标题：基于目标管理理论的康复护理在脑出血偏瘫患者中的应用

      作者：袁莹，刘维，何彬彬，张娇妹    西安市大兴医院护理部，陕西 西安 710000

      卷次： 2023年34卷18期

      【摘要】 目的 探讨基于目标管理理论的康复护理在脑出血偏瘫患者中的应用效果。方法 回顾性选取2020年1月至2021年1月西安市大兴医院收治的50例脑出血偏瘫患者作为对照组，2021年2月至2022年4月收治的50例脑出血偏瘫患者作为观察组。对照组患者给予常规护理，观察组患者给予基于目标管理理论的康复护理，两组患者均护理 4周。护理 4周后，比较两组患者的肌力恢复情况，护理前、护理 4周后美国国立卫生院卒中量表(NIHSS)、Flugl-meyer运动功能测评量表(FMA)、简明健康调查表(SF-36)评分的变化，并调查两组患者对护理工作的满意率。结果 观察组患者的肌力恢复有效率为96.00%，明显高于对照组的 80.00%，差异有统计学意义(P<0.05)；护理前，两组患者的NIHSS评分、FMA评分比较差异均无统计学意义(P>0.05)；护理后，两组患者的NIHSS评分均降低，且观察组的NIHSS评分为(10.44±2.10)分，明显低于对照组的(15.38±2.61)分，FMA评分均升高，且观察组的FMA评分为(53.98±5.28)分，明显高于对照组的(45.71±3.85)分，差异均有统计学意义(P<0.05)；护理前，两组患者的SF-36量表评分比较差异无统计学意义(P>0.05)；护理后，两组患者的SF-36量表中的社会功能、情感职能、躯体疼痛、生理功能等各维度评分均明显升高，且观察组的各维度评分分别为(62.33±5.01)分、(67.21±4.82)分、(66.21±4.29)分、(65.11±5.01)分，明显高于对照组的(54.76±3.98)分、(57.19±4.98)分、(60.27±5.21)分、(56.38±4.98)分，差异均有统计学意义(P<0.05)；观察组患者对护理的满意率为98.00%，明显高于对照组的80.00%，差异有统计学意义(P<0.05)。结论 基于目标管理理论的康复护理能改善脑出血偏瘫患者的神经和肢体功能，提高患者生活质量及对护理工作的满意率。
      【关键词】 脑出血；偏瘫；目标管理理论；康复护理；生活质量；神经功能；运动功能；满意率
      【中图分类号】 R473.3 【文献标识码】 A 【文章编号】 1003—6350（2023）18—2732—05

Application of rehabilitation nursing based on goal management theory in hemiplegic patients with cerebralhemorrhage.
YUAN Ying, LIU Wei, HE Bin-bin, ZHANG Jiao-mei. Department of Nursing, Xi'an Daxing Hospital, Xi'an710000, Shaanxi, CHINA
【Abstract】 Objective To explore the effect of rehabilitation nursing based on goal management theory in hemi-plegic patients with cerebral hemorrhage. Methods Fifty patients with cerebral hemorrhage hemiplegia admitted toXi'an Daxing Hospital from January 2020 to January 2021 were selected as the control group, and 50 patients with cere-bral hemorrhage hemiplegia admitted from February 2021 to April 2022 were selected as the observation group. The pa-tients in the control group were given routine nursing, and the patients in the observation group were given rehabilitationnursing based on goal management theory. Both groups of patients were given 4 weeks of nursing. After 4 weeks of nurs-ing care, the muscle strength recovery of the two groups of patients was compared. The changes in the scores of the Na-tional Institutes of Health Stroke Scale (NIHSS), Flugl-meyer Motor Function Assessment Scale (FMA), and the Con-cise Health Questionnaire (SF-36) before and after 4 weeks of nursing care were investigated, and the satisfaction rate ofthe two groups of patients with nursing care was investigated. Results The effective rate of muscle strength recoveryin the observation group was 96.00%, which was significantly higher than 80.00% in the control group (P<0.05). Be-fore nursing, there was no significant difference in NIHSS score and FMA score between the two groups (P>0.05). Af-ter nursing, the NIHSS score of the two groups decreased, and the NIHSS score of the observation group was (10.44±2.10) points, which was significantly lower than (15.38±2.61) points of the control group; the FMA score of the twogroups increased, and the FMA score of the observation group was (53.98±5.28) points, which was significantly higherthan (45.71±3.85) points of the control group; the differences were statistically significant (P<0.05). Before nursing,there was no significant difference in the scores of SF-36 between the two groups (P>0.05). After nursing, the scoresof social function, emotional function, physical pain, physiological function and other dimensions in the SF-36 scaleof patients in the two groups were significantly higher; the scores of each dimension in the observation group were(62.33±5.01) points, (67.21±4.82) points, (66.21±4.29) points, (65.11±5.01) points, which were significantly higherthan (54.76±3.98) points, (57.19±4.98) points, (60.27±5.21) points, (56.38±4.98) points in the control group; the differ-ence was statistically significant (P<0.05). The satisfaction rate of patients in the observation group was 98.00%, whichwas significantly higher than 80.00% in the control group (P<0.05). Conclusion The rehabilitation nursing based onthe goal management theory can improve the nerve and limb functions of hemiplegic patients with cerebral hemorrhage,improve the quality of life of patients and the satisfaction rate of nursing work, which is worth popularizing.
      【Key words】 Cerebral hemorrhage; Hemiplegia; Goal management theory; Rehabilitation nursing; Quality oflife; Nerve function; Motor function; Satisfaction rate