基于目标导向的渐进性康复干预对高血压合并脑梗死患者血压控制水平及肢体功能的影响  

Effect of Goal-Oriented Progressive Rehabilitation Intervention on Blood Pressure Control and Limb Function in Patients with Hypertension Complicated with Cerebral Infarction

作　　者：韩永华[1] HAN Yonghua(Department of Quality Control,Jinan Third People's Hospital,Jinan 250132,China)

机构地区：[1]济南市第三人民医院质管科,山东济南250132

出　　处：《反射疗法与康复医学》2024年第22期165-168,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨基于目标导向的渐进性康复干预对高血压合并脑梗死患者血压控制水平及肢体功能的影响。方法选取济南市第三人民医院2022年4月—2023年4月收治的83例高血压合并脑梗死患者为研究对象,采用系统化随机法将其分为研究组(n=41)和常规组(n=42)。常规组采用常规护理,研究组开展基于目标导向的渐进性康复干预。对比两组的血压控制水平、肢体功能、神经功能、生活质量。结果护理90 d后,研究组收缩压、舒张压分别为(87.56±8.94)mmHg、(77.12±8.49)mmHg,均低于常规组的(97.42±9.71)mmHg、(85.90±9.16)mmHg,组间差异有统计学意义(P<0.05);研究组平衡、感觉、运动及关节活动功能评分分别为(21.30±3.15)分、(12.32±2.01)分、(84.71±5.81)分、(37.49±2.25)分,均高于常规组的(18.48±2.16)分、(9.41±1.14)分、(66.93±3.25)分、(30.41±2.10)分,关节疼痛评分为(18.77±2.31)分,低于常规组的(34.51±3.85)分,组间差异有统计学意义(P<0.05);两组美国国立卫生研究院卒中量表评分均低于护理前,且研究组低于常规组,差异有统计学意义(P<0.05);两组脑卒中影响量表评分均高于护理前,且研究组高于常规组,差异有统计学意义(P<0.05)。结论基于目标导向的渐进性康复干预对高血压合并脑梗死患者的血压水平具有良好的控制作用,同时可改善患者的肢体功能及生活质量。Objective To explore the effect of goal-oriented progressive rehabilitation intervention on blood pressure control and limb function in patients with hypertension complicated with cerebral infarction.Methods Selecting 83 patients with hypertension complicated with cerebral infarction admitted to Jinan Third People's Hospital from April 2022 to April 2023 as the research subjects they were divided into study group(n=41)and conventional group(n=42)by systematic random method.The conventional group carried out routine nursing,and the study group carried out goal-oriented progressive rehabilitation intervention.Blood pressure control,limb function,nerve function and quality of life were compared between the two groups.Results After 90 days of nursing,the systolic blood pressure and diastolic blood pressure of the study group were(87.56±8.94)mmHg and(77.12±8.49)mmHg,respectively,which were lower than the conventional group's(97.42±9.71)mmHg and(85.90±9.16)mmHg,and the differences between groups were statistically significant(P<0.05);the balance,sensation,movement,and joint activity function scores of the study group were(21.30±3.15)points,(12.32±2.01)points,(84.71±5.81)points,and(37.49±2.25)points,respectively,which were higher than the conventional group's,(18.48±2.16)points,(9.41±1.14)points,(66.93±3.25)points,and(30.41±2.10)points,while the joint pain score was(18.77±2.31)points,which was lower than the conventional group's(34.51±3.85)points,with statistically significant differences between the groups(P<0.05);the National Institutes of Health Stroke Scale score of both groups were lower than those before nursing,and the study group was higher than that in the conventional group,the difference was statistically significant(P<0.05);the Stroke Impact Scale scores of both groups were higher than those before nursing,and the study group was higher than that in the conventional group,the difference was statistically significant(P<0.05).Conclusion Goal-Oriented progressive rehabilitation intervention has a

关 键 词：脑梗死 高血压 目标导向 渐进性康复干预 肢体功能 

分 类 号：R743[医药卫生—神经病学与精神病学]