引导式教育用于脑卒中患者康复训练效果观察  

Effectiveness of the conductive educational approach added to rehabilitation training for stroke patients

作　　者：李彤[1] 张芬[1] 张会聪 司新艳[1] 刘永瑞[1] Li Tong;Zhang Fen;Zhang Huicong;Si Xinyan;Liu Yongrui(Department of Rehabilitation,Zhengzhou People′s Hospital,Zhengzhou 450003,China)

机构地区：[1]郑州人民医院康复医学科,河南郑州450003

出　　处：《护理学杂志》2022年第17期1-4,17,共5页Journal of Nursing Science

基　　金：河南省医学科技攻关计划(联合共建)项目(LHGJ20210692)。

摘　　要：目的探讨引导式教育对脑卒中患者康复效果的影响。方法将脑卒中后肢体功能障碍患者100例随机分为对照组和观察组各50例,对照组按常规行康复训练,观察组行引导式教育的康复训练,连续干预8周。比较两组康复护理效果及肢体运动功能、平衡功能、肌张力和患侧下肢关节活动度。结果观察组康复干预效果显著优于对照组(P<0.05);两组干预前及干预后4周、8周肢体运动功能评分、平衡功能评分、肌张力、最大髋关节屈伸角度、最大膝关节屈伸角度、最大踝关节背屈跖角度比较,干预、时间及交互效应有统计学意义(均P<0.05)。结论引导式教育用于康复训练可提高脑卒中患者下肢关节活动度,降低肌张力,促进肢体运动功能和平衡功能恢复。Objective To explore the effect of the conductive educational approach added to rehabilitation training for stroke patients.Methods One hundred patients with post-stroke limb dysfunction were randomly divided into a control group and an observation group,with 50 cases in each.The control group received conventional physiotherapy,while patients in the observation group took part in therapy on the basis of the conductive education approach for 8 weeks.The rehabilitation effect,limb motor function,ba-lance function,muscle tone and joint mobility of the affected lower limb were compared between the two groups.Results The rehabilitation effect in the observation group was significantly better than that in the control group(P<0.05).The scores of limb motor function and balance function,the muscle tone,maximum hip and knee flexion/extension angles,and maximum ankle dorsi-and plantar-flexion angles measured before and 4 and 8 weeks after the intervention,showed significant main effect of group,main effect of time,and group-by-time interaction effect(all P<0.05).Conclusion Conductive education could have an additive effect on improving the lower extremity joint range of motion,reducing muscle tone,and promoting recovery of limb motor function and balance in stroke patients.

关 键 词：脑卒中 肢体功能障碍 康复训练 引导式教育 肢体运动功能 平衡功能 关节活动度 肌张力 

分 类 号：R473.74[医药卫生—护理学] R743.3[医药卫生—临床医学]