Observation of goal oriented rehabilitation exercise in postoperative nursing of elderly patients with brain trauma
目标为导向的康复锻炼在老年脑外伤患者术后护理中的观察

摘要

目的 探讨在老年脑外伤患者术后护理中实施以目标为导向的康复锻炼的干预价值。方法 选取2023年1月-2024年1月本院收治的89例老年脑外伤患者，根据随机数字表法将其分为2组，对照组（44例，常规护理），观察组（45例，以目标为导向的康复锻炼）。对比两组护理前后的认知功能（MoCA量表）、肢体运动功能（FMA量表）、吞咽功能（SSA量表），并对比两组患者的康复进程及护理依从性。结果 与对照组相比，护理后观察组的MoCA、FMA评分更高，SSA评分更低，术后引流时长、抗生素药物使用时长、总住院时长更短，护理依从性更高（P＜0.05）。结论 对老年脑外伤患者术后护理中实施以目标为导向的康复锻炼干预能显著加快其康复进程，改善其认知、吞咽及肢体活动功能，有效提高其护理依从性，值得临床推广。

Abstract

Objective To explore the intervention value of goal oriented rehabilitation exercise in postoperative care of elderly patients with traumatic brain injury.
Methods 89 elderly patients with traumatic brain injury admitted to our hospital from January 2023 to January 2024 were randomly divided into two groups using a random number table method: a control group (44 cases, receiving routine care) and an observation group (45 cases, receiving goal oriented rehabilitation exercise). Compare the cognitive function (MoCA scale), limb motor function (FMA scale), and swallowing function (SSA scale) of two groups before and after nursing, and compare the rehabilitation process and nursing compliance of the two groups of patients.
Results Compared with the control group, the post nursing observation group had higher MoCA and FMA scores, lower SSA scores, shorter postoperative drainage time, antibiotic use time, total hospitalization time, and higher nursing compliance (P < 0.05).
Conclusion   Implementing goal oriented rehabilitation exercise intervention in postoperative care for elderly patients with traumatic brain injury can significantly accelerate their rehabilitation process, improve their cognitive, swallowing, and limb activity functions, effectively enhance their nursing compliance, and is worthy of clinical promotion.