[1]廖 舒.阶梯式康复护理干预对脑梗死恢复期患者康复依从性及肢体功能恢复的影响[J].医学信息,2025,38(09):173-176.[doi:10.3969/j.issn.1006-1959.2025.09.037]
　LIAO Shu.Effect of Step-by-step Rehabilitation Nursing Intervention on Rehabilitation Compliance and Limb Function Recovery of Patients with Cerebral Infarction Convalescence[J].Journal of Medical Information,2025,38(09):173-176.[doi:10.3969/j.issn.1006-1959.2025.09.037]
点击复制

阶梯式康复护理干预对脑梗死恢复期患者康复依从性及肢体功能恢复的影响()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
38卷
期数:
2025年09期
页码:
173-176
栏目:
护理研究
出版日期:
2025-05-01

文章信息/Info

Title:
Effect of Step-by-step Rehabilitation Nursing Intervention on Rehabilitation Compliance and Limb Function Recovery of Patients with Cerebral Infarction Convalescence
文章编号:
1006-1959（2025）09-0173-04
作者:
廖 舒
龙南市第一人民医院门诊部，江西 龙南 341700
Author(s):
LIAO Shu
Outpatient Department of Longnan First People’s Hospital, Longnan 341700, Jiangxi, China
关键词:
阶梯式康复; 脑梗死; 恢复期; 康复依从性; 肢体功能恢复
Keywords:
Step-by-step rehabilitation;  Cerebral infarction;  Convalescence;  Rehabilitation compliance;  Recovery of limb function
分类号:
R473.74
DOI:
10.3969/j.issn.1006-1959.2025.09.037
文献标志码:
A
摘要:
目的 研究阶梯式康复护理干预对脑梗死恢复期患者康复依从性及肢体功能恢复的影响。方法 选取2021年1月-2023年8月在我院诊治的60例脑梗死恢复期患者为研究对象，采用随机数字表法分为对照组和观察组，各组30例。对照组采用常规护理，观察组开展阶梯式康复护理干预，比较两组临床康复依从性、肢体功能评分（Fugl-Meyer）、日常生活能力评分（ADL）以及生活质量水平（SS-QOL）。结果 观察组康复依从率为96.67%，高于对照组的83.33%（P＜0.05）；两组Fugl-Meyer评分均高于干预前，且观察组高于对照组（P＜0.05）；两组ADL评分均高于干预前，且观察组高于对照组（P＜0.05）；两组SS-QOL评分均高于干预前，且观察组高于对照组（P＜0.05）。结论 阶梯式康复护理干预可促进脑梗死恢复期患者肢体功能恢复，提高患者康复依从性，提升患者日常生活能力水平和生活质量，具有较理想的临床护理效果。
Abstract:
Objective To study the effect of step-by-step rehabilitation nursing intervention on rehabilitation compliance and limb function recovery in patients with cerebral infarction convalescence. Methods From January 2021 to August 2023, 60 patients with the convalescence stage of cerebral infarction who were diagnosed and treated in our hospital were recruited as the research subjects. Using the random number table method, these patients were evenly allocated into a control group and an observation group, with 30 patients in each group. The control group received routine nursing care, and the observation group was given step-by-step rehabilitation nursing intervention. The clinical rehabilitation compliance, limb function score (Fugl-Meyer), daily living ability score (ADL) and quality of life (SS-QOL) were compared between the two groups. Results In the observation group, patients had higher the rehabilitation compliance rate (96.67%), which was higher than of patients in the control group (83.33%) (P<0.05). Compared with before the intervention, the Fugl-Meyer score of the two groups was higher, and compared with the control group, that of the observation group was higher (P<0.05). Compared with before the intervention, the ADL score of the two groups was higher, and compared with the control group, that of the observation group was higher (P<0.05). Compared with before the intervention, the SS-QOL score of the two groups was higher, and compared with the control group, that of the observation group was higher than that of the control group (P<0.05). Conclusion Step-by-step rehabilitation nursing intervention can promote the recovery of limb function in patients with cerebral infarction convalescence, improve their rehabilitation compliance, the level of daily living ability and quality of life, and has ideal clinical nursing effect.

