引导式任务训练在脑卒中患者康复中的应用

目的初步探讨引导式特定任务训练在脑卒中患者早期康复训练中的作用。方法选取2017年1月—2019年1月ICU收治的脑卒中患者42例,分为常规护理组(对照组,n=21)和引导式特定训练组(观察组,n=21)。对照组给予常规护理措施加关节松动、压力抗血栓泵、脚踏式下肢锻炼,观察组在常规的基础上加用引导式特定任务训练,将各部分技能分解,逐渐完成训练。比较两组FMA、BI指数及相关综合参数等指标。结果两组患者干预前及干预前3天FMA无显著差异(P>0.05),干预第7天起观察组患者FMA明显优于对照组(P<0.05)。干预前及干预第7天BI指数无明显差异(P>0.05),第3、14天,BI得分差异有统计学意义(P<0.05),第14天开始BI得分随时间变化而升高,观察组BI得分升高趋势快于对照组(P<0.01)。观察组较对照组疾病转归时间明显减少(P<0.05),观察组患者及家属的满意度均优于对照组,但差异无统计学意义(P>0.05)。结论脑卒中早期采取引导式特定任务训练可以增强其自我效能,有助于促进其肢体功能康复。

Application of Guided Task Training in Rehabilitation of Stroke Patients

Objective To preliminarily explore the role of guided specific task training in early rehabilitation training of stroke patients.Methods 42 stroke patients from January 2017 to January 2019 in our hospital were treated in ICU cases,and then they were divided into routine nursing group(control group,n=21)and guided the specific training group(observation group,n=21).The control group was given routine nursing measures and joint mobilization,antithrombotic pressure pump,lower extremity exercise,while in the observation group guided specific task training was added on the basis of routine,which decomposed each part of skills and gradually completed the training.Compare two groups of FMA,BI index and related parameters of comprehensive index.Results There was no significant difference in FMA between the two groups before intervention and 3 days before intervention(P>0.05).The FMA from the seventh day before intervention of the observation group was significantly better than the control group(P<0.05).There was no significant difference in BI index between the two groups before the intervention and the seventh day interventionl(P>0.05).On the third and fourteenth days,BI score difference was statistically significant(P<0.05).From the fourteenth day BI score increased over the time,the BI score of observation group increased faster than the control group(P<0.01).Time for the outcome of the disease was more significantly reduced than that in the control group(P<0.05).The satisfaction of patients and their families in the observation group was better than that in the control group,but the difference was not statistically significant(P>0.05).Conclusion Guided specific task training in early stroke patients can enhance their self-efficacy and promote their rehabilitation of limb function.