赋能教育联合“呼”字诀操在脑卒中后疲劳康复中的临床效果研究  

Study on the clinical effect of empowering education combined with"Hoo"maneuver training in rehabilitation of post-stroke fatigue

作　　者：施家芳[1] 施碧霞[1] 苏秋珍 朱旗霞[2] SHI Jia-fang;SHI Bi-xia;SU Qiu-zhen(Rehabilitation Department,the Second People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou 350001,China)

机构地区：[1]福建中医药大学附属第二人民医院康复科,350001 [2]福建中医药大学附属第二人民医院护理部,350001

出　　处：《中国现代药物应用》2024年第13期148-151,共4页Chinese Journal of Modern Drug Application

基　　金：2021年度福建省中青年教师教育科研项目(科技类)(项目编号:JAT210209)。

摘　　要：目的探讨赋能教育联合“呼”字诀操训练对脑卒中后疲劳患者的康复效果。方法纳入120例脑卒中后疲劳患者,采用随机数字表法将其分为对照组和观察组,每组60例。对照组采用常规康复及护理方式,观察组干预时在前者基础上增加赋能教育联合“呼”字诀操。比较两组患者干预前后的疲劳严重度量表(FSS)评分、改良Barthel指数(MBI)评分、C反应蛋白(CRP)及同型半胱氨酸(HCY)水平。结果干预后,两组患者FSS评分均低于本组干预前,且观察组FSS评分(29.55±7.62)分比对照组的(35.28±10.14)分低,差异具有统计学意义(P<0.05)。干预后,两组患者MBI评分较干预前均有一定程度提高,且观察组MBI评分(58.08±15.52)分高于对照组的(50.05±15.43)分,差异有统计学意义(P<0.05)。干预后,两组患者CRP和HCY水平均低于本组干预前,且观察组CRP(4.58±3.07)mg/L和HCY(11.15±4.98)ng/ml低于对照组的(7.18±3.59)mg/L、(14.85±3.68)ng/ml,差异有统计学意义(P<0.05)。结论赋能教育联合“呼”字诀操训练对脑卒中后疲劳患者的康复有良好的作用,值得临床进行推广。Objective To research the rehabilitation effect of empowering education combined with"Hoo"maneuver training in post-stroke fatigue patients.Methods A total of 120 patients with post-stroke fatigue were divided into a control group and an observation group according to random numerical table,with 60 cases in each group.The control group was treated with conventional rehabilitation treatment and nursing methods,and the observation group added empowering education combined with"Hoo"maneuver training to the former intervention.The fatigue severity scale(FSS)score,modified Barthel index(MBI)score,C-reactive protein(CRP)and homocysteine(HCY)levels were compared between the two groups before and after the intervention.Results After intervention,FSS score in both groups were lower than that before intervention,and the observation group had lower FSS score of(29.55±7.62)points than(35.28±10.14)points in the control group,and the difference was statistically significant(P<0.05).After intervention,the MBI score in both groups was improved to a certain extent before intervention,and the observation group had higher MBI score of(58.08±15.52)points than(50.05±15.43)points in the control group.The difference was statistically significant(P<0.05).After intervention,the levels of CRP and HCY in both groups were lower than those before intervention;the observation group had CRP of(4.58±3.07)mg/L and HCY of(11.15±4.98)ng/ml,which were lower than(7.18±3.59)mg/L and(14.85±3.68)ng/ml in the control group;the difference was statistically significant(P<0.05).Conclusion Empowering education combined with"Hoo"maneuver training has a good effect on the rehabilitation of poststroke fatigue patients,and it is worthy of clinical promotion.

关 键 词：赋能教育 “呼”字诀操 脑卒中后疲劳 康复 

分 类 号：R473.74[医药卫生—护理学]