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基于循证理论的临床护理路径的功能训练对脑出血患者功能恢复的影响

The impact of functional training based on clinical nursing pathways informed by evidence-based theory on functional recovery in patients with cerebral hemorrhage.

作者信息

Liang Haijuan, Yuan Ping, Xu Tong, Jin Chao, Ji Cuiling

机构信息

Department of Neurosurgical Intensive Care Unit, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, Jiangsu, China.

出版信息

Front Neurol. 2025 May 26;16:1558908. doi: 10.3389/fneur.2025.1558908. eCollection 2025.

DOI:10.3389/fneur.2025.1558908
PMID:40492173
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12146160/
Abstract

BACKGROUND

Cerebral hemorrhage significantly impacts patients' neurological function and daily living capabilities. The study investigates the effect of functional training based on clinical nursing pathways informed by evidence-based theory on the functional recovery in postoperative patients with cerebral hemorrhage.

METHODS

This retrospective analysis included 160 patients divided into an intervention group receiving specialized functional training ( = 80) and a control group receiving standard care ( = 80) from December 2021 to December 2023. Functional recovery was evaluated using the National Institutes of Health Stroke Scale (NIHSS), Modified Barthel Index (MBI), and Glasgow Coma Scale (GCS). Complications and patient satisfaction were also assessed.

RESULTS

The intervention group showed significant improvements in NIHSS, MBI, and GCS scores post-intervention, indicating enhanced neurological function, daily living capabilities, and consciousness levels ( < 0.001). Complication rates were lower in the intervention group (2.5%) compared to the control group (18.75%), with statistical significance ( = 0.0021). Patient satisfaction was notably higher in the intervention group, with 95% total satisfaction compared to 76% in the control group ( < 0.01).

CONCLUSION

Functional training within clinical nursing pathways, grounded in evidence-based theory, significantly improves postoperative functional recovery, reduces complications, and increases patient satisfaction in individuals recovering from cerebral hemorrhage.

摘要

背景

脑出血对患者的神经功能和日常生活能力有显著影响。本研究旨在探讨基于循证理论的临床护理路径下的功能训练对脑出血术后患者功能恢复的影响。

方法

本回顾性分析纳入了160例患者,2021年12月至2023年12月期间,将其分为接受专业功能训练的干预组(n = 80)和接受标准护理的对照组(n = 80)。使用美国国立卫生研究院卒中量表(NIHSS)、改良巴氏指数(MBI)和格拉斯哥昏迷量表(GCS)评估功能恢复情况。同时评估并发症和患者满意度。

结果

干预组干预后NIHSS、MBI和GCS评分显著改善,表明神经功能、日常生活能力和意识水平增强(P < 0.001)。干预组的并发症发生率(2.5%)低于对照组(18.75%),具有统计学意义(P = 0.0021)。干预组患者满意度显著更高,总满意度为95%,而对照组为76%(P < 0.01)。

结论

基于循证理论的临床护理路径下的功能训练可显著改善脑出血术后患者的功能恢复,减少并发症,并提高患者满意度。

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Effect of tibialis anterior muscle resistance training on ankle and foot dorsum extension function in hypertensive cerebral hemorrhage hemiplegia patients: A randomized controlled trial.胫骨前肌抗阻训练对高血压性脑出血偏瘫患者踝关节及足背伸功能的影响:一项随机对照试验。
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Integrated Nursing and Targeted Functional Training for Cerebral Hemorrhage Recovery.脑出血恢复期的整体护理及靶向功能训练
Altern Ther Health Med. 2023 Oct;29(7):80-85.
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Effects of Systemic Rehabilitation Nursing Combined with WeChat Publicity and Education on the Early Cognitive Function and Living Quality of the Patients with Cerebral Arterial Thrombosis.系统康复护理联合微信宣教对脑梗死患者早期认知功能及生活质量的影响。
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