摘要
目的探讨基于PDCA循环的功能锻炼在脑出血术后患者中的应用效果。方法选取100例脑出血术后患者,随机将其分为干预组和对照组,对照组采用常规的功能锻炼方法,干预组采用基于PDCA循环的功能锻炼方法,在出院前评估两组的功能锻炼依从性,在干预前、干预的第10天、第20天和出院前评定两组的Fugl-Meyer运动功能评分,比较两组的差异。结果出院前干预组患者的功能锻炼依从性高于对照组(P<0.01),干预第10天、第20天和出院前干预组的Fugl-Meyer运动功能评分高于对照组(P<0.05,P<0.01),干预组Fugl-Meyer运动功能评分随时间而增高。结论基于PDCA循环的功能锻炼可提高脑出血术后患者的功能锻炼依从性,促进运动功能的恢复。
Objective To explore the effect of PDCA cycle based functional exercise on postoperative patients with cerebral hemorrhage.Methods A total of 100 postoperative patients with cerebral hemorrhage were selected and randomized into two groups.The control group received routine functional exercise,while the intervention group received the functional exercise based on PDCA cycle.Compliance of functional exercise of the two groups were compared before discharge.The Fugl-Myer Assessment scale（FMA）was utilized to measure and compare patients′functional status at four time points：before intervention,10 th day,20 th day after intervention and before discharge.Results Compared with the control group,compliance of functional exercise in the intervention group was higher（P〈0.01）;the FMA score at 10 th day,20 th day after intervention and before discharge were higher（P〈0.05,P〈0.01）,the FMA score in the intervention group increased over time.Conclusion PDCA cycle based functional exercise promotes the compliance of functional exercise,and improves the rehabilitation of motor function for postoperative patients with cerebral hemorrhage.
基金
国家自然科学基金面上项目(81471172)
关键词
脑出血
功能锻炼
PDCA循环
依从性
运动功能
cerebral hemorrhage
functional exercise
PDCA cycle
compliance
motor function