参考文献/References:

[1]程琳.康复护理用于脑梗死恢复期患者中的效果[J].中国继续医学教育,2020,12(1):188-190.[2]田淑芬,吴巧云,胡娜莉,等.脑梗死恢复期患者应用健康教育联合心理护理的效果观察[J].医学临床研究,2016,33(11):2285-2287.[3]杜丽娟.醒脑开窍汤联合中医护理对脑梗死恢复期患者神经损伤的影响[J].河南中医,2017,37(6):1002-1004.[4]屈彦,牟春英,曹娜,等.跟进式家庭护理对老年急性脑梗死患者康复效果的影响[J].国际老年医学杂志,2019,40(3):143-146.[5]徐红丽,王琼,徐红艳.共情护理对老年脑梗死患者情绪,治疗依从性及康复效果的疗效观察[J].贵州医药,2020,44(10):1639-1640.[6]于桦,朱爱兰.阶梯式康复护理在半月板关节镜治疗中的应用价值[J].蚌埠医学院学报,2018,43(6):827-829.[7]黄燕,张和妹,廖薇薇.因时护理模式联合针灸电刺激康复治疗对脑梗死合并吞咽障碍病人吞咽功能及依从性的影响[J].护理研究,2019,33(7):1265-1267.[8]谢静.奥塔戈运动训练联合萧氏双C护理模式在老年脑梗死偏瘫患者中的应用效果研究[J].中国全科医学,2019,22(11):1364-1368,1371.[9]薄文婷,陈虹,王巧.舒适护理模式对脑梗死卧床患者临床护理效果、心理状态及满意度评价[J].护理学,2018,7(4):126-130.[10]王者凤,张玉爱.脑卒中患者自我管理行为在神经功能缺损与健康状况间的中介作用[J].中华行为医学与脑科学杂志,2017,26(7):624-627.[11]陈晋,旷咏梅,吕杨,等.康复护理干预对脑卒中患者神经及认知功能的影响分析[J].中国药物与临床,2017,17(12):1862-1864.[12]中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国急性缺血性脑卒中诊治指南2018[J].中华神经科杂志,2018,51(9):666-682.[13]崔海超,翟宏伟,张明,等.虚拟现实技术联合重复经颅磁刺激对脑卒中偏瘫患者上肢运动功能的影响[J].临床与病理杂志,2017,37(11):2439-2444.[14]马静.5E康复护理模式联合有氧-抗阻运动对脑梗死恢复期患者的影响[J].河南医学研究,2020,18(2):66-70.[15]车兴旺,程晋成,蒋东生,等.运动想象训练联合经颅直流电刺激对脑卒中偏瘫患者上肢功能的影响[J].海军医学杂志,2017,38(4):303-306.[16]夏美杏,范录平,张王琴,等.综合康复护理小组干预对脑梗死恢复期患者肢体功能和生活质量的影响[J].国际护理学杂志,2018,35(4):507-510.[17]王翠婷,黄开秀.综合康复护理干预对脑梗死恢复期合并下肢肌间静脉血栓患者的效果观察[J].检验医学与临床,2020,14(9):847-850.[18]张慧,黄梅.阶梯式康复护理在脑梗死患者中的应用价值[J].慢性病学杂志,2020,15(7):63-65.[19]敖艳丽,朱善军.康复护理在脑梗死恢复期患者中的应用效果分析[J].基层医学论坛,2021,20(10):187-189.[20]靳小娟,冯翠红.康复护理干预对脑梗死恢复期患者心理状态、功能恢复及生活质量的影响[J].甘肃医药,2018,15(8):63-66.

相似文献/References:

