摘要
目的探讨基于视频互动的远程康复指导在脑梗死后偏瘫患者中的应用效果。方法选取2021年6月—2023年2月中国人民解放军联勤保障部队天津康复疗养中心收治的80例脑梗死后偏瘫患者为对象,根据随机数字表法分为对照组和观察组。对照组的40例患者进行常规康复指导,观察组的40例患者则进行基于视频互动的远程康复指导。比较2组干预前后的自我效能感[一般自我效能感量表(general self-efficacy scale,GSES)]、康复效果[平衡能力Berg平衡量表(Berg balance scale,BBS)及肢体运动功能Fugl-Meyer运动功能评分(Fugl-Meyer assessment scale,FMA)]、患者及家属对康复指导模式的满意度。结果干预前,2组的GSES、BBS及FMA评分比较,差异无统计学意义(P>0.05);干预3个月后,观察组的GSES量表及BBS量表构成优于对照组,FMA评分高于对照组,2组FMA评分高于干预前,差异有统计学意义(P<0.05);干预3个月后,观察组患者及家属对康复指导模式的总满意度分别为100%、100%,高于对照组的82.50%、87.50%(P<0.05)。结论基于视频互动的远程康复指导可显著改善脑梗死后偏瘫患者的自我效能感及康复效果,更受患者及家属的认可。
Objective To investigate the influence of remote rehabilitative guidance based on video interaction for self-efficacy and rehabilitation effects of patients with hemiplegia after cerebral infarction.Methods A total of 80 patients with hemiplegia after cerebral infarction admitted to Tianjin Rehabilitation and Convalescence Center of Joint Logistic Support Force of People's Liberation Army of China from June 2021 to February 2023 were selected as the subjects and divided into control group and observation group according to random number table method.A total of 40 cases of control group were treated with routine rehabilitative guidance,40 cases of observation group were treated with remote rehabilitative guidance based on video interaction.Then the self-efficacy[general self-efficacy scale(GSES)]and rehabilitation effects[Berg balance scale(BBS)and Fugl-Meyer assessment scale(FMA)]before and after the intervention,satisfaction of patients and their families with the rehabilitation guidance model of two groups were compared.Results Before intervention,there was no significant difference in GSES,BBS and FMA scores between the two groups(P>0.05).After 3 months of intervention,the GSES scale and BBS scale composition of the observation group were better than those of the control group,the FMA score was higher than that of the control group,and the FMA score of the two groups was higher than that before intervention,with statistical significance(P<0.05).After 3 months of intervention,the total satisfaction of patients and their families on the rehabilitation guidance mode in the observation group was 100%and 100%,respectively,higher than 82.50%and 87.50%in the control group(P<0.05).Conclusion The remote rehabilitative guidance based on video interaction can significantly improve the self-efficacy and rehabilitation effects of patients with hemiplegia after cerebral infarction,and it is more recognized by patients and their families.
作者
王佳
张燕
鞠晓明
WANG Jia;ZHANG Yan;JU Xiaoming(Operating Room,Rehabilitation and Recuperation Center of Tianjin City of Joint Logistic Support Force of People's Liberation Army of China,Tianjin 300381,China)
出处
《中国卫生标准管理》
2024年第8期182-185,共4页
China Health Standard Management
关键词
视频互动
远程康复指导
脑梗死
偏瘫
自我效能感
康复效果
video interaction
remote rehabilitative guidance
cerebral infarction
hemiplegia
self-efficacy
rehabilitation effects
