5E康复模式对老年缺血性脑卒中患者睡眠质量及生活质量的影响
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摘要
目的探讨5E康复模式对老年缺血性脑卒中患者睡眠质量及生活质量的影响。方法选取老年缺血性脑卒中患者共100例,随机分为观察组与对照组。对照组患者予以常规康复护理与教育,观察组患者在对照组基础上予以5E康复模式干预,两组均干预2个月。观察并比较两组干预前与干预2个月后睡眠质量与生活质量变化。结果干预2个月后,两组患者PSQI评分均较治疗前明显下降(P<0.05或P<0.01),且观察组患者变化幅度较对照组更明显(P<0.05);两组患者各项评分及总分均较治疗前明显上升(P<0.05或P<0.01),且观察组患者上升幅度较对照组更明显(P<0.05)。结论 5E康复模式干预治疗老年缺血性脑卒中患者能明显改善患者睡眠质量与生活质量,疗效显著。
Objective To investigate the effect of 5 E rehabilitation mode on sleep quality and quality of life in elderly patients with ischemic stroke. Methods A total of 100 elderly patients with ischemic stroke were selected and randomly divided into observation group and control group. The control group was given routine rehabilitation nursing and education, and the observation group was given 5 E rehabilitation mode intervention on the basis of the control group, and both groups were given intervention for two months. The changes of sleep quality and quality of life in two groups were observed and compared before intervention and 2 months after intervention. Results After 2 months of intervention, the PSQI scores in both groups were significantly lower than those before treatment(P<0.05 or P<0.01), and the degree of changes in the observation group was more obvious than that in the control group(P<0.05); the scores and total score in the two groups were significantly higher than before treatment(P<0.05 or P<0.01), and the degree of increase in the observation group was more significantly than that in the control group(P<0.05). Conclusion 5 E rehabilitation mode intervention in the elderly patients with ischemic stroke can significantly improve the quality of sleep and quality of life,which has a significant therapeutic effect.
Objective To investigate the effect of 5 E rehabilitation mode on sleep quality and quality of life in elderly patients with ischemic stroke. Methods A total of 100 elderly patients with ischemic stroke were selected and randomly divided into observation group and control group. The control group was given routine rehabilitation nursing and education, and the observation group was given 5 E rehabilitation mode intervention on the basis of the control group, and both groups were given intervention for two months. The changes of sleep quality and quality of life in two groups were observed and compared before intervention and 2 months after intervention. Results After 2 months of intervention, the PSQI scores in both groups were significantly lower than those before treatment(P<0.05 or P<0.01), and the degree of changes in the observation group was more obvious than that in the control group(P<0.05); the scores and total score in the two groups were significantly higher than before treatment(P<0.05 or P<0.01), and the degree of increase in the observation group was more significantly than that in the control group(P<0.05). Conclusion 5 E rehabilitation mode intervention in the elderly patients with ischemic stroke can significantly improve the quality of sleep and quality of life,which has a significant therapeutic effect.
引文
[1]李惠允.老年进展性缺血性脑卒中相关因素的Logistic回归分析[J].中国老年学杂志,2017,37(17):4276-4277.
[2]范宇威,代大伟,吴珊珊,等.缺血性脑卒中二级预防研究进展[J].现代生物医学进展,2015,15(12):2382-2385.
[3]王娇,梅丽,孟会红,等.脑卒中睡眠障碍的临床相关因素研究[J].脑与神经疾病杂志,2013,21(4):281-285.
[4]Ronning OM,Stavem K.Determ in antsof change in quality of life from 1 to 6 months following acute stroke[J].Cere brovasc Dis,2008,25(1-2):67-73.
[5]陈娟.急性脑卒中并睡眠障碍患者的临床特点及其影响因素研究[J].实用心脑肺血管病杂志,2016,24(9):40-42.
[6]周剑锋.早期规范康复训练对高龄缺血性脑卒中偏瘫患者运动功能和日常生活能力的影响[J].中国实用神经疾病杂志,2015,18(19):58-60.
[7]陈小红,吴玉芳,陈敏.5E康复模式对下肢骨肿瘤患者功能恢复及生活质量的影响[J].中国肿瘤临床与康复,2016,23(2):223-226.
[8]中华医学会神经病学分会脑血管病学组急性缺血性脑卒中诊治指南撰写组.中国急性缺血性脑卒中诊治指南2010[J].中华神经科杂志,2010,43(2):146-153.
[9]Naruishi K,Kunita A,Kubo K,et al.Predictors of improved functional outcome in elderly inpatients after rehabilitation:A retrospective study[J].Clin Interv Aging,2014,9(3):2133-2141.
[10]李婷,郅文婧,范学文.缺血性脑卒中后睡眠障碍患者睡眠参数与生活质量的相关性研究[J].宁夏医学杂志,2016,38(12):1143-1146.
[11]郭永彬,王恩雨,蔡玲红.生活质量量表在脑卒中评价中的应用[J].中国康复理论与实践,2009,15(7):632-634.
[12]Olson DM,Cox M,Pan W,et al.Death and rehospitalization after transient ischemic attack or acute ischemic stroke:One-year outcomes from the adherence evalution of acute ischemic stroke-longitudinal registry[J].J Stroke Cerebrovasc Dis,2013,22(7):181-188.
[13]Sun H,Zou X,Liu L.Epidemiological factors of stroke:Asurvey of the current status in China[J].J Stroke,2013,15(2):109-114.
