Roy适应模式对脑梗死患者神经功能、运动功能及依从性的影响OA
Effect of Roy Adaptation Model on Neurological Function,Motor Function and Compliance in Patients with Cerebral Infarction
目的:探究Roy适应模式对脑梗死患者神经功能、运动功能及依从性的影响.方法:选取福建省南平市第一医院 2022 年 1-12 月收治的 72 例脑梗死患者作为本次研究对象,依据随机数字表法将其分为对照组与观察组,每组 36 例.对照组给予常规疾病监测、健康教育及康复训练等基础干预,观察组在对照组基础上采用Roy适应模式进行干预.于干预前后采用美国国立卫生研究院卒中量表(NIHSS)评估神经功能损伤程度,采用Fugl-Meyer运动功能评定量表(FMA)评估肢体运动功能,自制调查表评估患者干预前后生理功能、自我认知、角色功能、相互依赖 4 个方面的适应性并进行评分,并对两组患者的依从性进行评估.结果:干预前,两组NIHSS评分及上肢、下肢运动功能比较,差异均无统计学意义(P>0.05);干预后,与对照组比较,观察组NIHSS评分显著低,上肢、下肢运动功能均显著高,差异均有统计学意义(P<0.05).与对照组比较,观察组适应性评分<60 分占比较低,>80 分占比较高,差异均有统计学意义(P<0.05),60～80 分占比比较,差异无统计学意义(P>0.05).对照组依从率为 77.78%,观察组依从率为 97.22%,差异有统计学意义(P<0.05).结论:在脑梗死患者的治疗中采用Roy适应模式进行干预在改善患者神经、运动等方面的功能和增加治疗依从性方面均具有一定积极意义.
Objective:To explore the effects of Roy adaptation model on neurological function,motor function and compliance in patients with cerebral infarction.Method:A total of 72 patients with cerebral infarction admitted to Nanping First Hospital,Fujian Province from January to December 2022 were selected as the study subjects,and were divided into a control group and an observation group by random number table method,with 36 cases in each group.The control group was given basic interventions such as routine disease monitoring,health education,and rehabilitation training,while the observation group was intervened using Roy adaptation model on the basis of the control group.Before and after intervention,the national institutes of health stroke scale(NIHSS)was used to assess the degree of neurological damage,the Fugl Meyer assessment scale(FMA)was used to assess limb motor function,and a self-made questionnaire was used to evaluate the adaptability of patients in four aspects:physiological function,self-awareness,role function,and interdependence before and after the intervention,the compliance of the two groups of patients was also evaluated.Result:Before intervention,there were no statistically significant differences in NIHSS scores and upper and lower limb motor function between the two groups(P>0.05);after intervention,compared with the control group,the NIHSS score of the observation group was significantly lower,and the motor function of the upper and lower limbs significantly were higher,the differences were statistically significant(P<0.05).Compared with the control group,the observation group proportion of<60 points in adaptability score was lower,proportion of>80 points was higher,the differences were statistically significant(P<0.05);there was no statistically significant difference in the proportion of 60-80 points(P>0.05).The compliance rate of patients in the control group was 77.78%,while the compliance rate of patients in the observation group was 97.22%,the difference was statistically significant(P<0.05).Conclusion:Intervention using Roy adaptation model in the treatment of cerebral infarction patients has positive significance in improving their neurological and motor functions,as well as improving treatment compliance.
徐继萍;乐小梅;吴晓梅
福建省南平市第一医院神经内科 福建 南平 353000
脑梗死Roy适应模式神经功能运动功能依从性
Cerebral infarctionRoy adaptation modelNeurological functionMotor functionCompliance
《中国医学创新》 2024 (019)
85-89 / 5
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