CAJ | 학술논문

目的：分析计划性锻炼改善脑出血患者运动功能、心理状态及生活质量的效果。方法选取解放军第一六九医院2012年3月~2014年3月收治的180例脑出血存活患者，按照随机数字表法分为计划锻炼组及常规护理组，每组各90例。两组均采用常规护理法，计划锻炼组患者在病情稳定后开始接受计划性锻炼。记录并比较两组患者入院时，末次随访时运动功能、心理状态及生活质量变化。结果两组末次随访运动耐量时间和最大耗氧量均明显优于入院时，差异有统计学意义(P<0.05)；且计划训练组末次随访运动耐量时间、最大耗氧量[(605.6±82.5)min、(31.9±6.0)L/min]明显优于常规护理组[(537.2±79.4)min、(27.8±4.9)L/min]，差异有统计学意义(P<0.05)。两组末次随访时患者抑郁自评量表(SDS)严重指数、焦虑自评量表(SAS)评分均较入院时显著降低，差异有统计学意义(P<0.05)；且计划锻炼组末次随访SDS严重指数及SAS评分[(0.43±0.06)、(43.5±3.9)分]均明显优于常规护理组[(0.51±0.06)、(47.3±4.7)分]，差异有统计学意义(P<0.05)。末次随访时，两组患者生理功能、总体健康、社会功能、情感职能、精神健康评分均较入院时明显改善，差异有统计学意义(P<0.05)；且计划锻炼组[(80.4±7.6)、(73.9±6.2)、(58.4±7.2)、(63.0±5.8)、(79.4±8.4)分]明显优于常规护理组[(62.7±7.0)、(53.5±6.1)、(52.5±4.9)、(55.7±6.3)、(63.2±7.1)分]，差异有统计学意义(P<0.05)。结论计划性锻炼在改善脑出血患者运动功能、心理状态及生活质量方面均发挥了重要作用，在今后的护理中，应更注重针对患者实际情况实施个体化护理方案，以期取得更好的护理效果，促进患者生活质量的进一步改善。
목적：분석계화성단련개선뇌출혈환자운동공능、심리상태급생활질량적효과。방법선취해방군제일륙구의원2012년3월~2014년3월수치적180례뇌출혈존활환자，안조수궤수자표법분위계화단련조급상규호리조，매조각90례。량조균채용상규호리법，계화단련조환자재병정은정후개시접수계화성단련。기록병비교량조환자입원시，말차수방시운동공능、심리상태급생활질량변화。결과량조말차수방운동내량시간화최대모양량균명현우우입원시，차이유통계학의의(P<0.05)；차계화훈련조말차수방운동내량시간、최대모양량[(605.6±82.5)min、(31.9±6.0)L/min]명현우우상규호리조[(537.2±79.4)min、(27.8±4.9)L/min]，차이유통계학의의(P<0.05)。량조말차수방시환자억욱자평량표(SDS)엄중지수、초필자평량표(SAS)평분균교입원시현저강저，차이유통계학의의(P<0.05)；차계화단련조말차수방SDS엄중지수급SAS평분[(0.43±0.06)、(43.5±3.9)분]균명현우우상규호리조[(0.51±0.06)、(47.3±4.7)분]，차이유통계학의의(P<0.05)。말차수방시，량조환자생리공능、총체건강、사회공능、정감직능、정신건강평분균교입원시명현개선，차이유통계학의의(P<0.05)；차계화단련조[(80.4±7.6)、(73.9±6.2)、(58.4±7.2)、(63.0±5.8)、(79.4±8.4)분]명현우우상규호리조[(62.7±7.0)、(53.5±6.1)、(52.5±4.9)、(55.7±6.3)、(63.2±7.1)분]，차이유통계학의의(P<0.05)。결론계화성단련재개선뇌출혈환자운동공능、심리상태급생활질량방면균발휘료중요작용，재금후적호리중，응경주중침대환자실제정황실시개체화호리방안，이기취득경호적호리효과，촉진환자생활질량적진일보개선。
Objective To analyze the effect of planning exercise improving physical function, psychological status and life quality in patients with cerebral hemorrhage. Methods From March 2012 to March 2014, in the 169th Hospital of PLA, 180 patients survival cerebral hemorrhage were selected, according to random number table, they were divided into planning exercise group and routine nursing group, with 90 cases in each group. The patients in two groups were given routine nursing, and patients in planning exercise group were given planning exercise after the stable condition. The changes of physical function, psychological status and life quality of patients in two groups at admission and the last follow-up were recorded and compared. Results At the last follow-up, the exercise tolerance time and maximum oxygen consumption of patients in two groups were better than those at admission, the differences were statistically sig-nificant (P<0.05);and these of planning exercise group [(605.6±82.5) min, (31.9±6.0) L/min] were better than those of routine nursing group [(537.2±79.4) min, (27.8±4.9) L/min], the differences were statistically significant (P< 0.05). At the last follow-up, SDS severity index and SAS scores patients in two groups were lower than those at admission, the differences were statistically significant (P<0.05);and these of planning exercise group [(0.43±0.06), (43.5±3.9) scores] were lower than those of routine nursing group [(0.51±0.06), (47.3±4.7) scores], the differences were statistically signifi-cant (P<0.05). At the last follow-up, exercise physiological function, general health, social functioning, role emotional, mental health scores of patients in two groups improved than those at admission, the differences were statistically signif-icant (P<0.05);and these of planning exercise group [(80.4±7.6), (73.9±6.2), (58.4±7.2), (63.0±5.8), (79.4±8.4) scores] were better than those of routine nursing group [(62.7±7.0), (53.5±6.1), (52.5±4.9), (55.7±6.3), (63.2±7.1) scores], the differences were statistically significant (P < 0.05). Conclusion Planning exercise plays an important role in improving cerebral hemorrhage patients motor function, quality of life and mental state. In the future nursing care, individual nursing care plan according to the actual situation of patients should be paid more attention, in order to achieve the ef-fect of nursing better, promote the further improvement of the quality of life of the patients.