摘要
目的 在脑梗死偏瘫患者的临床护理中应用渐进式模拟居家康复护理的实际价值；方法 以前瞻性研究为手段，选取2023年12月-2024年12月我院收治的80例脑梗死偏瘫患者，随机数字法分组，各40例。对照组为常规护理，观察组为渐进式模拟居家康复护理，比较两组的肢体功能评分及自我护理能力评估，以此判断护理效果；结果 观察组的FMA及BBS评分高于对照组，且6min步行距离更远（P<0.05），且观察组自护能力量表各维度评分均高于对照组（P<0.05）；结论 应用渐进式模拟居家康复护理，能够有效促进脑梗死偏瘫患者的肢体功能恢复，并强化自护能力，便于居家护理开展，预后质量较为理想。
关键词： 脑梗死；偏瘫；渐进式模拟居家康复护理模式；肢体功能；自护能力
Abstract
Objective To study the practical value of applying progressive simulated home-based rehabilitation nursing in the clinical nursing of patients with cerebral infarction and hemiplegia. Methods By means of prospective study, 80 patients with cerebral infarction and hemiplegia admitted to our hospital from December 2023 to December 2024 were randomly divided into two groups, 40 cases in each group. The control group was given routine nursing, and the observation group was given gradual simulated home rehabilitation nursing. The limb function score and self-care ability evaluation of the two groups were compared to judge the nursing effect. Results The scores of FMA and BBS in the observation group were higher than those in the control group, and the walking distance in 6 minutes was longer (P<0.05), and the scores of each dimension of the self-care ability scale in the observation group were higher than those in the control group (P < 0.05). Conclusion The application of gradual simulated home-based rehabilitation nursing can effectively promote the recovery of limb function of patients with cerebral infarction and hemiplegia, and strengthen self-care ability, which is convenient for home-based nursing and has ideal prognosis quality.
Key words： Cerebral infarction; Hemiplegia; Progressive simulation of home rehabilitation nursing mode; Limb function; Self-protection ability
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