Effect Of Goal Oriented Nursing On Motor Function Recovery Of Young Stroke Patients In Transition Period

Objective:To understand the current situation of motor function rehabilitation nursing of young stroke patients,formulate goal-oriented nursing scheme based on goal-oriented theory,and explore the implementation effect of goal-oriented nursing on motor function,balance ability and subjective well-being of young stroke patients,so as to provide theoretical and practical basis for further improving the quality of rehabilitation nursing of young stroke patients.Methods:A total of 96 young stroke patients who were admitted to the Department of Neurology in a third class hospital in Inner Mongolia from January 2021 to September 2021 and met the inclusion and exclusion criteria were selected.96 patients were randomly divided into two groups.The control group was given routine rehabilitation nursing measures,and the experimental group was given goal-oriented nursing intervention on the basis of routine nursing.The first Fugl Meyer motor function rating scale(FMA),Berg Balance Scale(BBS)and Memorial University of Newfoundland happiness scale(MUNSH)were measured in the first week of admission.The intervention measures of each group were started after the first week of admission until the end of 12 weeks of intervention.The patients were repeatedly measured with Fugl Meyer motor function rating scale(FMA),Berg Balance Scale(BBS)and Memorial University of Newfoundland happiness scale(MUNSH)at the 4th and 12 th weeks of intervention.Spss20.0 was used for statistical data 0 for analysis,chi square test or rank sum test is used for counting data in general data,independent sample t-test is used for measurement data,repeated ANOVA is used for repeated measurement data,and independent sample t-test is used for inter group comparison..Results:1.Comparison of baseline data: before the intervention,the general data,FMA score,BBS score,MUNSH total score and various dimensions of the two groups were statistically tested.There was no significant difference in the comparison of baseline data(P>0.05).The two groups were comparable.2.The FMA scores of motor function in the two groups showed that after the intervention,the FMA scores of the experimental group at the 4th and 12 th weeks were(65.73±7.00)and(80.76 ± 5.56)respectively;The control group was(53.09 ± 8.11)and(71.30 ± 7.62)respectively.At each time point,the FMA scores of the subjects in the experimental group were higher than those in the control group,the difference was statistically significant(P <0.05),and there was time and interaction between groups(P < 0.01).3.The BBS scores of the two groups showed that the BBS scores of the experimental group at the 4th and 12 th weeks after the intervention were(22.69±4.48)and(42.35±4.08)respectively;The control group was(16.45±3.54)and(34.13±4.43)respectively.At each time point,the BBS scores of the subjects in the experimental group were higher than those in the control group,the difference was statistically significant(P<0.05),and there was time and interaction between groups(P<0.01).4.The MUNSH score of subjective well-being in the two groups showed that the total MUNSH score,positive emotion(PA)and positive experience(PE)in the experimental group were higher than those in the control group at the 4th and 12 th weeks after the intervention;The scores of negative emotion(NA)and negative experience(NE)in the experimental group were lower than those in the intervention group(P < 0.05),and there was significant interaction(P<0.01).Conclusion:1.Goal oriented nursing can promote the recovery of motor function of young stroke patients,improve their balance ability,improve their quality of life,help young stroke patients successfully complete the transitional nursing from hospital to home,adapt to life and return to society as soon as possible.2.Goal oriented nursing can improve the positive emotion and positive experience of young stroke patients by timely evaluating the psychological state of young stroke patients,finding negative emotions and giving positive psychological guidance;Reducing negative emotion and negative experience is effective to improve patients’ subjective well-being.