摘要
目的探讨以家庭为中心的赋权模式对脑出血偏瘫患者运动功能、日常生活活动能力的影响。方法将2020年7月至2021年2月在邵阳学院附属第一医院住院的60例脑出血偏瘫患者根据不同病区分为两组,对照组(n=30)进行常规护理及早期运动康复,干预组(n=30)在此基础上给予以家庭为中心的赋权干预,应用简化Fugl-Meyer运动功能评分量表(Fugl-Meyer assessment,FMA)和改良Barthel指数评分量表(modified barthel index,MBI)评估干预效果。结果干预3周后,两组患者FMA评分及MBI评分较干预前均有提高,差异有统计学意义(P<0.05);干预组提高程度较对照组明显,差异有统计学意义(P<0.05)。结论以家庭为中心的赋权模式应用于脑出血偏瘫患者早期运动康复中,能够有效提高运动功能,改善其日常生活能力。
Objective To explore the effect of family centered empowerment model on motor function and activities of daily living in patients with hemiplegia after cerebral hemorrhage. Methods According to different wards, 60 patients with cerebral hemorrhage hemiplegia hospitalized in the First Affiliated Hospital of Shaoyang University from July 2020 to February 2021 were divided into 2 groups. The control group(n=30) received routine nursing and early motor rehabilitation, and the intervention group(n=30) received family centered empowerment intervention on this basis. Simplified Fugl-Meyer motor function scale(FMA) and Modified Barthel Index Scale(MBI) were used to evaluate the effect of intervention. Results After 3 weeks of intervention, the FMA score and MBI score of the 2 groups were significantly higher than those before the intervention(P<0.05). The degree of improvement in the intervention group was significantly higher than that in the control group(P<0.05). Conclusion The family centered empowerment model applied to the early motor rehabilitation of hemiplegic patients with cerebral hemorrhage can effectively improve their motor function and their ability of daily living.
作者
邓利华
方艳春
杨金美
危超奇
张媚娜
李红艳
DENG Lihua;FANG Yanchun;YANG Jinmei;WEI Chaoqi;ZHANG Meina;LI Hongyan(School of Nursing,University of South China,Hengyang 421001,China;Neurosurgery of the First Affiliated Hosp辻al of Shaoyang University,Shaoyang 422001,China;Health Education Management Office o£the Central Hospital of Shaoyang,Shaoyang 422000,China)
出处
《邵阳学院学报（自然科学版）》
2022年第5期96-102,共7页
Journal of Shaoyang University：Natural Science Edition
基金
邵阳学院附属第一医院院级课题(19FY1011)。
关键词
家庭赋权
脑出血
偏瘫
早期康复
family empowerment
cerebral hemorrhage
hemiplegia
early rehabilitation
