综合康复护理模式与针刺联合对老年脑梗死恢复期患者肢体功能及生活质量的影响。
Effects of All-Inclusive and Hierarchical Rehabilitation Nursing Model Combined with Acupuncture on Limb Function and Quality of Life in Elderly Patients with Cerebral Infarction during Convalescence.
机构信息
Department of Nursing, Affiliated Hospital of Inner Mongolia Chifeng University, Chifeng 024099, Inner Mongolia, China.
Department of Rehabilitation Physiotherapy, Affiliated Hospital of Inner Mongolia Chifeng University, Chifeng 024099, Inner Mongolia, China.
出版信息
J Healthc Eng. 2022 Apr 13;2022:2654729. doi: 10.1155/2022/2654729. eCollection 2022.
OBJECTIVE
To investigate effects of all-inclusive and hierarchical rehabilitation nursing model combined with acupuncture on limb function and quality of life in elderly patients with cerebral infarction during convalescence.
METHODS
Eighty elderly patients with cerebral infarction who were treated in our hospital (February 2018-February 2020) and met the inclusion and exclusion criteria were chosen as the research objects, and their materials were analyzed in the way of retrospective study. They were equably randomized into observation group and reference group. Based on the acupuncture treatment, the patients in the observation group and the reference group were given routine rehabilitation nursing and all-inclusive and hierarchical rehabilitation nursing respectively for three months. The simplified Fugl-Meyer Assessment (FMA) scores, Modified Edinburgh-Scandinavian Stroke Scale (MESSS) scores, Activities of Daily Living Scale (ADL) scores, and Stroke-Specific Quality of Life Scale (SS-QOL) scores in the two groups before and after intervention were recorded, and the changes of limb function, neurological function, and living quality of the patients in the two groups were analyzed.
RESULTS
Compared with the reference group, the observation group after intervention achieved prominently higher FMA score ( < 0.001), markedly lower MESSS score ( < 0.001), and signally higher SS-QOL scores ( < 0.05). After intervention, the observation group achieved obviously higher ADL score than the reference group (68.88 ± 8.91 vs 59.00 ± 8.38, < 0.001).
CONCLUSION
The all-inclusive and hierarchical rehabilitation nursing model combined with acupuncture can accelerate the recovery of neurological function of the elderly patients with cerebral infarction, enhance the rehabilitation of their limb function, and markedly improve their quality of life. Therefore, this model has referential significance in clinic.
目的
观察全面层级康复护理模式联合针灸对恢复期老年脑梗死患者肢体功能及生活质量的影响。
方法
选取 2018 年 2 月至 2020 年 2 月在我院治疗的 80 例符合纳入排除标准的老年脑梗死患者作为研究对象，采用回顾性研究方法对其资料进行分析。将其均分为观察组和对照组。两组患者均接受针灸治疗，在此基础上，观察组给予全面层级康复护理，对照组给予常规康复护理，两组患者均护理 3 个月。记录两组患者干预前后简化 Fugl-Meyer 评估量表（FMA）评分、改良爱丁堡-斯堪的那维亚神经功能缺损评分量表（MESSS）评分、日常生活能力量表（ADL）评分和脑卒中专用生活质量量表（SS-QOL）评分的变化，分析两组患者肢体功能、神经功能和生活质量的改善情况。
结果
观察组干预后的 FMA 评分明显高于对照组（<0.001），MESSS 评分明显低于对照组（<0.001），SS-QOL 评分明显高于对照组（<0.05）。干预后，观察组 ADL 评分明显高于对照组（68.88±8.91比 59.00±8.38，<0.001）。
结论
全面层级康复护理模式联合针灸能加快老年脑梗死患者神经功能的恢复，促进其肢体功能康复，显著提高患者的生活质量，在临床上具有借鉴意义。
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