摘要
目的:观察渐进式肌肉放松训练联合舒适护理在脑卒中下肢偏瘫干预中的效果。方法:将本院神经外科收治的脑卒中下肢偏瘫患者126例作为研究对象,采用信封法随机分为2组各63例,对照组给予常规护理,观察组在对照组处理方案的基础上给予渐进式肌肉放松训练联合舒适护理干预,比较2组护理情况。结果:护理后,2组下肢Fugl-Meyer评分及功能性步行量表(FAC)分级均升高,且观察组护理后以上指标均高于对照组(P<0.05);2组中医症状积分降低,且观察组低于对照组(P<0.05);2组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均降低,且观察组护理后SAS、ADS评分低于对照组(P<0.05);观察组护理满意度98.41%显著高于对照组85.71%(P<0.05)。结论:渐进式肌肉放松训练联合舒适护理可改善脑卒中下肢偏瘫患者下肢运动功能、行走功能、临床症状、负性情绪及生活质量,是一种满意度较高的护理模式。
Objective:To observe the effect of progressive muscular relaxation training combined with comfortable nursing in the intervention of lower limb hemiplegia after stroke.Methods:A total of 126 cases of patients with lower limb hemiplegia after stroke in the neurosurgery department of our hospital were selected as the study objects,and were randomly divided into two groups according to the envelope method,63 cases in each group.The control group was given routine nursing,and the observation group was additionally given progressive muscular relaxation training combined with comfortable nursing based on the treatment scheme of the control group.The nursing conditions in the two groups were compared.Results:After nursing,Fugl-Meyer scores of lower limbs and the grades of Functional Ambulation Category(FAC)in the two groups were increased,and the above indexes in the observation group were higher than those in the control group(P<0.05);the Chinese medicine symptom scores in the two groups were decreased,and the score in the observation group was lower than that in the control group(P<0.05);the scores of Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)in the two groups were decreased,and the above scores in the observation group were lower than those in the control group(P<0.05);the nursing satisfaction was 98.41%in the observation group,higher than that of 85.71%in the control group(P<0.05).Conclusion:The therapy of progressive muscular relaxation training combined with comfortable nursing for patients with lower limb hemiplegia after stroke can improve their lower extremity motor function,walking function,clinical symptoms,negative motions and quality of life with high satisfaction.
作者
吴玉红
马剑红
裘玲玲
WU Yuhong;MA Jianhong;QIU Lingling
出处
《新中医》
CAS
2020年第8期182-184,共3页
New Chinese Medicine
关键词
脑卒中下肢偏瘫
渐进式肌肉放松训练
舒适护理
下肢Fugl-Meyer评分
功能性步行量表
焦虑自评量表
抑郁自评量表
Lower limb hemiplegia after stroke
Progressive muscular relaxation training
Comfortable nursing
Fugl-Meyer scores of lower limbs
Functional Ambulation Category
Self-rating Anxiety Scale
Self-rating Depression Scale
