cases in each group by random digits table method.The control group was given routine rehabilitation training.In addition to the regular rehabilitation training,the observation group was supplemented with home rehabilitation based on the WeChat platform for modified constraint-induced movement therapy.The limb motor function Fugl-Meyer Assessment(FMA)score,Upper Extremity Function Test(UEFT)score,Stroke-Specific Quality of Life scale(SS-QOL)score before and after intervention,and patients′satisfaction and cares′satisfaction score were compared between the two groups.Results There was no significant difference in the score of FMA,UEFT,SS-QOL before intervention between the two groups(P>0.05).After discharge,the FMA score,UEFT score and physical function,physiological function,mental health,social function of SS-QOL score were(68.87±6.64),(72.38±7.33),(35.28±4.13),(36.55±4.23),(37.22±3.84),(38.23±3.44)points in the observation group and(55.25±6.20),(61.24±6.47),(28.72±4.56),(30.85±5.30),(31.28±4.63),(31.02±5.16)points in the control group,and the differences were statistically significant between the two groups(t values were 5.316-9.482,P<0.01).During the nursing period,the patients′satisfaction and cares′satisfaction score were 92.50%(37/40),87.50%(35/40)in the observation group and 72.50%(29/40),67.50%(27/40)in the control group,and the differences were statistically significant between the two groups(χ2 values were 5.541,4.588,P<0.05).Conclusions The home rehabilitation based on the Internet platform for modified constraint-induced movement therapy helps to promote the recove

关 键 词：卒中 偏瘫 康复护理 强制性运动训练 肢体运动功能 

分 类 号：R473.74[医药卫生—护理学]