中西医结合护理 (May 2025)
Effects of cardiopulmonary rehabilitation training combined with acupoint application based on King's Goal Attainment Theory on recovery of patients with cerebral hemorrhage (基于King达标理论的心肺康复训练联合穴位贴敷在脑出血患者康复中的应用效果)
Abstract
Objective To investigate the effects of cardiopulmonary rehabilitation training combined with acupoint application based on King's Goal Attainment Theory on recovery of patients with cerebral hemorrhage. Methods A total of 122 patients with cerebral hemorrhage were selected as research subjects and randomly divided into a control group (n=61) and an observation group (n=61) using a random number table method. The control group received routine rehabilitation care, while the observation group additionally received cardiopulmonary rehabilitation training combined with acupoint application based on King's Goal Attainment Theory. The Fugl-Meyer Assessment (FMA) scores, Modified Barthel Index (MBI), pulmonary function parameters (FEV1, FVC, MVV), and Cleveland Constipation Score (CCS) were compared between the two groups before and after treatment. Results The FMA score was increased in both group after intervention, and FMA score in the observation group was higher than that in the control group (P＜0. 01). The MBI score was increased in both group after intervention, and MBI score in the observation group was higher than that in the control group (P＜0. 01). A better improvement of pulmonary function parameters was showed in patients of the observation group (P＜0. 01). The CCS score was decreased in both group after intervention, and CCS score in the observation group was lower than that in the control group (P＜0. 01). The rate of compliance with rehabilitation exercise in the observation group was higher than that in the control group (P＜0. 05), and incidence of adverse reactions in the observation group was lower than that in the control group (P＜0. 05). Conclusion Cardiopulmonary rehabilitation training combined with acupoint application based on King's Goal Attainment Theory can significantly improve limb motor function, enhance activities of daily living, improve pulmonary function, and alleviate constipation symptoms in patients with cerebral hemorrhage. (目的 探讨基于King达标理论的心肺康复训练联合穴位贴敷在脑出血患者康复中的应用效果。方法 选取2022年1月—2023年12月医院收治的122例脑出血患者作为研究对象, 采用随机数字表法将其分为对照组(n=61)和观察组(n=61)。对照组给予常规康复护理, 观察组在此基础上实施基于King达标理论的心肺康复训练联合穴位贴敷治疗, 通过沟通、互动与共同决策达成健康目标, 通过动态评估、个性化计划及持续互动实现功能恢复。比较两组患者Fugl-Meyer运动功能评分(FMA)、日常生活能力评分(MBI)、肺功能指标(FEV1、FVC、MVV)、Cleveland便秘评分量表(CCS)、康复依从性和不良反应发生率。结果 干预后, 两组患者FMA量表评分较干预前上升, 且观察组FMA量表评分高于对照组(P＜0. 01)。两组患者MBI评分较干预前上升, 且观察组MBI评分高于对照组, 差异有统计学意义(P＜0. 01)。干预后, 观察组肺功能相关指标改善幅度优于对照组(P＜0. 01)。 干预后, 两组患者CCS评分较干预前下降, 且观察组CCS评分低于对照组(P＜0. 01)。 观察组康复依从率高于对照组, 不良反应发生率低于对照组, 差异有统计学意义(P＜0. 05)。结论 基于King达标理论的心肺康复训练联合穴位贴敷能显著改善脑出血患者的肢体运动功能, 提高日常生活能力, 改善肺功能, 缓解便秘症状, 且安全性好, 值得临床推广应用。)
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