基于目标管理理论的病程相宜式康复管理在青年脑梗死患者中的应用  

Application of course appropriate rehabilitation management based on objective management theory in young patients with cerebral infarction

作　　者：李星 陈义彤[1] 刘星池 武美茹[1] LI Xing;CHEN Yitong;LIU Xingchi;WU Meiru(Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China)

机构地区：[1]首都医科大学附属北京天坛医院,北京100070

出　　处：《中国实用神经疾病杂志》2025年第1期94-98,共5页Chinese Journal of Practical Nervous Diseases

基　　金：北京天坛医院院青年项目(编号:2022-YQN-10)。

摘　　要：目的探讨基于目标管理理论的病程相宜式康复管理在青年脑梗死患者中的应用效果。方法采用前瞻性随机对照试验设计,纳入126例青年脑梗死患者,随机分为对照组和观察组,各63例。对照组接受常规干预,观察组实施基于目标管理理论的病程相宜式康复管理,评估2组患者干预前后运动功能、日常生活能力、神经功能、生活质量及治疗有效性。结果观察组患者FMA评分显著高于对照组(92.9±5.2比89.0±6.1),ADL评分显著低于对照组(17.3±2.4比18.5±2.8),NIHSS评分显著低于对照组(9.0±2.4比10.1±2.2),SV-SS-QoL评分显著高于对照组(58.0±3.9比47.5±4.4),差异均有统计学意义(P<0.05)。观察组治疗有效性高于对照组,差异有统计学意义(Z=2.021,P=0.043)。结论基于目标管理理论的病程相宜式康复管理能显著提高青年脑梗死患者的康复效果,提升患者运动功能、日常生活能力、生活质量并减少神经功能损伤。Objective To investigate the application effect of course appropriate rehabilitation management based on objective management theory in young patients with cerebral infarction.Methods A total of 126 young patients with cerebral infarction were included in a prospective randomized controlled trial design and were randomly divided into the control group and the observation group,with 63 cases in each group.The control group received conventional intervention,and the observation group implemented the rehabilitation management based on objective management theory on the basis of conventional treatment.Motor function,ability of daily living,neurological impairment,quality of life and treatment effectiveness were evaluated in the two groups before and after intervention.Results FMA score in the observation group was significantly higher than that in the control group(92.9±5.2 vs 89.0±6.1),ADL score was significantly lower than that in the control group(17.3±2.4 vs 18.5±2.8),NIHSS score was significantly lower than that in the control group(9.0±2.4 vs 10.1±2.2),SV-SS-QoL score was significantly higher than that of the control group(58.0±3.9 vs 47.5±4.4),there were statistically significant differences(P<0.05).The treatment effectiveness of the observation group was higher than that of the control group,with statistical significance(Z=2.021,P=0.043).Conclusion Based on the theory of objective management,the rehabilitation management with appropriate course of disease can significantly improve the rehabilitation effect of young patients with cerebral infarction,improve the motor function,daily living ability and the quality of life,and reduce the neurological function damage.

关 键 词：脑梗死 目标管理理论 病程相宜 神经康复 护理干预 青年 

分 类 号：R473.74[医药卫生—护理学]