摘要
目的探讨任务导向性康复护理结合主题式健康教育对老年脑卒中后下肢偏瘫患者功能恢复及健康知信行的影响。方法选取2020年1月至2022年1月收治的90例老年脑卒中后下肢偏瘫患者为研究对象,根据护理方法不同将其分为对照组和观察组,各45例。对照组实施常规康复护理干预,观察组在常规康复护理基础上实施任务导向性康复护理结合主题式健康教育干预。比较两组的干预效果。结果干预后,观察组的下肢简式Fugl-Meyer运动功能量表(FMA)、Barthel指数(BI)评分均高于对照组(P<0.05)。干预后,观察组的疾病认知、健康信念及健康行为评分均高于对照组(P<0.05)。干预后,观察组的5-羟色胺(5-HT)、多巴胺(DA)、去甲肾上腺素(NE)水平均高于对照组(P<0.05)。结论任务导向性康复护理结合主题式健康教育可提高老年脑卒中后下肢偏瘫患者的下肢功能恢复效果及日常生活能力,促进健康知信行改善,也能有效调节脑神经递质水平。
Objective To explore the effects of task-oriented rehabilitation nursing combined with thematic health education on functional recovery and health knowledge,attitude,practice in elderly patients with lower limb hemiplegia after stroke.Methods A total of 90 elderly patients with lower limb hemiplegia after stroke admitted from January 2020 to January 2022 were selected as the research objects.According to different nursing methods,the patients were divided into control group and observation group,with 45 cases in each group.The control group was given routine rehabilitation nursing intervention,and the observation group was given task-oriented rehabilitation nursing combined with thematic health education intervention on the basis of routine rehabilitation nursing.The intervention effects of the two groups were compared.Results After intervention,the scores of lower limb Fugl-Meyer Assessment Scal(FMA)and Barthel Index(BI)in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of disease cognition,health belief and health behavior in the observation group were higher than those in the control group(P<0.05).After intervention,the levels of 5-hydroxytryptamine(5-HT),dopamine(DA)and noradrenaline(NE)in the observation group were higher than those in the control group(P<0.05).Conclusion Task-oriented rehabilitation nursing combined with thematic health education can improve the recovery effect of lower limb function and daily living ability of elderly patients with lower limb hemiplegia after stroke,promote the improvement of health knowledge,attitude,practice,and effectively regulate the levels of brain neurotransmitters.
作者
李娜娜
冯阳阳
吕桦
LI Nana;FENG Yangyang;LYU Hua(No.1 Neurological Rehabilitation Department,Shaanxi Kangfu Hospital,Xi'an 710065;No.1 Neurology Department,Shaanxi Provincial People's Hospital,Xi'an 710068,China)
出处
《临床医学研究与实践》
2024年第6期140-143,共4页
Clinical Research and Practice
基金
陕西省中医药管理局中医药科研项目(No.JCMS046)。
关键词
任务导向性康复护理
主题式健康教育
脑卒中
下肢偏瘫
task-oriented rehabilitation nursing
thematic health education
stroke
lower limb hemiplegia
