摘要
目的:探究NNN-链接护理模式联合双重任务训练应用于脑卒中患者的效果。方法:选取2022年1—12月于第九〇九医院(厦门大学附属东南医院)就诊的脑卒中患者100例,按照随机数字表法分为对照组和观察组,各50例。对照组予以双重任务训练干预模式,观察组在对照组的基础上联合NNN-链接护理模式进行干预。观察两组口面部运动功能、认知功能、平衡功能、日常生活活动能力、吞咽功能改善效果及护理结局。结果:干预后,观察组北欧口腔颜面功能检查-筛查(NOT-S)评分明显低于对照组,简易智力状况检查(MMSE)、Berg平衡量表(BBS)及改良巴塞尔指数均明显高于对照组,差异均有统计学意义(P<0.05)。观察组总有效率(90.00%)显著高于对照组(74.00%),差异有统计学意义(P<0.05)。随访结束后,观察组功能健康、健康知识与行为、生理健康、心理社会健康及家庭健康的护理结局评分均明显高于对照组,差异均有统计学意义(P<0.05)。结论:NNN-链接护理模式联合双重任务训练应用于脑卒中患者,可明显改善患者的口面部运动功能、认知功能及平衡功能,增强患者的日常生活活动能力,改善患者的吞咽功能和护理结局。
Objective:To explore the effect of NNN-linked nursing model combined with dual task training on stroke patients.Method:A total of 100 stroke patients who were treated in the 909th Hospital(Dongnan Hospital of Xiamen University)from January to December 2022 were selected,and divided them into control group and observation group according to random number table method,with 50 cases in each group.The control group was given dual-task training intervention model,and the observation group was intervened with the NNN-linked nursing model on the basis of the control group.The improvement effect of orofacial motor function,cognitive function,balance function,activities of daily living,swallowing function and nursing outcomes of the two groups were observed.Result:After intervention,the nordic orofacial test-screening(NOT-S)score of the observation group was significantly lower than that of the control group,mini-mental state examination(MMSE),Berg balance scale(BBS),and modified Barthel index were significantly higher than those in the control group,the differences were statistically significant(P<0.05).The effective rate in the observation group(90.00%)was significantly higher than that of the control group(74.00%),the difference was statistically significant(P<0.05).After the follow-up,the nursing outcomes scores in terms of functional health,health knowledge and behavior,physiological health,psychological and social health,and family health of patients in the observation group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:NNN-linked nursing model combined with dual-task training applied to stroke patients can significantly improve the orofacial motor function,cognitive function and balance function of patients,enhance the activities of daily life of patients,improve swallowing function and nursing outcomes of patients.
作者
黄远梅
巫国庆
陈陪能
黄雪娟
陈苗
HUANG Yuanmei;WU Guoqing;CHEN Peineng;HUANG Xuejuan;CHEN Miao(Department of Neurology,the 909th Hospital(Dongnan Hospital of Xiamen University),Zhangzhou 363000,China)
出处
《中国医学创新》
CAS
2024年第14期73-77,共5页
Medical Innovation of China
