专科护士主导的模拟居家康复训练应用于脑卒中护理中的临床价值
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：键词脑卒中;康复护理;模拟居家康复训练;自我效能;睡眠质量;神经功能;专科护士主导;心理状态
Clinical Value of Specialist Nurse-led Simulated Home-based Rehabilitation Training in Stroke Nursir
QUE Qinghua，ZHENG Jinhong，ZHUANG Huihong，HE Zexiang （Quanzhou First Hospital，Quanzhou 3620OO，China）
AbstractObjective：Toanalyze the valueof specialistnurse-ledsimulated home-basedrehabilitation training in improving neurologicaldeficitrecoveryandslepqualityamongpatientsreceiving rehabilitationsupportafterstroke.Methods：Atotalof 80patientswith ischemicstrokewhoreceivedrehabilitationsupportatQuanzhouFirst HospitalfromJanuary2O24toDecember024 wereselectedasthestudysubjects.Theywererandomlydividedintoacontrolgroupandanobservationgroupaccordingtothe randomnumbertablemethod，with4Ocasesineachgroup.Thecontrol groupreceivedroutinerehabilitationnursing，whileheobservationgroupreceivedsimulatedhome-basedrehabilitationtrainingonthebasisofthecontrolgroup.Neurologicaldeficitrecoveryand sleepqualitywerecomparedbetweenthetwogroups.Results：After nursing，ompared withthecontrol group，the National Institutes of Health Stroke Scale（NIHSS）score and Neuropsychiatric Inventory（NPI）score were lower inthe observation group， whilethe Mini-Mental StateExamination（MMSE）scoreandFugl-Meyer（FM）motorfunctionscore were higherintheobservation group，and the differences were statistically significant（ P<0.05. ）. After nursing，compared with the control group，the Hamilton Anxiety Scale（HAMA），Hamilton Depression Scale（HAMD），and Pitsburgh Sleep Quality Index（PSQI）scores were lower in the observation group，and the differences were statistically significant （ P<0.05 ）.Conclusion： The application of specialist nurse-ledsimulatedhome-basedrehabilitation training instrokerehabilitationsupportcanpromoteneurological deficitrecovery and improve sleep quality in patients.
KeywordsStroke；Rehabilitationnursing；Simulated home-basedrehabilitation training；Self-eficacy；Slpquality；Neuro logical function; Specialist nurse-led; Psychological status
中图分类号：R256.23；R743 文献标识码：A doi：10.3969/j.issn.2095 -7130.2025.12.042
脑卒中为临床上常见的脑血管疾病，卒中可引发神经细胞凋亡，继而形成神经功能缺损，其不但会形成偏瘫、语言、认知障碍等明显症状，还可能会诱发情绪异常、失眠等精神心理问题。（剩余4801字）