Influences of exercise rehabilitation pathway on postoperative rehabilitation effect in patients with craniocerebral injury

Abstract

Objective To explore the influences of exercise rehabilitation pathway on postoperative rehabilitation exercise effect in patients with craniocerebral injury. Methods A total of 152 patients with craniocerebral injury, who admitted in Tangshan Gongren Hospital from July 2012 to June 2014, were selected by convenience sampling as objects and were divided according to random number table method into observation group and control group, each with 76 cases. In the control group, patients were given routine postoperative nursing and rehabilitation guidance, while in the observation group, patients, on the basis of routine nursing, were given exercise rehabilitation pathway, which took the patients as the center and develop individualized rehabilitation exercise program. The scores of postoperative rehabilitation exercise compliance scale (PRECS), functional independence measure scale (FIA), modified Barthel index (MBI), the quality of life after traumatic injury (QOLIBRI) were compared between the two groups 4 weeks after the interventions. Results After the interventions, the three dimensions scores of the (observation group in knowledge mastery of PRECS, exercise compliance, actively seeking advice) were (93.5±5.3), (92.2±5.7) and (91.6±6.1) points, higher than (87.2±6.7), (84.2±7.0) and (83.5±7.8) points in the control group (t=6.429, 7.726, 7.131; P<0.01); after the interventions, scores in the observation group in motor, cognition, total score of FIA, and in MBI were respectively (78.2±7.3), (32.3±2.5), (110.5±7.9) and (88.2±7.3) points, higher than that in the control group, (73.4±9.0), (30.8±3.1), (104.2±9.7) and (81.9±9.1) points, with (t=3.611, 3.284, 4.390, 4.708; P<0.01); after the interventions, scores in the observation group in overall feeling, thinking ability, emotion and self-rating, independence and daily life, and interpersonal relationship of QOLIBRI were (65.7±6.5), (60.7±5.2), (62.1±5.8), (61.4±4.5) and (55.7±4.5)points, higher than that in the control group, (61.2±7.2), (557.7±6.1), (59.0±6.1), (57.6±6.3), and (52.9±6.0) points (t=4.044, 3.263, 3.211, 4.279, 3.255; P<0.01); scores in the observation group in negative feeling, physical condition and distress of QOLIBRI were (38.9±5.4), (44.7±6.1), and (38.2±5.9) points, lower than (43.1±6.5), (49.4±7.5) and (41.8±7.3) points in the control group (t=4.333, 4.238, 3.344; P<0.01). Conclusions Exercise rehabilitation pathway can improve the compliance of postoperative rehabilitation exercise for patients with craniocerebral injury. The individualized rehabilitation exercise program is beneficial to the rehabilitation of motor function. Quality of life is also improved from aspects of physical condition and mental state. It should be promoted. Key words: Craniocerebral injury; Rehabilitation; Exercise; Life quality; Compliance; Self-care ability; Exercise rehabilitation pathway