阶段性功能锻炼联合回馈式健康宣教对出血性脑卒中后偏瘫患者的干预效果  

Intervention Effect of Staged Functional Exercise Combined with Feedback Health Education in Patients with Hemiplegia after Hemorrhagic Stroke

作　　者：代立群 王静 胡毛姐 DAI Liqun;WANG Jing;HU Maojie(Department of Neurosurgery,the Second People's Hospital of Hefei,Hefei 230001,China)

机构地区：[1]安徽省合肥市第二人民医院神经外科,230001

出　　处：《实用心脑肺血管病杂志》2025年第4期64-68,74,共6页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：2020年度安徽省自然科学基金项目(2008085QH387)。

摘　　要：目的 探讨阶段性功能锻炼联合回馈式健康宣教对出血性脑卒中后偏瘫患者的干预效果。方法选取2021—2023年合肥市第二人民医院收治的80例出血性脑卒中后偏瘫患者作为研究对象,采用随机数字表法将患者分为对照组与观察组,各40例。对照组患者采用阶段性功能锻炼,观察组患者在对照组基础上联合回馈式健康宣教。两组患者均持续干预3个月。比较两组干预前、干预3个月后Fugl-Meyer运动功能评定量表(FMA)、Champion健康信念模型量表(CHBMS)、健康促进生活方式量表-Ⅱ中文修订版(HPLP-ⅡR)、残疾接受度量表(修订版)(ADS-R)各维度评分及总分,日常生活活动能力量表(ADL)评分。结果 干预3个月后,观察组上肢功能、下肢功能维度评分及FMA总分高于对照组(P<0.05);观察组易感性、益处、严重性、健康动力、障碍、自我效能维度评分及CHBMS总分高于对照组(P<0.05);观察组精神成长、体育锻炼、健康责任、营养、人际关系、压力管理维度评分及HPLP-ⅡR总分高于对照组(P<0.05);观察组从属、扩大、包容、转变维度评分及ADS-R总分高于对照组(P<0.05);观察组ADL评分高于对照组(P<0.05)。结论 阶段性功能锻炼联合回馈式健康宣教可有效提高出血性脑卒中后偏瘫患者的肢体运动功能,还可提高其健康信念、健康行为水平及残疾接受度、日常生活活动能力。Objective To explore the intervention effect of staged functional exercise combined with feedback health education in patients with hemiplegia after hemorrhagic stroke.Methods A total of 80 patients with hemiplegia after hemorrhagic stroke treated in the Second People's Hospital of Hefei from 2021 to 2023 were selected as the study objects,and they were divided into the control group(40 cases)and the observation group(40 cases)by random number table method.Patients in the control group received staged functional exercise,and patients in the observation group received feedback health education based on the control group.Both groups were intervented continuously for 3 months.Each dimension score and total score of FuglMeyer Assessment(FMA),Champion's Health Belief Model Scale(CHBMS),Health Promotion Lifestyle Profile-ⅡReformulate(CHBMS),Adaptation of Disability Scale-Revised(ADS-R),and Activity of Daily Living Scale(ADL)score before intervention and after 3 months of intervention were compared between the two groups.Results After 3 months of intervention,the upper limb function,lower limb function dimension scores and total score of FMA in the observation group were higher than those in the control group(P<0.05);susceptibility,benefits,severity,health motivation,obstacles,self-efficacy dimension scores and total score of CHBMS in the observation group were higher than those of the control group(P<0.05);mental growth,physical exercise,health responsibility,nutrition,interpersonal relationship,stress management dimension scores and total score of HPLP-ⅡR in the observation group were higher than those in the control group(P<0.05);subordination,expansion,inclusion,transformation dimension scores and total score of ADS-R in the observation group were higher than those in the control group(P<0.05);ADL score in the observation group was higher than that in the control group(P<0.05).Conclusion The combination of staged functional exercise and feedback health education can effectively improve the limb motor function of

关 键 词：出血性卒中 偏瘫 阶段性功能锻炼 回馈式健康宣教 

分 类 号：R743.34[医药卫生—神经病学与精神病学] R682.22[医药卫生—临床医学]