赋能理论指导下的康复干预对急性脑梗死偏瘫患者自护能力的影响  

The Impact of Rehabilitation Intervention Guided by Empowerment Theory on Self-care Ability and Autonomous Living Ability of Patients with Acute Cerebral Infarction and Hemiplegia

作　　者：李立凤 林细容 卓叶雯 LI Lifeng;LIN Xirong;ZHUO Yewen(Department of Neurology,Mindong Hospital,Ningde 355000,China)

机构地区：[1]宁德市闽东医院神经内科,宁德355000

出　　处：《中国医药指南》2024年第32期49-52,共4页Guide of China Medicine

摘　　要：目的观察急性脑梗死偏瘫患者应用赋能理论指导下的康复干预对患者自护能力、自主生活能力的影响。方法选取2023年8月到2024年1月宁德市闽东医院神经内科收治的76例急性脑梗死偏瘫患者资料。采用随机数字表法分组,对照组采取常规护理,观察组联合赋能理论指导下的康复干预。对比两组患者神经功能、自护能力、认知功能、焦虑情绪以及运动功能。结果护理后,观察组NIHSS评分优于对照组(P<0.05);护理后,观察组自护责任感、自护概念、自护知识、自护技能均高于对照组(P<0.05);护理后,观察组认知功能、焦虑情绪优于对照组(P<0.05);护理后,观察组上肢功能、下肢功能优于对照组(P<0.05)。结论在急性脑梗死偏瘫患者中,通过以赋能理论作为指导,为患者提供康复干预,能够有效改善患者神经功能,提高患者自护能力,强化运动功能以及自主生活能力。Objective To observe the influence of rehabilitation intervention under the guidance of enabling theory on self-care ability and independent ability.Methods Data of 76 patients with acute cerebral infarction and hemiplegia admitted to the Department of Neurology of Ningde Mindong Hospital from August 2023 to January 2024 were selected.With the help of random number table method,the control group adopted routine care,and the observation group combined the theory of the rehabilitation intervention.The neurological function,self-care ability,cognitive function,anxiety mood and motor function were compared.Results After nursing care,the NIHSS score of the observation group was better than that of the control group(P<0.05);after nursing care,the self-care responsibility,self-care concepts,self-care knowledge,and self-care skills of the observation group were all higher than those of the control group(P<0.05);after nursing care,the cognitive function and anxiety levels of the observation group were better than those of the control group(P<0.05);after nursing care,the upper limb function and lower limb function of the observation group were better than those of the control group(P<0.05).Conclusions In patients with hemiplegia of acute cerebral infarction,with rehabilitation theory,it can effectively improve their nerve function,improve their self-care ability,strengthen their motor function and independent living ability.

关 键 词：急性脑梗死 偏瘫 自护能力 自主生活能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]