视频反馈式日常生活活动能力训练对脑卒中偏瘫患者的影响研究  

Effect of video feedback activities of daily living training on stroke patients with hemiplegia

作　　者：徐璐瑶 周秀玲 张琳琳[2] 杨康怡 林泽青 曲正平[3] XU Luyao;ZHOU Xiuling;ZHANG Linlin;YANG Kangyi;LIN Zeqing;QU Zhengping(School of Nursing,Changchun University of Traditional Chinese Medicine,Changchun 130117,China;Department of Encephalopathy,Affiliated Hospital of Changchun University of Traditional Chinese Medicine,Changchun 130021,China;Nursing training of Affiliated Hospital of Changchun University of Traditional Chinese Medicine,Changchun,130021,China)

机构地区：[1]长春中医药大学护理学院,吉林长春130117 [2]长春中医药大学附属医院脑病科,吉林长春130021 [3]长春中医药大学附属医院护理实训,吉林长春130021

出　　处：《中国现代医生》2022年第27期122-126,共5页China Modern Doctor

基　　金：吉林省中医(朝医)标准化项目(zybz-2021-01)。

摘　　要：目的探讨视频反馈式日常生活活动能力(activities of daily living,ADL)训练在脑卒中偏瘫患者中的应用效果。方法选取2021年1至12月长春中医药大学附属医院脑病科收治的96例脑卒中偏瘫患者,采用随机数字表法将其分为对照组和观察组,每组各48例。对照组患者给予常规ADL训练,观察组患者给予视频反馈式ADL训练。比较两组患者干预前后的日常生活能力、自我效能及自尊水平。结果经过院内2周、居家4周的干预,观察组患者的改良Barthel指数(modified Barthel index,MBI)评分、自我效能评分和自尊量表(self-esteem scale,SES)评分均明显高于对照组(P<0.05)。经重复测量方差分析,两组患者的自我效能评分和SES总分的组间效应、时间效应、交互效应比较,差异均有统计学意义(P<0.05)。结论视频反馈式ADL训练可改善脑卒中偏瘫患者的日常生活能力,提高患者的自我效能及自尊水平,促进患者预后恢复,值得临床推广应用。Objective To explore the effect of video feedback activities of daily living(ADL)training in stroke patients with hemiplegia.Methods A total of 96 patients admitted to the Department of Encephalopathy,Affiliated Hospital of Changchun University of Traditional Chinese Medicine from January to December 2021 were selected as the research objects.They were divided into the control group and the observation group according to the random number table method,48 cases in each group.The patients of control group was intervened with routine ADL traning,while the patients of observation group was intervened with video feedback ADL training.The daily living ability,self-efficacy and self-esteem of the two groups were compared before and after intervention.Results After 2 weeks of intervention in the hospital and 4 weeks at home,the scores of the scale of modified Barthel index,self-efficacy scale and self-esteem scale(SES)in the observation group were significantly higher than those in the control group,the difference was statistically significant(P<0.05).After repeated measure anova,there were statistically significant differences in the inter-group effect,time effect and interaction effect of self-efficacy scale and SES total score between the two groups(P<0.05).Conclusion Video feedback ADL training can improve daily living ability of stroke patients with hemiplegia,self-efficacy and self-esteem,and promote patients'prognosis recovery,which is worthy of clinical application.

关 键 词：脑卒中 视频反馈 日常生活能力 自我效能 自尊 

分 类 号：R473[医药卫生—护理学]