肢体康复训练对脑梗死偏瘫患者运动功能与自理能力的影响  

Effects of Limb Rehabilitation Training on Motor Function and Self-care Ability of Cerebral Infarction Patients with Hemiplegia

作　　者：黄文娟 熊春蕾 HUANG Wen-Juan;XIONG Chun-Lei(Gao'an People's Hospital,Yichun 330800,China)

机构地区：[1]高安市人民医院,江西宜春330800

出　　处：《中国药物经济学》2024年第12期120-124,共5页China Journal of Pharmaceutical Economics

摘　　要：目的探讨脑梗死偏瘫患者实施肢体康复训练对运动功能和自理能力的影响。方法选取2021年1月至2024年1月高安市人民医院收治的脑梗死偏瘫患者76例作为研究对象,采用随机数字表法分为对照组与观察组,各38例。对照组给予常规康复护理干预,观察组在对照组基础上实施肢体康复训练干预。比较两组患者心理状态、自我效能感、自我管理能力、肢体运动功能、神经功能缺损、生活自理能力、生命质量及并发症发生情况。结果干预后观察组心理状态评分高于对照组(P<0.05),自我效能、自我管理能力及上、下肢运动功能评分高于对照组(P<0.05),神经功能缺损评分低于对照组(P<0.05),生活自理能力和生命质量评分高于对照组(P<0.05),并发症发生率低于对照组(P<0.05)。结论对脑梗死偏瘫患者采取肢体康复训练干预能使其以良好的心态积极参与训练,提高自我效能感和自我管理能力,使患肢运动功能及受损神经功能得到良好恢复,增强生活自理能力,预防并发症,提高生命质量。Objective To explore the effects of limb rehabilitation training on motor function and self-care ability in patients with cerebral infarction and hemiplegia.Methods A total of 76 patients with cerebral infarction and hemiplegia treated in Gao'an People's Hospital from January 2021 to January 2024 were selected as the study objects,and were divided into control group and observation group by random number table method,with 38 cases in each group.The control group was given routine rehabilitation nursing intervention,and the observation group was given physical rehabilitation training intervention based on the control group.The mental state,self-efficacy,self-management ability,limb motor function,neurological impairment,self-care ability,quality of life and complications were compared between the two groups.Results After intervention,the scores of psychological state in the observation group were higher than those in the control group(P<0.05),the scores of self-efficacy,self-management ability and upper and lower limb motor function were higher than those in the control group(P<0.05),the scores of neurological impairment were lower than those in the control group(P<0.05),and the scores of self-care ability and quality of life were higher than those in the control group(P<0.05),the complication rate was lower than that of control group(P<0.05).Conclusion Limb rehabilitation training intervention for cerebral infarction patients with hemiplegia can make them actively participate in training with a good attitude,improve self-efficacy and self-management ability,make the motor function of the affected limb and the damaged nerve function recover well,enhance the self-care ability,prevent complications,and improve the quality of life.

关 键 词：脑梗死偏瘫 肢体康复训练 运动功能 自理能力 生命质量 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R473.74[医药卫生—临床医学]