纽曼系统模式下的运动康复护理对脑梗死患者神经功能和肢体运动功能恢复的影响
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Effect of exercise rehabilitation nursing under Newman system mode on the recovery of neurological function and limb motor function in patients with cerebral infarction
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    摘要:

    目的:探讨纽曼系统模式下的运动康复护理对脑梗死患者神经功能和肢体运动功能恢复的影响。方法:纳入110例脑梗死患者为研究对象,按干预方式不同将患者分为对照组(n=55)和观察组(n=55)。对照组给予常规运动康复;观察组给予纽曼系统模式下的运动康复。两组均干预3个月,采用美国国立卫生研究院卒中量表(NIHSS)及纳维亚卒中量表(SSS)评定两组干预前后神经功能,采用Fugl-Meyer运动功能评估量表(FMA)评定两组肢体运动功能;比较两组步行能力(步长、步宽、步频和步速)、心理状态[焦虑自评量表(SAS)及抑郁自评量表(SDS)]、日常生活能力[Barthel指数(BI)]及生活质量[中文版脑卒中专用生活质量量表(SS-QOL)]。结果:干预后,观察组患者NIHSS评分低于对照组(P<0.05),SSS评分高于对照组(P<0.05)。干预后相比于对照组,观察组患者FMA上肢、下肢评分及总分更高(P<0.05);步长更长、步宽更窄、步频及步速更高(P<0.05);SAS及SDS评分评分更低(P<0.05),BI及SS-QOL评分更高(P<0.05)。结论:对脑梗死患者实施纽曼系统模式下的运动康复效果显著,对改善患者神经功能、肢体运动功能、步行能力、心理状态均有积极作用,可显著提升患者日常生活能力和生活质量。

    Abstract:

    Objective:To explore the effect of exercise rehabilitation nursing under Newman system mode on the recovery of neu-rological function and limb motor function in patients with cerebral infarction.Methods:110 patients with cerebral infarction were divid-ed into control group(n=55)and observation group(n=55)according to different intervention methods.The control group was given routine exercise rehabilitation,and the observation group was given exercise rehabilitation under Newman system mode.The two groups were intervened for 3 months.The neurological function[National Institutes of Health Stroke Scale(NIHSS)and Scandinavian Stroke Scale(SSS)],limb motor function[Fugl-Meyer motor function assessment scale(FMA)],walking ability[step length,step width,step frequency and step speed],psychological state[self-rating anxiety scale(SAS)and self-rating depression scale(SDS)],daily living ability[Barthel index(BI)]and quality of life[Chinese version of stroke-specific quality of life scale(SS-QOL)]were com-pared between the two groups before and after intervention.Results:After intervention,compared with the control group,the NIHSS score of the observation group was lower(P<0.05),and the SSS score was higher(P<0.05).Compared with the control group,the FMA upper limbs,lower limbs and total scores of the observation group were higher after intervention(P<0.05).The step length was longer,the step width was narrower,the step frequency and step speed were faster(P<0.05).Compared with the control group,the SAS and SDS scores of the observation group were lower(P<0.05),and the BI and SS-QOL scores were higher(P<0.05).Conclu-sion:The effect of exercise rehabilitation under the Newman system model on patients with cerebral infarction is significant.It has a pos-itive effect on improving the neurological function,limb motor function,walking ability and psychological state of patients,and can sig-nificantly improve the daily living ability and quality of life of patients.

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朱翠红;王艳;.纽曼系统模式下的运动康复护理对脑梗死患者神经功能和肢体运动功能恢复的影响[J].川北医学院学报,2025,40(5):676-680.

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  • 在线发布日期: 2025-07-09
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