前期康复计划对开颅术后患者认知和运动功能的影响

Nermen abdelftah Mohamed, Manal Saad shaker Soliman, Amora Omar Ibrahim Elmowafy
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引用次数: 0

摘要

背景:功能、行为和认知障碍通常会导致开颅术后患者在康复计划中遇到困难。目的:确定前期康复计划对开颅术后患者认知和运动功能的影响。研究对象和方法:采用准实验研究设计。研究地点本研究在曼苏拉大学医院神经外科和神经外科门诊进行。70 名开颅术后患者被分为研究组(接受康复计划)和对照组(每组 35 人)。工具:(I) 开颅术后患者评估表,工具 (II):患者对开颅手术的认识(前测和后测),工具(III):工具(III):患者关于开颅术后锻炼的报告实践(IV):小型精神状态检查(MMSE);(V)伯格平衡量表(PBS)。结果与对照组患者相比,康复前组参与者在康复前计划后的知识、实践、运动和认知能力均有显著提高(P.值<0.01)。结论实施预康复计划后,开颅手术后患者的知识、实践、运动和认知能力均有明显改善。建议:所有接受过开颅手术的患者都应参加预康复计划。
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Effect of pre Rehabilitation Program on Cognitive and Motor Functions for Patients Post Craniotomy
Background: Functional, behavioral, and cognitive disabilities often contribute to the difficulties in rehabilitation programs of victims with post-craniotomy. Aim: Determine the effect of the pre rehabilitation program on cognitive and motor functions for patients post-craniotomy. Subjects and Methods: Quasi-experimental research design was used . Setting: This study was carried out at the neurosurgery department and neurosurgery outpatients' clinic at Mansoura University Hospital. A convenient sample of 70 oriented patients post craniotomy was classified into the study (who received a rehabilitation program and the control group (35 in each group). Tools: (I) Patients' assessment sheet post craniotomy, Tool (II): Patients' knowledge, regarding craniotomy (pre and post-test), Tool (III): Patients' reporting practice regarding post craniotomy exercise (IV) Mini–mental state examination (MMSE), and (V) Berg balance scale(PBS). Results: In comparison to patients in the control group, participants in the pre-rehabilitation group showed a statistically significant increase in their knowledge , practice , motor, and cognitive abilities following pre rehabilitation programme (p. value < 0.01). Conclusion: When a pre-rehabilitation program is implemented, patients' knowledge, practice, and motor and cognitive abilities after a craniotomy significantly improve. Recommendation: All patients who have had a craniotomy should participate in a pre-rehabilitation program.
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