秦媛;潘圆圆;田林;毕瑞瑾;高雁歌;王艺源;谢莎;

• 1:郑州大学第一附属医院

摘要(Abstract)：

目的探讨基于奥马哈理念干预模式对脑出血老年患者神经功能及ADL水平的影响。方法回顾性分析2019-10—2020-09郑州大学第一附属医院收治110例脑出血老年患者,根据护理方式的不同分为2组,对照组(55例)给予常规护理,观察组(55例)给予奥马哈理念干预。基于Holden步行能力(FAC)、Berg平衡量表(BBS)、改良Barthel指数(MBI)评定干预前后2组日常生活能力(ADL)评分;基于S100β蛋白(S100β)、神经元特异性烯醇化酶(NSE)对比2组干预前后神经功能水平;基于生活质量评定量表(SF-36)对比2组干预前后生活质量,包括心理角色、心理功能、躯体功能。结果 2组FAC等各项ADL评分干预前无显著差异(P>0.05),观察组FAC等各项ADL评分干预后分别为3.54±1.02、40.28±3.87、71.45±6.18,优于对照组(2.23±0.76、27.36±3.19、58.64±5.34),组间比较差异均有统计学意义(P<0.05)。2组NSE等神经功能水平干预前无显著差异(P>0.05),观察组NSE水平等神经功能干预后分别为(0.86±0.13)ng/mL、(18.11±2.35)ng/mL,低于对照组的(1.05±0.21)ng/mL、(22.25±4.07)ng/mL,组间比较差异有统计学意义(P<0.05)。2组躯体功能等干预前评分无显著差异(P>0.05),观察组躯体功能等评分干预后为86.37±5.63、78.41±4.52、84.74±5.45,高于对照组(65.68±4.02、54.33±3.45、68.27±4.56),差异均有统计学意义(P<0.05)。结论基于奥马哈理念干预模式能够提升脑出血老年患者的神经功能,同时改善其生活质量。

关键词(KeyWords)： 脑出血;奥马哈理念干预;日常生活能力;神经功能;生活质量

Abstract:

Keywords:

基金项目(Foundation): 河南省医学科技攻关计划（编号：2018020070）

作者(Authors): 秦媛;潘圆圆;田林;毕瑞瑾;高雁歌;王艺源;谢莎;

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