沈灏

摘要：目的  探討时效性激励结合康复训练对脑出血偏瘫患者运功功能评分的影响。方法  选取2019年1～12月我院收治的80例脑出血偏瘫患者作为研究对象，按照随机数字表法分为对照组与研究组，每组40例。对照组给予常规护理，研究组给予康复训练联合时效性激励护理，比较两组护理前后自我效能感情况、康复锻炼依从性及肢体运动功能评分。结果  护理后，研究组自我效能感评分高于对照组[（35.25±3.82）分vs（27.91±4.93）分]，差异有统计学意义（P<0.05）;研究组康复锻炼依从性评分高于对照组[（7.93±2.12）分vs（4.69±1.15）分]，差异有统计学意义（P<0.05）;研究组肢体运动功能评分高于对照组[（27.91±3.43分）分vs（20.27±3.55）分]，差异有统计学意义（P<0.05）。结论  脑出血偏瘫患者接受康复训练联合时效性激励护理，可有效提高其自我效能感与康复锻炼依从性，促进肢体功能恢复。

关键词：脑出血;偏瘫;康复训练;时效性激励护理

中图分类号：R473                                  文献标识码：A                                  DOI：10.3969/j.issn.1006-1959.2020.15.059

文章编号：1006-1959（2020）15-0182-03

Abstract：Objective  To explore the effect of time-effective stimulation combined with rehabilitation training on the motor function score of patients with cerebral hemorrhage and hemiplegia.Methods  A total of 80 patients with cerebral hemorrhage and hemiplegia admitted to our hospital from January to December 2019 were selected as the research objects， and were divided into a control group and a study group according to the random number table method， with 40 cases in each group. The control group was given routine nursing care， and the study group was given rehabilitation training combined with time-sensitive stimulating nursing. The two groups were compared before and after nursing， self-efficacy， compliance with rehabilitation exercises， and motor function scores.Results  After nursing， the self-efficacy score of the study group was higher than that of the control group [（35.25±3.82） points vs （27.91±4.93） points]， the difference was statistically significant （P<0.05）; the study groups compliance score for rehabilitation exercise was higher than the control group [（7.93±2.12） points vs （4.69±1.15） points]， the difference was statistically significant （P<0.05）; the limb motor function score of the study group was higher than the control group [（27.91±3.43 points） points vs （20.27± 3.55） points]， the difference was statistically significant （P<0.05）.Conclusion  Patients with cerebral hemorrhage and hemiplegia receiving rehabilitation training combined with time-effective stimulation nursing can effectively improve their self-efficacy and compliance with rehabilitation exercises， and promote the recovery of limb function.

1.4统计学分析  所有数据均采用SPSS20.0软件分析。计量资料以（x±s）表示，采用t检验;计数资料以[n（%）]表示，采用？字2检验。以P<0.05表示差异有统计学意义。

2结果

2.1两组自我效能感评分比较  护理前两组自我效能感评分比较，差异无统计学意义（P>0.05）;护理后，研究组自我效能感评分高于对照组，差异有统计学意义（P<0.05），见表1。

2.2两组康复锻炼依从性评分比较  护理前两组康复锻炼依从性评分比较，差异无统计学意义（P>0.05）;护理后，研究组康复锻炼依从性评分高于对照组，差异有统计学意义（P<0.05），见表2。

2.3两组肢体运动功能评分比较  研究组上肢及下肢肢体运动功能评分均高于对照组，差异有统计学意义（P<0.05），见表3。

3讨论

偏瘫是脑出血后最为常见的一种严重症状，严重影响患者肢体、语言功能，据报道[9]，我国脑出血偏瘫发病率呈逐年上升趋势，该疾病病程急骤，因此及时有效的治疗及护理具有重要意义。脑出血偏瘫患者康复锻炼需要较长时间，但由于患者缺乏康复知识，出院后无法进行有效的自我护理，对其自我效能感等造成一定影响[10，11]。为了……