摘要
目的探讨FMEA模式下护理方案联合认知功能训练在出血性脑卒中患者中的应用效果。方法选取该院2021年2月—2023年3月收治的72例出血性脑卒中患者为研究对象,按随机数字表法将其分为对照组与观察组,各36例。对照组实施常规护理,观察组实施FMEA模式下护理方案联合认知功能训练,两组均持续随访3个月。对比两组患者的神经功能、认知功能、运动功能及日常生活能力。结果护理后,观察组美国国家卫生研究院卒中量表评分为(12.17±1.99)分,低于对照组的(18.60±2.08)分,蒙特利尔认知评估量表中文版评分为(19.17±3.14)分,高于对照组的(16.69±2.45)分,Fugl-Meyer肢体功能评估量表中上下肢评分分别为(44.43±4.78)分、(26.22±3.37)分,均高于对照组的(37.69±4.11)分、(23.17±3.06)分,日常生活能力指数量表评分为(70.65±7.29)分,高于对照组的(62.64±6.37)分,组间差异有统计学意义(P<0.05)。结论FMEA模式下护理方案联合认知功能训练能够促进出血性脑卒中患者神经功能与认知功能恢复,提升运动功能与日常生活能力。
Objective To explore the application effect of nursing plan combined with cognitive function training under FMEA mode in patients with hemorrhagic stroke.Methods 72 patients with hemorrhagic stroke admitted to the hospital from February 2021 to March 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 36 cases in each group.The control group received routine nursing,and the observation group received FMEA mode nursing program combined with cognitive function training,both groups were followed up for 3 months.Neurological function,cognitive function,motor function and daily living ability were compared between the two groups.Results After nursing,the score of the National Institutes of Health Stroke Scale in the observation group was(12.17±1.99)points,lower than(18.60±2.08)points of the control group,and the score of the Chinese version of the Montreal Cognitive Assessment Scale was(19.17±3.14)points,higher than(16.69±2.45)points of the control group,the scores of upper and lower limbs in Fugl-Meyer Limb Function Assessment Scale were(44.43±4.78)points and(26.22±3.37)points,respectively,which were higher than(37.69±4.11)points and(23.17±3.06)points of the control group,the score of Activity of Daily Living Scale was(70.65±7.29)points,higher than(62.64±6.37)points of the control group,and the differences between groups were statistically significant(P<0.05).Conclusion The combination of nursing plan and cognitive function training under FMEA mode can promote the recovery of neurological and cognitive functions,improve motor function and daily living ability in patients with hemorrhagic stroke.
作者
刘凯丽
刘文莹
陈晓影
LIU Kaili;LIU Wenying;CHEN Xiaoying(Department of Neurosurgery,Affiliated Hospital of Binzhou Medical College,Binzhou Shandong,256600,China;Department of Neurosurgery Section One,Affiliated Hospital of Binzhou Medical College,Binzhou Shandong,256600,China)
出处
《反射疗法与康复医学》
2023年第19期182-185,共4页
Reflexology And Rehabilitation Medicine
作者简介
刘凯丽(1991-),女,山东滨州人,本科,主管护师,研究方向:神经外科护理;通信作者:陈晓影(1982-),女,山东菏泽人,本科,主管护师,研究方向:神经外科护理,邮箱:187236532@qq.com。
