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| Application of nursing model combined with sensorimotor training based on stress system theory to patients with cerebral infarction in recovery period#br# |
| WANG Fangyuan1 FU Liwei2 SUN Zhiping3▲ |
1.Department of Neurology and Rehabilitation, Qingdao Municipal Hospital, Shandong Province, Qingdao 266071, China;
2.the First Department of Respiratory and Critical Care Medicine, Qingdao Municipal Hospital, Shandong Province, Qingdao 266071, China;
3.the Second Department of Neurology, Qingdao Municipal Hospital, Shandong Province, Qingdao 266071, Chna |
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Abstract Objective To analyze the application effect of nursing model combined with sensorimotor training (SMT) based on stress system theory in patients with cerebral infarction (CI) during recovery period. Methods A total of 80 patients with CI recovery period accepted by Qingdao Municipal Hospital from January 2019 to January 2020 were prospectively selected as the research objects, and they were grouped according to the odd and even numbers of the medical records. Single-number patients were admitted as the control group (40 cases), and routine care combined with SMT; double-number patients were admitted as the observation group (40 cases), and routine care + nursing combined SMT based on stress system theory were implemented, intervention to the end of discharge (hospitalization time was 21-28 days). Before the intervention and one day before discharge, the motor function of lower limbs (assessed by the simplified Fugl-Meyer assessmont [FMA] scale), balance ability (assessed by the Berg balance scale [BBS]), post traumatic growth (PTG) (evaluated by using the PTG inventory [PTGI]) were compared between two groups. Results One day before discharge, the lower limb FMA scores, BBS scores, and PTGI scores of the two groups were higher than those before the intervention, while the scores of the observation group were higher than those of the control group, and the differences were statistically significant (P ＜ 0.05). Conclusion The nursing model based on the theory of stress system combined with SMT is applied to patients in the recovery period of CI, which is beneficial to improve the patients’ lower limb motor function and balance ability, and has positive significance for improving the patients’ PTG.
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[1] 黄晓琪，粱琰.针灸疗法配合康复训练对脑梗死恢复期患者神经功能及生活质量的影响[J].陕西中医，2017，38（11）：1589-1590.
[2] 袁红玲，袁银萍，谢金金.不同针刺频次治疗脑梗死恢复期偏瘫患者的效果[J].中国医药导报，2018，15（11）：123-126.
[3] Mccaskey MA，Wirth B，Schusteramft C，et al. Postural sensorimotor training versus sham exercise in physiotherapy of patients with chronic non-specific low back pain：An exploratory randomised controlled trial [J]. PLoS One，2018，13（3）：e0193358.
[4] 宋志尚，洪跃镇，季林红，等.振动触觉感觉统合训练在偏瘫治疗中的有效性验证[J].中国康复医学杂志，2017， 32（8）：928-932.
[5] 景颖颖，万婕，沈佳雯，等.脑卒中患者家庭关怀度与创伤后成长的状况及其相关性[J].现代临床护理，2018，17（8）：26-31.
[6] Higgins JD，Wendland DM. The Use of the Physical Stress Theory to Guide the Rehabilitation of a Patient with Bilateral Suspected Deep Tissue Injuries and Hip Repair [J]. J Acute Care Physical Therapy，2015，6（1）：1245-1246.
[7] 中华医学会神经病学分会，中华医学会神经病学分会脑血管病学组.中国急性缺血性脑卒中诊治指南2014[J].中华神经科杂志，2015，48（4）：246-257.
[8] Lundquist CB，Maribo T. The Fugl-Meyer assessment of the upper extremity：reliability，responsiveness and validity of the Danish version [J]. Disabil Rehabil，2017，39（9）：934-939.
[9] 瓮长水，王军，王刚，等.Berg平衡量表在脑卒中患者中的内在信度和同时效度[J].中国康复医学杂志，2007，22（8）：688-690.
[10] 汪际，陈瑶，王艳波，等.创伤后成长评定量表的修订及信效度分析[J].护理学杂志，2011，26（14）：26-28.
[11] 梁向新，吴艳阳，钱月娥，等.循经叩刺联合康复训练对脑梗死恢复期的疗效观察[J].中医药导报，2017，6（23）：72-74.
[12] 母晓明，吕晓玲，王晓琴，等.运动疗法在脑梗死患者中后期康复中的应用效果[J].中国医学物理学杂志，2018， 35（6）：724-728.
[13] 张盘德，刘鑫鑫，周惠嫦，等.脑梗死恢复期康复临床路径的实施和效果[J].中国康复，2017，32（5）：390-393.
[14] 符晓艳，王羚入，邓月月，等.主动运动对脑梗死患者康复效果的研究[J].中华护理杂志，2018，53（11）：1309-1314.
[15] Bekrater-Bodmann R，L?觟ffler A，Silvoni S，et al. Tablet-based sensorimotor home-training system for amnestic mild cognitive impairments in the elderly：design of a randomised clinical trial [J]. BMJ Open，2019，9（8）：e028632.
[16] 李奎，郑海清，李鑫，等.感觉运动训练对脑卒中患者家庭康复平衡和日常生活活动的影响[J].康复学报，2016， 26（4）：11-16.
[17] 彭小琼，易玲.300例脑梗塞患者治疗前依从性及心理状态调查[J].预防医学情报杂志，2017，6（21）：37-40.
[18] 董泗芹，王珊珊，杨琰，等.急性脑梗死后患者情绪-社交孤独与心理因素的相关性[J].中华行为医学与脑科学杂志，2020，29（12）：1106-1110.
[19] Conrad D，Wilker S，Pfeiffer A，et al. Does trauma event type matter in the assessment of traumatic load? [J]. Eur J Psychotraumatol，2017，8（1）：1344079.
[20] 郭明明，刘盈盈，马冬，等.基于应激系统理论的心理护理干预在重大车祸儿童创伤后应激障碍中的应用[J].中华现代护理杂志，2020，26（24）：3343-3347.
[21] 俞晓梅，严谨.创伤后成长心理干预措施的研究进展[J].解放军护理杂志，2018，35（7）：45-47.
[22] 王冬梅，陈毅文，张玉婷，等.恐惧疾病进展与创伤后成长的关系：链式中介效应分析[J].中华现代护理杂志，2020，26（33）：4660-4664.
[23] 王金垚，苗晓慧，袁平乔，等.脑卒中病人创伤后成长研究进展[J].护理研究，2018，32（17）：42-45.
[24] 李奎，解东风，李鑫，等.照顾者实施的感觉运动训练对脑卒中家庭康复运动功能的影响[J].中国康复医学杂志，2015，30（12）：1266-1271.
[25] 张洁，邢凤梅，吕婕，等.基于应激系统理论的护理干预对脑卒中患者创伤后成长、社会支持的影响[J].中华现代护理杂志，2020，26（5）：652-656. |
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