ACTED的康复护理模式对脑梗塞患者运动功能及生活质量的影响  

Effect of ACTED rehabilitation nursing model on motor function and quality of life of patients with cerebral infarction

作　　者：陶云 TAO Yun(Department of Medical Records,Jinxian County People's Hospital,Nanchang 331700,China)

机构地区：[1]江西省南昌市进贤县人民医院病案科,331700

出　　处：《中国现代药物应用》2025年第3期170-173,共4页Chinese Journal of Modern Drug Application

摘　　要：目的探讨ACTED的康复护理模式对脑梗塞患者运动功能及生活质量的影响。方法选取80例进行康复护理的脑梗塞患者,采用随机掷骰子法将其分为康复组(n=40)和常规组(n=40)。常规组患者采用常规康复护理模式进行干预,康复组患者在常规组基础上采用ACTED的康复护理模式进行干预。比较两组患者干预前及干预1个月后的神经功能[美国国立卫生研究院卒中量表(NIHSS)评分]、运动功能[Fugl-Meyer运动功能评估量表(FMA)评分]以及生活质量[生活质量综合评定表(GQOLI-74)评分]。结果干预前,两组患者的NIHSS评分、FMA评分以及GQOLI-74评分比较均无显著统计学差异(P>0.05);干预1个月后,两组患者的NIHSS评分均低于本组干预前,FMA评分、GQOLI-74评分均高于本组干预前,且康复组患者NIHSS评分(16.96±3.47)分低于常规组的(18.77±3.32)分,FMA评分(62.37±7.95)分、GQOLI-74评分(76.09±5.41)分均高于常规组的(58.55±8.04)、(72.88±5.73)分(P<0.05)。结论脑梗塞采用ACTED的康复护理模式能更有效改善患者的神经功能和运动功能,有利于提高患者的生活质量,促进脑梗塞的术后恢复,可推广使用。Objective To explore the effect of ACTED rehabilitation nursing model on motor function and quality of life of patients with cerebral infarction.Methods A total of 80 patients with cerebral infarction who received rehabilitation nursing were selected.They were divided into rehabilitation group(n=40)and conventional group(n=40)by random dice rolling method.The conventional group received routine rehabilitation nursing intervention,while the rehabilitation group received ACTED rehabilitation nursing intervention on the basis of the conventional group.Patients in both groups were compared in terms of neurological function[National Institutes of Health Stroke Scale(NIHSS)]score,motor function[Fugl-Meyer Assessment Scale(FMA)score]and quality of life[Generic Quality of Life Inventory-74(GQOLI-74)score]before intervention and 1 month after intervention.Results Before intervention,there were no significant differences in NIHSS score,FMA score and GQOLI-74 score between the two groups(P>0.05).After 1 month of intervention,the NIHSS score in both groups was lower than that before intervention,and the FMA score and GQOLI-74 score were higher than those before intervention;the rehabilitation group had lower NIHSS score of(16.96±3.47)points than(18.77±3.32)points in the conventional group;the rehabilitation group had FMA score of(62.37±7.95)points and GQOLI-74 score of(76.09±5.41)points,which were higher than(58.55±8.04)and(72.88±5.73)points in the conventional group(P<0.05).Conclusion The ACTED rehabilitation nursing model for patients with cerebral infarction can effectively improve their neurological function and motor function,enhance their quality of life,promote postoperative recovery of cerebral infarction,and can be widely promoted.

关 键 词：康复护理 脑梗塞 神经功能 运动功能 生活质量 

分 类 号：R473.74[医药卫生—护理学]