虚拟情景互动训练对脑卒中术后患者的疗效研究

doi:10.3760/cma.j.issn.1007-1245.2024.24.007

国际医药卫生导报 ›› 2024, Vol. 30 ›› Issue (24): 4096-4100.DOI: 10.3760/cma.j.issn.1007-1245.2024.24.007

虚拟情景互动训练对脑卒中术后患者的疗效研究

王斐¹ 廖林² 梁文君¹

¹安康市中医医院神经外科三病区，安康　725000；²安康市中医医院针灸康复中心三病区，安康　725000

收稿日期:2024-05-09 出版日期:2024-12-15 发布日期:2024-12-21
通讯作者: 廖林，Email：455056127@qq.com
基金资助:
陕西省重点研发计划（2022SF-551）

Effect of virtual situational interactive training on patients after stroke surgery

Wang Fei¹, Liao Lin², Liang Wenjun¹

¹Neurosurgery Ward Three, Ankang Hospital of Traditional Chinese Medicine, Ankang 725000, China; ²Acupuncture Rehabilitation Center Ward Three, Ankang Hospital of Traditional Chinese Medicine, Ankang 725000, China

Received:2024-05-09 Online:2024-12-15 Published:2024-12-21
Contact: Liao Lin, Email: 455056127@qq.com
Supported by:
Shaanxi Province Key Research and Development Plan (2022SF-551)

摘要/Abstract

摘要：

目的　分析虚拟情景互动训练对脑卒中术后患者运动功能、日常活动能力及生活质量的影响。方法　本研究为随机对照试验。选取2021年9月至2023年9月安康市中医医院收治的88例脑卒中术后患者作为研究对象，将患者随机分为对照组（44例）和观察组（44例）。对照组男20例，女24例；年龄（62.43±2.01）岁；病程（1.41±0.32）年；卒中类型：缺血性脑卒中27例，出血性脑卒中17例。观察组男25例，女19例；年龄（61.98±2.33）岁；病程（1.37±0.40）年；卒中类型：缺血性脑卒中26例，出血性脑卒中18例。对照组采用常规护理，观察组在对照组基础上采用虚拟情景互动训练。两组均连续干预30 d。比较两组术后1 d、15 d、30 d运动功能［Fugl-Meyer运动功能评定量表（FMA）］与日常活动能力［改良Barthel指数（MBI）］，比较两组术后1 d、30 d生活质量［欧洲五维健康量表（EQ-5D）］。采用独立样本t检验、配对t检验和χ²检验进行统计学分析。结果　术后15 d、30 d，观察组FMA评分均高于对照组［（20.76±2.86）分比（19.20±2.75）分、（28.81±1.47）分比（26.12±1.08）分］（均P<0.05）；观察组MBI评分均高于对照组［（6.89±1.01）分比（5.76±1.03）分、（8.43±1.01）分比（7.21±1.26）分］（均P<0.05）。术后30 d，观察组EQ-5D中的行动能力、自我管理能力、活动能力、疼痛或不适、焦虑或抑郁评分均高于对照组［（2.01±0.64）分比（1.78±0.14）分、（1.95±0.43）分比（1.77±0.34）分、（1.82±0.26）分比（1.69±0.27）分、（2.01±0.27）分比（1.90±0.12）分、（1.92±0.14）分比（1.81±0.30）分］（均P<0.05）。结论　虚拟情景互动训练可改善脑卒中术后患者运动功能、日常活动能力以及生活质量。

关键词:

脑卒中, 术后护理, 虚拟情景互动训练, 运动功能, 日常活动能力, 生活质量

Abstract:

Objective　To analyze the effects of virtual situational interactive training on motor function, daily activity ability, and quality of life in patients after stroke surgery. Methods　This study was a randomized controlled trial. A total of 88 patients after stroke surgery admitted to Ankang Hospital of Traditional Chinese Medicine from September 2021 to September 2023 were selected as the study objects, and the patients were randomly divided into a control group (44 cases) and an observation group (44 cases). In the control group, there were 20 males and 24 females, aged (62.43±2.01) years, the course of disease was (1.41±0.32) years, and the type of stroke was ischemic stroke in 27 cases and hemorrhagic stroke in 17 cases. In the observation group, there were 25 males and 19 females, aged (61.98±2.33) years, the course of disease was (1.37±0.40) years, and the type of stroke was ischemic stroke in 26 cases and hemorrhagic stroke in 18 cases. The control group received routine nursing, and the observation group received virtual situational interactive training based on the control group. Both groups were treated for 30 days. The motor function [Fugl-Meyer Motor Function Assessment (FMA)] and daily activity ability [modified Barthel Index (MBI)] of the two groups were compared 1, 15, and 30 days after surgery, and the quality of life [EuroQol Five-Dimensional Questionnaire (EQ-5D)] of the two groups were compared 1 and 30 days after surgery. Independent sample t test, paired t test, and χ² test were used for statistical analysis. Results　On day 15 and 30 after surgery, the FMA scores in the observation group were higher than those in the control group [(20.76±2.86) points vs. (19.20±2.75) points, (28.81±1.47) points vs. (26.12±1.08) points] (both P<0.05); the MBI scores in the observation group were higher than those in the control group [(6.89±1.01) points vs. (5.76±1.03) points, (8.43±1.01) points vs. (7.21±1.26) points] (both P<0.05). On day 30 after surgery, the scores of mobility, self-management, activity, pain or discomfort, and anxiety or depression of the EQ-5D in the observation group were all higher than those in the control group [(2.01±0.64) points vs. (1.78±0.14) points, (1.95±0.43) points vs. (1.77±0.34) points, (1.82±0.26) points vs. (1.69±0.27) points, (2.01±0.27) points vs. (1.90±0.12) points, (1.92±0.14) points vs. (1.81±0.30) points] (all P<0.05). Conclusion　Virtual situational interactive training can improve the motor function, daily activity ability, and quality of life in patients after stroke surgery.