[1]刘海威.延续性护理对脑梗死运动功能障碍患者生活质量及社会支持的影响[J].医学信息,2018,31(02):160.[doi:10.3969/j.issn.1006-1959.2018.02.062]
　LIU Hai-wei.Effect of Continuous Nursing on Quality of Life and Social Support in Patients with Motor Dysfunction of Cerebral Infarction[J].Journal of Medical Information,2018,31(09):160.[doi:10.3969/j.issn.1006-1959.2018.02.062]
[2]韩艳庆,董 成,徐 玲.脑梗死并发急腹症诊治分析[J].医学信息,2018,31(06):188.[doi:10.3969/j.issn.1006-1959.2018.06.068]
　HAN Yan-qing,DONG Cheng,XU Ling.Analysis of Diagnosis and Treatment of Acute Cerebral Infarction Complicating Acute Abdominal Disease[J].Journal of Medical Information,2018,31(09):188.[doi:10.3969/j.issn.1006-1959.2018.06.068]
[3]王明远,陈海燕,张延朋,等.颈动脉斑块、血同型半胱氨酸及血尿酸对短暂性脑缺血 发作进程的影响研究[J].医学信息,2018,31(08):65.[doi:10.3969/j.issn.1006-1959.2018.08.020]
　WANG Ming-yuan,CHEN Hai-yan,ZHANG Yan-peng,et al.Effects of Carotid Plaque,Homocysteine and Serum Uric Acid on Transient Ischemic Attack[J].Journal of Medical Information,2018,31(09):65.[doi:10.3969/j.issn.1006-1959.2018.08.020]
[4]甘雪梅.系统护理对脑梗死患者生活质量及满意度的影响[J].医学信息,2018,31(08):172.[doi:10.3969/j.issn.1006-1959.2018.08.062]
　GAN Xue-mei.Effect of Systematic Nursing on Quality of Life and Satisfaction of Patients with Cerebral Infarction[J].Journal of Medical Information,2018,31(09):172.[doi:10.3969/j.issn.1006-1959.2018.08.062]
[5]单 敏,常燕燕,赵大鹏,等.急性前循环脑梗死患者梗死体积与 血清NSE水平相关性研究[J].医学信息,2018,31(10):1.[doi:10.3969/j.issn.1006-1959.2018.10.001]
　SHAN Min,CHANG Yan-yan,ZHAO Da-peng,et al.Correlation between Infarct Volume and Serum NSE Level in Patients with Acute Anterior Circulation Cerebral Infarction[J].Journal of Medical Information,2018,31(09):1.[doi:10.3969/j.issn.1006-1959.2018.10.001]
[6]李福滔,张素平.单侧颈内动脉夹层致脑梗死1例报道[J].医学信息,2018,31(11):191.[doi:10.3969/j.issn.1006-1959.2018.11.065]
[7]张怀祥,段晓宇.脑梗死后认知障碍的病理学机制、相关危险因素及治疗[J].医学信息,2018,31(16):21.[doi:10.3969/j.issn.1006-1959.2018.16.007]
　ZHANG Huai-xiang,DUAN Xiao-yu.Pathological Mechanism,Related Risk Factors and Treatment of Cognitive Impairment after Cerebral Infarction[J].Journal of Medical Information,2018,31(09):21.[doi:10.3969/j.issn.1006-1959.2018.16.007]
[8]柳 星,卢会琴.脑梗死恢复期的临床路径实施效果分析[J].医学信息,2018,31(19):128.[doi:10.3969/j.issn.1006-1959.2018.19.038]
　LIU Xing,LU Hui-qin.Analysis of Clinical Path Implementation in the Recovery Period of Cerebral Infarction[J].Journal of Medical Information,2018,31(09):128.[doi:10.3969/j.issn.1006-1959.2018.19.038]
[9]杜 敏.血清小而密低密度脂蛋白胆固醇检测对预测脑梗死患者预后评估的价值[J].医学信息,2019,32(10):173.[doi:10.3969/j.issn.1006-1959.2019.10.058]
　DU Min.The Value of Serum Small,Dense Low-density Lipoprotein Cholesterol Test in Predicting the Prognosis of Patients with Cerebral Infarction[J].Journal of Medical Information,2019,32(09):173.[doi:10.3969/j.issn.1006-1959.2019.10.058]
[10]于红春,龙达志,曾良玉,等.普外科术后继发脑梗死的多因素Logistic回归分析[J].医学信息,2019,32(18):126.[doi:10.3969/j.issn.1006-1959.2019.18.042]
　YU Hong-chun,LONG Da-zhi,ZENG Liang-yu,et al.Multivariate Logistic Regression Analysis of Secondary Cerebral Infarction after General Surgery[J].Journal of Medical Information,2019,32(09):126.[doi:10.3969/j.issn.1006-1959.2019.18.042]

更新日期/Last Update: 1900-01-01