Effects of stepwise individualized nursing combined with MOTOmed training on rehabilitation of hemiplegic patients after cerebral hemorrhage
10.3760/cma.j.cn115682-20200417-02809
- VernacularTitle:结合MOTOmed训练的阶梯式个体化护理对脑出血后偏瘫患者康复效果的影响
- Author:
Shu WANG
1
;
Fenghua ZHAO
;
Xiaojia WANG
Author Information
1. 山东省聊城市人民医院东院区脑科医院质控科 250000
- Keywords:
Cerebral hemorrhage;
Hemiplegia;
Rehabilitation nursing;
MOTOmed training;
Stepwise individualized nursing
- From:
Chinese Journal of Modern Nursing
2020;26(34):4847-4852
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of stepwise individualized nursing combined with MOTOmed training on rehabilitation of hemiplegic patients after cerebral hemorrhage.Methods:From April 2017 to April 2019, a total of 102 elderly patients with hemiplegia after cerebral hemorrhage who were admitted to Liaocheng People's Hospital in Shandong Province were selected and divided into control group and observation group according to the random number table, with 51 cases in each group. Patients in control group were given routine rehabilitation training, and patients in observation group were given MOTOmed training combined with stepwise individualized nursing. We compared the differences in limb function and balance function, activities of daily living (ADL) , self-perceived burden and quality of life (QOL) of patients between two groups.Results:After intervention, the scores of Fugl-Meyer Assessment (FMA) and Berg Balance Scale (BBS) of patients between two groups were higher than those before intervention with statistical differences ( P<0.05) ; the scores of FMA and BBS of observation group after intervention were higher than those of control group [ (77.68±8.54) vs. (63.21±7.23) , (49.97±5.27) vs. (42.38±4.58) ] also with statistical differences ( P<0.05) . Three months after intervention, the scores of ADL of the two groups of patients were higher than those before intervention, and the differences were statistically significant ( P<0.05) ; the ADL scores of observation group were higher than that of control group at one and three months after intervention [ (61.18±9.49) vs. (47.86±7.81) , (78.32±10.54) vs. (63.27±8.32) ] with statistical differences ( P<0.05) . After intervention, the scores of physical burden, emotional burden, economic burden in Self-Perceived Burden Scale (SPBS) of patients between two groups were lower than those before intervention, and the differences were statistically significant ( P<0.05) ; and the scores of physical burden, emotional burden, economic burden in SPBS of observation group after intervention were higher than those of control group [ (11.06±1.93) vs. (15.12±2.61) , (12.47±1.92) vs. (8.94±1.76) , (3.64±0.59) vs. (3.72±0.56) , (23.64±3.66) vs. (31.31±4.36) ] with statistical differences ( P<0.05) . Within three months after intervention, the Stroke-Specific Quality of Life Scale (SS-QOL) scores of the two groups of patients were higher than those before intervention, the differences were statistically significant ( P<0.05) . The SS-QOL scores of observation group at one and three months after intervention were higher than those of control group [ (157.73±28.57) vs. (140.26±25.39) , (164.24±24.48) vs. (143.52±26.12) ] also with statistical differences ( P<0.05) . Conclusions:The stepwise individualized nursing combined with MOTOmed training can effectively promote the improvement of limb motor function and balance function of elderly patients with hemiplegia after cerebral hemorrhage, improve ADL and QOL, and reduce the self-perceived burden.
