循证临床干预路径与目标导向重复功能训练对脑出血术患者睡眠研究  

The Effect of Evidence-based Clinical Intervention Pathway and Target-oriented Repetitive Functional Training on Sleep in Patients Undergoing Cerebral Hemorrhage Surgery

作　　者：李惠端 吕明芳 LI Huiduan;LYU Mingfang(Department of Emergency,The First Affiliated Hospital of Xiamen University,Xiamen 361004,China)

机构地区：[1]厦门大学附属第一医院急诊科,厦门361004

出　　处：《世界睡眠医学杂志》2024年第11期2585-2587,2590,共4页World Journal of Sleep Medicine

摘　　要：目的:探析脑出血术后患者以循证临床干预路径结合目标导向重复功能训练干预对其睡眠质量的影响。方法:选取2021年1月至2023年9月厦门大学附属第一医院收治的脑出血患者96例作为研究对象,按照随机数字表法随机分为对照组和观察组,每组48例。对照组行常规护理,观察组行基于循证理论的循证临床干预路径结合目标导向重复功能训练。对比2组睡眠质量[失眠严重程度指数(ISI)、睡眠潜伏期(SL)、觉醒次数、总睡眠时间(TST)]、Fugl-Meyer肢体运动功能评定量表(FMAS)。结果:干预后,观察组失眠程度较对照组轻,SL、觉醒次数较对照组低(P<0.05);观察组FMAS评分以及TST值较对照组高(P<0.05)。结论:脑出血术后患者接受基于循证理论的循证临床干预路径结合目标导向重复功能训练干预可有效改善睡眠质量,恢复运动功能。Objective:To explore the impact of evidence-based clinical intervention pathway combined with target-oriented repetitive functional training on sleep quality in patients with cerebral hemorrhage.Methods:A total of 96 patients with cerebral hemorrhage admitted to the First Affiliated Hospital of Xiamen University from January 2021 to September 2023 were selected as research subjects.They were randomly divided into two groups,with 48 patients in each group,using a random number table.The control group performed routine care,and the observation group conducted evidence-based clinical intervention path based on evidence-based theory and combined with goal-oriented repeated functional training.The sleep quality[Insomnia Severity Index(ISI),sleep latency(SL),number of awakenings,total sleep time(TST)],and Fugl-Meyer Limb Motor Function Assessment Scale(FMAS).Results:After intervention,the observation group had a lower insomnia severity index score,shorter sleep latency(SL),and fewer awakenings compared to the control group(P<0.05);The FMAS score and TST value in the observation group were higher than those in the control group(P<0.05).Conclusion:Patients receiving an evidence-based clinical intervention pathway combined with a target-oriented repetitive functional training intervention had improved sleep quality and motor function recovery.

关 键 词：脑出血 循证理论 临床护理路径 目标导向重复功能训练 睡眠质量 

分 类 号：R722.151[医药卫生—儿科] R338.63[医药卫生—临床医学]