Key words:

Stroke, Postoperative care, Virtual scenario interactive training, Motor function, Daily activity ability, Quality of life

王斐廖林梁文君.

虚拟情景互动训练对脑卒中术后患者的疗效研究 [J]. 国际医药卫生导报, 2024, 30(24): 4096-4100.

Wang Fei, Liao Lin, Liang Wenjun.

Effect of virtual situational interactive training on patients after stroke surgery [J]. International Medicine and Health Guidance News, 2024, 30(24): 4096-4100.

参考文献

[1] Tater P, Pandey S. Post-stroke movement disorders: clinical spectrum, pathogenesis, and management[J]. Neurol India, 2021, 69(2):272-283. DOI: 10.4103/0028-3886.314574.
[2] Zhao Y, Zhang X, Chen X, et al. Neuronal injuries in cerebral infarction and ischemic stroke: from mechanisms to treatment (review)[J]. Int J Mol Med, 2022, 49(2):15. DOI: 10.3892/ijmm.2021.5070.
[3] 唐熔,付雨桐,王文丽.脑卒中患者膈肌功能障碍的康复治疗研究进展[J].中国医学创新,2023,20(20):165-169.DOI:10.3969/j.issn.1674-4985.2023.20.038.
[4] 苗姣娜,何叶,王元姣.临床护理路径在脑卒中患者康复护理中的应用进展[J].护士进修杂志,2023,38(2):141-144,163.DOI:10.16821/j.cnki.hsjx.2023.02.009.
[5] 何月月,汪锐,冯灵.缺血性脑卒中患者全程护理的研究进展[J].实用医院临床杂志,2022,19(3):210-212.DOI:10.3969/j.issn.1672-6170.2022.03.059.
[6] 李翻玲,高畅,张婧珺,等.脑卒中患者护理干预模式研究进展[J].齐鲁护理杂志,2023,29(11):145-148.DOI:10.3969/j.issn.1006-7256.2023.11.045.
[7] 王唯嘉,曾德兰,覃文婷.虚拟现实技术在脑卒中后上肢运动功能障碍康复护理中的应用进展[J].循证护理,2023,9(21):3889-3891.DOI:10.12102/j.issn.2095-8668.2023. 21.015.
[8] 原皓,杨紫荆,巫宏基,等.基于限制平均生存时间的样本量计算方法比较[J].中国卫生统计,2022,39(2):289-292.DOI:10.3969/j.issn.1002-3674.2022.02.033.
[9] 中华中医药学会脑病分会,广东省中医药学会脑病专业委员会,广东省中西医结合学会卒中专业委员会.中西医结合脑卒中循证实践指南(2019)[J].中国循证医学杂志,2020,20(8):901-912.DOI:10.7507/1672-2531.202001075.
[10] Rech KD, Salazar AP, Marchese RR, et al. Fugl-Meyer assessment scores are related with kinematic measures in people with chronic hemiparesis after stroke[J]. J Stroke Cerebrovasc Dis, 2020, 29(1):104463. DOI: 10.1016/j.jstrokecerebrovasdis.2019.104463.
[11] Strini V, Piazzetta N, Gallo A, et al. Barthel index: creation and validation of two cut-offs using the BRASS index[J]. Acta Biomed, 2020, 91(2-S):19-26. DOI: 10.23750/abm.v91i2-S.9226.
[12] Marten O, Brand L, Greiner W. Feasibility of the EQ-5D in the elderly population: a systematic review of the literature[J]. Qual Life Res, 2022, 31(6):1621-1637. DOI: 10.1007/s11136-021-03007-9.
[13] 何会芳,张小盼,连小慧.正性暗示联合感觉运动训练在脑卒中患者中的应用[J].齐鲁护理杂志,2023,29(21):9-12.DOI:10.3969/j.issn.1006-7256.2023.21.003.
[14] 王子凤,李艳华.1M3S护理模式在脑卒中患者介入术后康复中的应用[J].国际护理学杂志,2023,42(19):3588-3592.DOI:10.3760/cma.j.cn221370-20220228-00874.
[15] 丁玎,谢瑛,刘元旻,等.虚拟情景互动训练对注意障碍脑卒中患者上肢运动功能的影响[J].中国康复,2022,37(4):204-208.DOI:10.3870/zgkf.2022.04.003.
[16] 张红利,车文生,楚娜娜.头针联合虚拟情景互动训练对脑卒中患者功能康复的影响[J].中国老年学杂志,2019,39(20):4902-4906.DOI:10.3969/j.issn.1005-9202.2019. 20.008.
[17] 许方军,曹晓光,王修敏,等.虚拟情景互动技术联合肩胛骨运动控制强化训练对偏瘫患者上肢功能及日常生活活动能力的影响[J/CD].中华脑科疾病与康复杂志(电子版),2023,13(4):222-228.DOI:10.3877/cma.j.issn.2095- 123X.2023.04.005.
[18] 曹云云,荣晓珊,张曙映,等.多学科协作模式对脑卒中恢复期多功能障碍患者的应用效果[J].国际护理学杂志,2023,42(13):2305-2310.DOI:10.3760/cma.j.cn221370- 20210709-00564.

