Abstract:

Objective　To analyze the effect of nurse-led functional training APP management platform in the rehabilitation of craniocerebral injury after operation. Methods　A total of 146 patients with craniocerebral injury who underwent surgical treatment in Xinxiang Central Hospital from April 2020 to June 2021 were selected as the study objects, and were divided into a control group and an observation group according to the propensity score, with 73 cases in each group. In the control group, there were 43 males and 30 females, aged (55.18±2.34) years. In the observation group, there were 41 males and 32 females, aged (55.27±2.26) years. The control group received routine continuous nursing, while the observation group received nurse-led function training APP management platform nursing. The general information of the two groups was compared; the mastery of rehabilitation knowledge and the score of Chinese version of Fugl-Meyer Motor Function Assessment Scale (FMAS) were compared between the two groups; the score of Quality of Life after Traumatic Brain Injury Scale (QOLIBRI) was compared between the two groups. t test and χ² test were used. Results　The mastery rates of basic knowledge of disease [95.89% (70/73)], assessment of physical disorders [97.26% (71/73)], and functional training [97.26% (71/73)] in the observation group were higher than those in the control group [84.93% (62/73), 82.19% (60/73), and 80.82% (59/73)], with statistically significant differences (all P<0.05). The upper limb score [(53.27±9.24) points], lower limb score [(28.49±2.78) points], and total score of FMAS [(81.76±12.02) points] in the observation group were higher than those in the control group [(45.37±8.34) points, (20.47±2.15) points, and (65.84±10.49) points], with statistically significant differences (all P<0.05). After 2 weeks of nursing, the satisfaction score with all aspects of the body of the observation group was (104.29±7.24) points, which was higher than that of the control group [(86.49±6.34) points], while the score of whether it was troubled was lower than that of the control group [(30.27±3.29) points vs. (41.37±5.34) points], with statistically significant differences (both P<0.05). Conclusion　The application of nurse-led functional training APP management platform in patients after craniocerebral injury operation is helpful to enhance their understanding of rehabilitation knowledge, enhance their compliance with rehabilitation training, promote the recovery of limb function, and improve their quality of life.

Key words:

Craniocerebral injury, Nurse-led function training, APP management platform

摘要：

目的　分析护士主导功能训练APP管理平台应用于颅脑损伤术后患者康复的效果。方法　选取2020年4月至2021年6月在新乡市中心医院实施手术治疗的颅脑损伤患者146例为研究对象，根据倾向性评分将其分为对照组和观察组，每组73例。其中对照组男性43例，女性30例，年龄（55.18±2.34）岁；观察组男性41例，女性32例，年龄（55.27±2.26）岁。对照组实施常规延续护理，观察组实施护士主导功能训练APP管理平台护理。比较两组患者的一般人口资料；比较两组患者对康复知识掌握和中文版Fugl-Meyer运动功能评定量表（FMAS）评分；比较两组患者颅脑损伤生活质量量表（QOLIBRI）评分。采用t检验、χ²检验。结果　观察组疾病基础知识95.89%（70/73）、肢体障碍评估97.26%（71/73）及功能训练掌握率97.26%（71/73），均高于对照组疾病基础知识84.93%（62/73）、肢体障碍评估82.19%（60/73）及功能训练80.82%（59/73），差异均有统计学意义（均P<0.05）。观察组上肢评分（53.27±9.24）分、下肢评分（28.49±2.78）分及FMAS总分（81.76±12.02）分，均高于对照组上肢（45.37±8.34）分、下肢（20.47±2.15）分及FMAS总分（65.84±10.49）分，差异均有统计学意义（均P<0.05）。护理后2周，观察组对机体各方面满意度评分（104.29±7.24）分，高于对照组（86.49±6.34）分；是否受到困扰评分（30.27±3.29）分，低于对照组（41.37±5.34）分，差异均有统计学意义（均P<0.05）。结论　在颅脑损伤术后患者中应用护士主导功能训练APP管理平台有助于提升其对康复知识的认识，提升对康复训练的依从性，促进肢体功能的恢复，改善生活质量。

关键词:

颅脑损伤, 护士主导功能训练, APP管理平台