[14]王新亚,瞿心远,张明芝.阿托伐他汀与阿司匹林联合用药预防缺血性脑卒中复发效果的Meta分析[J].中国循征心血管医学杂志,2017,9(8):907-910.
[15]Bakken LN,Kim HS,Finset A,et al.Stroke patients fuctions in personal activities of daily livining in relation to sleep and sociodemographic and clincical variables in the acute phase after first-time stroke and at six mouths of follow-up[J].J Clin Nurs,2012,12(6):1886-1895.
[16]刘惠茹,曹凤英,张敏,等.社区老年人脑卒中与睡眠质量及抑郁的相关性研究[J].山西医药杂志,2014,43(1):6-8.
[17]Kim YK,Na KH,Shin KH,et al.Cytokine imbalance in the pathophysiology of major depressive disorder[J].Prog Neuropsychophaimacol Biol Psychiatry,2007,31(15):1044-1053.
[18]Pepin JL,Borel AL,Tamisier R,et al.Hypertension and sleep:Overview of tight relationship[J].Sleep Med Rev,2014,18(6):509-519.
[19]郭慧丽,尹春丽,李茜,等.老年脑卒中患者不同抑郁程度睡眠障碍和认知障碍的关系[J].中国老年学杂志,2015,35(19):5622-5623.
[20]甘燕玲,于洋,张雅静,等.康复治疗对老年脑梗死急性睡眠障碍患者动态血压的影响[J].中华老年心脑血管病杂志,2012,14(5):511-514.
[21]蔡桂兰,陶志芳.“5E”康复干预对老年卒中患者照料者生活质量的影响[J].实用老年医学,2015,29(3):259-262.
[2]范宇威,代大伟,吴珊珊,等.缺血性脑卒中二级预防研究进展[J].现代生物医学进展,2015,15(12):2382-2385.
[3]王娇,梅丽,孟会红,等.脑卒中睡眠障碍的临床相关因素研究[J].脑与神经疾病杂志,2013,21(4):281-285.
[4]Ronning OM,Stavem K.Determ in antsof change in quality of life from 1 to 6 months following acute stroke[J].Cere brovasc Dis,2008,25(1-2):67-73.
[5]陈娟.急性脑卒中并睡眠障碍患者的临床特点及其影响因素研究[J].实用心脑肺血管病杂志,2016,24(9):40-42.
[6]周剑锋.早期规范康复训练对高龄缺血性脑卒中偏瘫患者运动功能和日常生活能力的影响[J].中国实用神经疾病杂志,2015,18(19):58-60.
[7]陈小红,吴玉芳,陈敏.5E康复模式对下肢骨肿瘤患者功能恢复及生活质量的影响[J].中国肿瘤临床与康复,2016,23(2):223-226.
[8]中华医学会神经病学分会脑血管病学组急性缺血性脑卒中诊治指南撰写组.中国急性缺血性脑卒中诊治指南2010[J].中华神经科杂志,2010,43(2):146-153.
[9]Naruishi K,Kunita A,Kubo K,et al.Predictors of improved functional outcome in elderly inpatients after rehabilitation:A retrospective study[J].Clin Interv Aging,2014,9(3):2133-2141.
[10]李婷,郅文婧,范学文.缺血性脑卒中后睡眠障碍患者睡眠参数与生活质量的相关性研究[J].宁夏医学杂志,2016,38(12):1143-1146.
[11]郭永彬,王恩雨,蔡玲红.生活质量量表在脑卒中评价中的应用[J].中国康复理论与实践,2009,15(7):632-634.
[12]Olson DM,Cox M,Pan W,et al.Death and rehospitalization after transient ischemic attack or acute ischemic stroke:One-year outcomes from the adherence evalution of acute ischemic stroke-longitudinal registry[J].J Stroke Cerebrovasc Dis,2013,22(7):181-188.
[13]Sun H,Zou X,Liu L.Epidemiological factors of stroke:Asurvey of the current status in China[J].J Stroke,2013,15(2):109-114.
[14]王新亚,瞿心远,张明芝.阿托伐他汀与阿司匹林联合用药预防缺血性脑卒中复发效果的Meta分析[J].中国循征心血管医学杂志,2017,9(8):907-910.
[15]Bakken LN,Kim HS,Finset A,et al.Stroke patients fuctions in personal activities of daily livining in relation to sleep and sociodemographic and clincical variables in the acute phase after first-time stroke and at six mouths of follow-up[J].J Clin Nurs,2012,12(6):1886-1895.
[16]刘惠茹,曹凤英,张敏,等.社区老年人脑卒中与睡眠质量及抑郁的相关性研究[J].山西医药杂志,2014,43(1):6-8.
[17]Kim YK,Na KH,Shin KH,et al.Cytokine imbalance in the pathophysiology of major depressive disorder[J].Prog Neuropsychophaimacol Biol Psychiatry,2007,31(15):1044-1053.
[18]Pepin JL,Borel AL,Tamisier R,et al.Hypertension and sleep:Overview of tight relationship[J].Sleep Med Rev,2014,18(6):509-519.
[19]郭慧丽,尹春丽,李茜,等.老年脑卒中患者不同抑郁程度睡眠障碍和认知障碍的关系[J].中国老年学杂志,2015,35(19):5622-5623.
[20]甘燕玲,于洋,张雅静,等.康复治疗对老年脑梗死急性睡眠障碍患者动态血压的影响[J].中华老年心脑血管病杂志,2012,14(5):511-514.
[21]蔡桂兰,陶志芳.“5E”康复干预对老年卒中患者照料者生活质量的影响[J].实用老年医学,2015,29(3):259-262.