家庭康复护理模式联合中药浸洗按摩对脑卒中患者机体平衡功能及认知功能的影响  

Effect of home-based rehabilitation nursing model combined with chinese medicine soaking and massage on balance and cognitive functions in stroke patients

作　　者：孙笛[1] 张洁[1] 任又红 王海明 SUN Di;ZHANG Jie;REN Youhong;WANG Haiming(Department of Rehabilitation Medicine,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院康复医学科,河南郑州450000

出　　处：《黑龙江医药科学》2025年第1期39-43,共5页Heilongjiang Medicine and Pharmacy

基　　金：河南省医学科技攻关联合共建项目,编号:LHGJ20211030。

摘　　要：目的:回顾性分析家庭康复护理模式联合中药浸洗按摩对脑卒中患者机体平衡功能及认知功能的影响。方法:选取2022年10月至2023年10月郑州大学第一附属医院收治的114例脑卒中患者,按护理方法不同分为实验组(n=57)、对照组(n=57),对照组为常规护理+中药浸洗按摩,实验组在对照组基础上行家庭康复护理模式。比较两组神经功能[美国国立卫生研究院卒中量表(national institute of health stroke scale, NIHSS)]、机体平衡功能[脑卒中患者姿势评定量表(posture assessment of stroke scale, PASS)]、认知功能[蒙特利尔认知评估量表(montreal cognitive assessment, MoCA)]、自我感受负担[自我感受负担量表(self-percrived burden scale, SPBS)]、生活质量[脑卒中专用生活质量量表(stroke-specific quality of life, SS-QOL)]。结果:与干预前相比,干预后两组NIHSS评分均下降且实验组NIHSS评分低于对照组(P<0.05);与干预前相比,干预后两组PASS评分均升高且实验组PASS评分高于对照组(P<0.05);与干预前相比,两组MoCA评分均升高,且实验组高于对照组(P<0.05);与干预前相比,两组SPBS评分均降低,且实验组低于对照组(P<0.05);与干预前相比,干预后两组SS-QOL评分均升高且实验组SS-QOL评分高于对照组(P<0.05)。结论:对脑卒中患者实施家庭康复护理模式联合中药浸洗按摩,能改善神经功能、机体平衡功能、认知功能,降低自我感受负担,提高生活质量。Objective:To retrospectively analyze the effect of a home-based rehabilitation nursing model combined with chinese medicine soaking and massage on balance and cognitive functions in stroke patients.Methods:114 stroke patients at the First Affiliated Hospital of Zhengzhou University from October 2022 to October 2023 were selected and divided into experimental group(n=57)and control group(n=57)based on different nursing methods.The control group received routine nursing plus chinese medicine soaking and massage,while the experimental group received home-based rehabilitation nursing model in addition to the control group's interventions.The neurological function(assessed using the national institute of health stroke scale,NIHSS),body balance function(assessed using the posture assessment of stroke scale,PASS),cognitive function(assessed using the montreal cognitive assessment,MoCA),self-perceived burden(assessed using the self-percrived burden scale,SPBS),and quality of life(assessed using the stroke-specific quality of life,SS-QOL)were compared between the two groups.Results:Intra-group analysis showed that NIHSS scores decreased in both groups after intervention(P<0.05).Inter-group analysis revealed that the NIHSS score in the experimental group was lower than that in the control group after intervention(P<0.05).Intra-group analysis showed that the PASS scores in both groups increased after intervention compared to pre-intervention(P<0.05).The inter-group analysis revealed that the PASS score in the experimental group was higher than that in the control group after intervention(P<0.05).MoCA scores increased in both groups compared to pre-intervention,with the experimental group scoring higher than the control group(P<0.05).SPBS scores decreased in both groups compared to pre-intervention,with the experimental group scoring lower than the control group(P<0.05).Intra-group analysis showed that the SS-QOL scores of both groups increased after the intervention compared to pre-intervention(P<0.05).Inter-group analysis

关 键 词：家庭康复护理 脑卒中 机体平衡功能 认知功能 生活质量 

分 类 号：R473.74[医药卫生—护理学]