摘要
目的 探讨叙事护理联合病房延伸训练对脑卒中患者康复训练依从性及肢体功能的影响。方法 选取2023年10月至2024年10月收治的90例脑卒中患者（脑梗死39例，脑出血51例），按随机数字表法分为观察组（45例）与对照组（45例）。对照组接受常规康复护理及日间康复训练；观察组在对照组基础上增加叙事护理联合日常康复治疗外的病房延伸训练。干预4周后，比较两组患者康复依从性（依从性量表评分）、肢体功能（Fugl-Meyer评分）、负性情绪（SAS、SDS评分）。结果 干预后，观察组依从性评分显著高于对照组依从性评分（P<0.05）、观察组Fugl-Meyer评分显著高于对照组依从性评分（P<0.05）、观察组SAS评分显著低于对照组（P<0.05）、SDS评分显著低于对照组（P<0.05）。结论 病房延伸训练联合叙事护理可显著提升脑卒中患者康复依从性，改善肢体功能，缓解负性情绪，值得临床推广。
关键词： 脑卒中；叙事护理；病房延伸训练；依从性
Abstract
Objective To explore the effects of narrative nursing combined with ward-based extended training on rehabilitation compliance and limb function in stroke patients. Methods Ninety stroke patients (39 cases of cerebral infarction, 51 cases of cerebral hemorrhage) admitted between October 2023 and October 2024 were selected and randomly divided into an observation group (n=45) and a control group (n=45) using a random number table. The control group received conventional rehabilitation nursing and daytime rehabilitation training. The observation group received additional narrative nursing combined with ward-based extended training beyond routine rehabilitation therapy, based on the interventions given to the control group. After 4 weeks of intervention, rehabilitation compliance (Compliance Scale score), limb function (Fugl-Meyer Assessment score), and negative emotions (SAS and SDS scores) were compared between the two groups. Results After the intervention, the compliance score in the observation group was significantly higher than that in the control group (P<0.05); the Fugl-Meyer score in the observation group was significantly higher than that in the control group (P<0.05); the SAS score in the observation group was significantly lower than that in the control group (P<0.05); and the SDS score in the observation group was significantly lower than that in the control group (P<0.05). Conclusion Ward-based extended training combined with narrative nursing can significantly improve rehabilitation compliance, enhance limb function, and alleviate negative emotions in stroke patients, making it worthy of clinical promotion.
Key words： Stroke; Narrative nursing; Ward-based extended training; Compliance
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