脑卒中偏瘫患者“互联网+”H2H康复模式探讨

Discussion on "Internet Plus" H2H rehabilitation mode of hemiplegia patients with stroke

  • 摘要:
    目的 探讨“互联网+”H2H康复模式对脑卒中偏瘫患者功能锻炼依从性及康复效果的影响。
    方法 选取120例脑卒中偏瘫患者为研究对象, 采用随机数字表法分为对照组(60例)和观察组(60例),对照组实施脑卒中常规康复护理,观察组在常规康复护理基础上实施“互联网+”H2H康复模式。比较2组患者干预前及干预后1、3、6个月Fugl-Meyer运动功能量表(FMA)评分、功能锻炼依从性评分、Barthel指数(BI)评分。
    结果 干预前, 2组患者FMA评分、功能锻炼依从性评分、BI评分比较,差异无统计学意义(P>0.05);干预1、3、6个月后, 2组患者FMA评分较干预前升高,且观察组优于对照组,差异有统计学意义(P < 0.05);干预1、3、6个月后,观察组功能锻炼依从性不同维度评分及总分均高于对照组,差异有统计学意义(P < 0.05)。干预3个月后, 2组患者BI评分高于干预后1个月,且观察组高于对照组,差异有统计学意义(P < 0.05);干预6个月后, 2组患者BI评分高于干预后1、3个月,且观察组高于对照组,差异有统计学意义(P < 0.05)。
    结论 基于“互联网+”H2H康复模式能够有效改善脑卒中偏瘫患者肢体运动功能,提升功能锻炼依从性,提高日常生活能力。

     

    Abstract:
    Objective To explore the effect of "Internet Plus" H2H rehabilitation model on functional exercise compliance and rehabilitation effect of stroke patients with hemiplegia.
    Methods A total of 120 stroke patients with hemiplegia were selected as study objects, and were divided into control group (60 cases) and observation group (60 cases) by random number table method. The control group was given routine rehabilitation nursing for cerebral apoplexy, while the observation group implemented the "Internet Plus" H2H rehabilitation model on the basis of routine rehabilitation nursing. The score of Fugl-Meyer Motor Function Scale (FMA), functional exercise compliance score, and Barthel Index (BI) score were compared between the two groups before intervention and at 1 month, 3 and 6 months after intervention.
    Results Before the intervention, there were no significant differences in the FMA score, functional exercise compliance score and BI score between the two groups (P>0.05). After 1 month, 3 and 6 months of intervention, the scores of FMA in both groups were higher than those before intervention, and the observation group was better than the control group (P < 0.05). After 1 month, 3 and 6 months of intervention, the scores of different dimensions and total score of functional exercise compliance in the observation group were significantly higher than those in the control group (P < 0.05). After 6 months of intervention, the BI scores of both groups were higher than that of 1 month and 3 months after intervention, and the observation group was higher than that of the control group, the difference was statistically significant (P < 0.05).
    Conclusion H2H rehabilitation model based on the "Internet Plus" can effectively improve the limb motor function of stroke patients with hemiplegia, enhance the compliance of functional exercise, and increase the ability of daily life.

     

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