专科护士主导的双重任务训练对脑卒中患者康复的影响
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女,本科,副主任护师,护理部主任

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上海市护理学会科研课题(2020MS-B07);上海市静安区医学科研课题(2021HL03);上海市静安区名老中医专家传承创新工作室建设项目(JA2021-MLZZ009)


Effect of a dual task training led by clinical nurse specialists on the rehabilitation of stroke patients
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    目的 探讨专科护士主导的步行-认知双重任务训练对脑卒中患者康复的影响。 方法 选取脑卒中住院患者60例,按照住院病房单双号分为对照组和观察组各30例。在常规康复护理基础上,对照组实施单任务步行训练,观察组实施步行-认知双重任务训练。干预3个月后评估患者脑卒中姿势控制、Berg平衡、跌倒效能及日常生活能力评分。 结果 干预后两组姿势控制能力、平衡能力、跌倒自我效能及日常生活活动能力评分比较,差异有统计学意义(均P<0.05)。 结论 专科护士主导的步行-认知双重任务训练可有效改善脑卒中患者的姿势控制能力,对提高患者平衡功能,增强独立活动信心及促进日常生活活动能力提升具有积极意义。

    Abstract:

    Objective To explore the effect of the dual task training of walking and cognition led by clinical nurse specialists on the rehabilitation of stroke patients. Methods A total of 60 stroke inpatients were selected and divided into a control group and an experimental group according to their even or odd number in the ward, with 30 cases in each group. Based on routine rehabilitation nursing, the control group performed single task walking training, while the experimental group conducted dual task training of walking and cognition.The stroke postural control, Berg balance, fall efficacy, and activities of daily living scores of the two groups were assessed after 3 months of the intervention. Results After the intervention, there were significant differences in the Postural Assessment Scale for Stroke Patients (PASS), the Berg Balance Scale (BBS), the Modified Fall Efficacy Scale (MFES) and the Modified Barthel Index (MBI) scores between the two groups (all P<0.05). Conclusion The dual task training of walking and cognition led by clinical nurse specialists can effectively improve the postural control ability of stroke patients.It is positive and significant to improve patients′ balance function, enhance their confidence in independent activities and promote their activities of daily living ability.

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刘莹,卢雅丽,裴士秀,汪丽,章季芳.专科护士主导的双重任务训练对脑卒中患者康复的影响[J].护理学杂志,2023,28(13):74-77

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  • 收稿日期:2023-02-20
  • 最后修改日期:2023-04-25
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  • 在线发布日期: 2023-12-29