Application of comprehensive rehabilitation nursing based on motor relearning theory in hemiplegic patients with cerebral hemorrhage
基于运动再学习理论的综合康复护理在脑出血偏瘫患者中的应用研究

摘要

目的 探讨基于运动再学习理论的综合康复护理在脑出血偏瘫患者中的应用效果。方法 选取2024年1月至2025年8月我科收治的120例脑出血偏瘫患者作为研究对象，采用随机数字表法分为对照组（n=60）与观察组（n=60）。对照组实施常规康复护理，观察组在常规护理基础上实施基于运动再学习理论的综合康复护理，干预周期为4周。比较两组干预前后美国国立卫生研究院卒中量表（NIHSS）评分、Fugl-Meyer运动功能评分（FMA）、Barthel指数评分、康复训练依从性及并发症发生率的差异。结果 干预前，两组各项评分差异无统计学意义（均P＞0.05）。干预后，观察组NIHSS评分（6.54±1.37）低于对照组（9.75±1.42），上肢FMA评分（46.71±4.54）、下肢FMA评分（25.32±3.31）及Barthel指数评分（75.09±5.26）均高于对照组（37.84±4.49、19.09±3.07、58.74±5.30），差异均有统计学意义（均P＜0.05）。观察组康复训练依从率（93.33%）高于对照组（71.67%），并发症发生率（3.33%）低于对照组（15.00%），差异均具有统计学意义（均P＜0.05）。结论 基于运动再学习理论的综合康复护理能有效提高脑出血偏瘫患者的康复训练依从性，减轻神经功能缺损，促进运动功能与日常生活能力恢复，并降低并发症发生率，具有临床推广价值。

Abstract

Objective To investigate the application effects of comprehensive rehabilitation nursing based on motor relearning theory in hemiplegic patients with cerebral hemorrhage.
Methods A total of 120 hemiplegic patients with cerebral hemorrhage admitted to our department from January 2024 to August 2025 were selected as research subjects. The patients were randomly divided into a control group (n=60) and an observation group (n=60) using a random number table method. The control group received routine rehabilitation nursing, while the observation group received comprehensive rehabilitation nursing based on motor relearning theory in addition to routine care. The intervention period lasted 4 weeks. Differences in National Institutes of Health Stroke Scale (NIHSS) scores, Fugl-Meyer Motor Function Assessment (FMA) scores, Barthel Index scores, rehabilitation training compliance, and complication incidence rates were compared between the two groups before and after intervention.
Results No statistically significant differences were observed in the scores of both groups before intervention (all P>0.05). After intervention, the observation group demonstrated statistically significant improvements in NIHSS scores (6.54±1.37 vs. 9.75±1.42), with higher upper limb FMA scores (46.71±4.54 vs. 37.84±4.49), lower limb FMA scores (25.32±3.31 vs. 19.09±3.07), and Barthel Index scores (75.09±5.26 vs. 58.74±5.30) (P<0.05). The observation group also showed higher rehabilitation training adherence (93.33% vs. 71.67%) and lower complication rates (3.33% vs. 15.00%) (P<0.05).
Conclusion   Comprehensive rehabilitation nursing based on motor relearning theory effectively enhances rehabilitation adherence in cerebral hemorrhage hemiplegia patients, reduces neurological deficits, promotes motor function and daily living ability recovery, and lowers complication rates, demonstrating clinical applicability.