基于Snyder理论的细节性延续护理联合躯干控制训练在自发性脑出血患者中的应用  

Application of Detailed Continuous Nursing Combined with Trunk Control Training based on Snyder Theory in Patients with Spontaneous Cerebral Hemorrhage

作　　者：许峰[1] 王玲[1] 张燕[1] Xu Feng;Wang Ling;Zhang Yan(The First Affiliated Hospital of Zhengzhou University,Zhengzhou Henan 450000,China)

机构地区：[1]郑州大学第一附属医院,河南郑州450000

出　　处：《齐鲁护理杂志》2023年第17期1-4,共4页Journal of Qilu Nursing

基　　金：河南省医学科技攻关计划(联合共建)项目(编号:LHGJ20190071)。

摘　　要：目的:探讨基于Snyder理论的细节性延续护理联合躯干控制训练在自发性脑出血(ICH)患者中的应用效果。方法:前瞻性选择2021年2月1日~2023年2月1日治疗的ICH患者120例作为研究对象,以随机数字表法分为对照组和观察组各60例,对照组采用基于Snyder理论的细节性延续护理,观察组采用基于Snyder理论的细节性延续护理联合躯干控制训练;比较两组干预前后神经功能[采用欧洲卒中评分量表(ESS)]、肢体功能(采用简式Fugl-Meye评分量表)、日常活动能力(采用Barthel指数)、住院时间、跌倒效能感[采用国际版跌倒效能量表(FES-I)]、功能独立性评定量表(FIM)评分及淋巴细胞比率(NLR),同时记录两组并发症发生情况。结果:干预后,两组ESS、Fugl-Meye、FES-I、FIM评分及Barthel指数均高于干预前(P<0.01),且观察组高于对照组(P<0.01);观察组住院时间短于对照组(P<0.01);干预后,两组NLR水平低于干预前(P<0.01),且观察组低于对照组(P<0.01)。结论:在ICH患者治疗过程中应用基于Snyder理论的细节性延续护理联合躯干控制训练,能够改善患者的神经功能,缩短住院时间,提升其生活自理能力及肢体功能对患者并发症影响较小,安全性较高,临床应用前景较大。Objective:To explore the application effect of detailed continuous nursing combined with trunk control training based on Snyder theory in patients with spontaneous cerebral hemorrhage.Methods:A total of 120 patients with spontaneous intracerebral hemorrhage admitted from February 1,2021 to February 1,2023 were prospectively selected as the subjects of this study.They were divided into the control group and the observation group by the random number table method,with 60 patients in each group.The control group was given the detailed continuous nursing based on Snyder theory.The observation group was given the detailed continuous nursing based on Snyder theory combined with trunk control training.The neurological function by the European stroke scale(ESS),limb function by simplified Fugl-Meye,daily activity by Barthel index,length of hospital stay,fall effect energy by international version of fall effect energy meter(FES-I),functional independence assessment scale(FIM)scores and lymphocyte ratio(NLR),and the occurrence of adverse complications in both groups were recorded.Results:After intervention,the ESS,Fugl-Meyee,FES-I,FIM scores and Barthel indexes were higher in both groups than those before intervention(P<0.01),and higher in the observation group than those in the control group(P<0.01).And the hospital stay was significantly shorter in the observation group than that in the control group(P<0.01).After intervention,the NLR scores in both groups were significantly lower than those before treatment(P<0.01),and lower in the observation group than those in the control group(P<0.01).Conclusion:In the treatment of patients with spontaneous cerebral hemorrhage,application of the detailed continuous nursing based on Snyder theory combined with trunk control training.It can improve their nervous function,shorten the hospitalization time,but also greatly improve their self-care ability and limb function,have little impact on the complications,with high safety,the prospect of clinical use is great.

关 键 词：Snyder理论 细节性延续护理 躯干控制训练 自发性脑出血 

分 类 号：R473.54[医药卫生—护理学]