虚拟情景互动训练对脑卒中术后患者的疗效研究

Effect of virtual situational interactive training on patients after stroke surgery

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

[1]	李亚辉李彩蝶赵翔. 分阶段肺康复锻炼在成人急性呼吸窘迫综合征患者中的应用效果观察 [J]. 国际医药卫生导报, 2025, 31(1): 127-131.
[2]	邱换换葛高琪郭瑾刘建芳路亚婉. 基于主观整体营养评估量表评分的营养干预对结直肠癌患者化疗期营养摄入和生活质量的影响 [J]. 国际医药卫生导报, 2025, 31(1): 136-140.
[3]	钟细芳曾彩玲钟秋明陈荟. IKAP模式为指导的家长教育课堂在儿童特应性皮炎防治管理中的应用 [J]. 国际医药卫生导报, 2025, 31(1): 159-162.
[4]	常利谢娟高黎赵将孙秀娥何莉樊春秀岳勤沈红红王雁. 陕西省农村老年癌症患者生活质量及影响因素分析 [J]. 国际医药卫生导报, 2025, 31(1): 169-174.
[5]	尹夏孟东方袁冬李倩汪喆. 心理弹性在颈型颈椎病患者自我管理能力与生活质量间的中介效应 [J]. 国际医药卫生导报, 2024, 30(8): 1392-1397.
[6]	齐向娟刘宏侠李熳张颖. 情感适应理论反馈式护理对功能性消化不良患者不良情绪的影响 [J]. 国际医药卫生导报, 2024, 30(7): 1207-1211.
[7]	欧阳月仙吴海蓉彭姣周立德. 自体富血小板血浆在慢性难愈合创面治疗中的效果分析 [J]. 国际医药卫生导报, 2024, 30(6): 1013-1017.
[8]	梁志乐陈国成潘林平王小艳唐灿洪赖满刘王媛媛. 中药苍薏饮治疗痰湿体质高血压患者的临床研究 [J]. 国际医药卫生导报, 2024, 30(6): 1020-1024.
[9]	温俊萍周艳颜彭晓辉. 5E护理模式在糖尿病肾病患者中的应用效果 [J]. 国际医药卫生导报, 2024, 30(5): 793-796.
[10]	周静阮丽平高梦崔菲. 跟进式赋能教育在结直肠癌化疗患者中的应用效果 [J]. 国际医药卫生导报, 2024, 30(5): 871-875.
[11]	李丹丹王欢欢姬响华蔻香草罗冷孙羽燕. 超声指导下的护理方案预防ECMO运转期患儿压疮的效果 [J]. 国际医药卫生导报, 2024, 30(4): 559-563.
[12]	贺军宁孙秀香王鹏雁. 精准护理模式对发热伴血小板减少综合征患者的干预效果 [J]. 国际医药卫生导报, 2024, 30(4): 674-677.
[13]	吕运良万彩玲王付涛常立国. 针灸联合本体感觉神经肌肉促进技术对脑卒中后肢体功能障碍患者的疗效分析 [J]. 国际医药卫生导报, 2024, 30(3): 398-403.
[14]	郑治锦张莉苏静. 医疗团队资源管理模式在急性缺血性脑卒中患者中的应用 [J]. 国际医药卫生导报, 2024, 30(3): 434-438.
[15]	杨静刘阳子. 失效模式与效应分析在骨折患者术后护理中的应用 [J]. 国际医药卫生导报, 2024, 30(3): 460-464.