急性脑梗死溶栓后患者应用互动达标理论功能锻炼的效果研究  

Study on the effect of functional exercise using interactive standard theory in patients with acute cerebral infarction after thrombolysis

作　　者：白莹莹[1] 杜晓娟 夏璐璐 刘新生[1] Bai Ying-ying;Du Xiao-juan;Xia Lu-lu;Liu Xin-sheng(Department of Neurology,Zhengzhou First People's Hospital,Zhengzhou 45000,China)

机构地区：[1]郑州市第一人民医院神经内科五病区,河南郑州450000

出　　处：《四川生理科学杂志》2023年第6期956-959,共4页Sichuan Journal of Physiological Sciences

基　　金：河南省医学科技攻关计划项目(LHGJ20190984)。

摘　　要：目的:探索和分析急性脑梗死溶栓后患者应用互动达标理论功能锻炼的效果研究。方法:从本院2020年2月到2022年2月选取142例急性脑梗死溶栓后患者作为研究对象,按照随机数表法将急性脑梗死溶栓后患者平均分为2组,一部分为对照组采用常规护理方法进行干预,一部分为观察组在对照组基础上添加以互动达标理论为基础功能锻炼方法进行干预。使用临床心脑血管患者生活质量评价量表(Short form 24 questionnaire,SF-24)对患者的生活质量进行评价,使用临床患者康复知识掌握程度评价表格对患者的康复知识掌握程度进行评价,测量和统计患者的自我管理能力评分值和6 min步行试验距离。结果:观察组急性脑梗死溶栓后患者的生活质量评分结果要高于对照组急性脑梗死溶栓后患者的生活质量评分结果,其中观察组工作状况、一般生活功能、社会心理功能与对照组患者的工作状况、一般生活功能、社会心理功能相比较有比较大幅度的提高;接受干预后观察组患者的完全掌握占比值和基本掌握占比值均高于对照组患者的完全掌握占比值和基本掌握占比值,另外观察组患者的康复知识总掌握率值和对照组患者的康复知识总掌握率值相比较有一定程度的提升;干预后观察组急性脑梗死溶栓后患者的自我管理能力评分值、6min步行试验距离值均要好于对照组患者的数据值(P<0.05)。结论:急性脑梗死溶栓后患者应用以互动达标理论为基础功能锻炼后能够一定程度上提高患者的生活质量以及康复知识掌握情况,并且患者接受干预后的自我管理能力以及6min步行试验距离均有较好的发展。Objective:To explore and analyze the application effect of functional exercise method based on the theory of interactive compliance in patients with acute cerebral infarction after thrombolysis.Methods:From February 2020 to February 2022 in our hospital,142 patients with acute cerebral infarction after thrombolysis were selected as the research objects.According to the random number table method,the patients with acute cerebral infarction after thrombolysis were randomly divided into 2 groups.Routine nursing methods were used to intervene the part of control group,and part of the observation group was added to the control group by adding functional exercise methods based on the theory of interactive compliance.Use the clinical cardiovascular Short form 24 questionnaire(SF-24)evaluation scale to evaluate the patient's quality of life,use the clinical patient rehabilitation knowledge mastery evaluation form to evaluate the patient's rehabilitation knowledge mastery,measure and count the patient's self-management ability score value and the 6-minute walk test distance.Results:The quality-of-life score of the patients in the observation group after thrombolysis for acute cerebral infarction was higher than that of the patients in the control group after thrombolysis for acute cerebral infarction.The working conditions,general living functions,and social psychological functions have been greatly improved;after the intervention,the proportion of complete mastery and basic mastery of patients in the observation group were higher than those of the patients in the control group.In addition,the total mastery rate of rehabilitation knowledge of patients in the observation group was improved to a certain extent compared with the total mastery rate of rehabilitation knowledge of patients in the control group.The distance values of the 6-minute walk test were all better than those of the control group(P<0.05).Conclusions:After acute cerebral infarction thrombolysis,the application of functional exercise based on the theory of

关 键 词：互动达标理论 功能锻炼方法 急性脑梗死 溶栓后患者 应用效果 

分 类 号：R743.3[医药卫生—神经病学与精神病学]