非侵入性脑机接口治疗脑卒中后运动功能障碍患者的护理
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女,本科,主管护师

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科研项目:2025年度湖北省教育厅哲学社会科学基金项目(25Z110)


Nursing care for patients with post-stroke motor dysfunction undergoing non-invasive brain-computer interface therapy
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    摘要:

    总结1例脑卒中后运动功能障碍康复平台期患者,在医工护融合模式下接受非侵入性脑机接口治疗的护理经验。护理要点包括构建“医生-工程师-护士”三位一体的常规康复结合非侵入性脑机接口治疗的协作路径,实施基于多阶段评估与协同决策的适配护理、治疗反应监测与动态化干预的同步护理、行为指导与结构化赋能相统一的全程护理。干预8周后,患者近红外全脑功能连接强度由0.45升至0.78、功能连接边数由94.0增至224.0;Fugl-Meyer运动功能评分从60分升至86分,患侧手部改良Ashworth痉挛分级由1+级减轻至0级,改良Barthel指数由80分提高至95分;医院焦虑评分由10分降至5分、抑郁评分由8分降至3分,脑卒中自我效能问卷评分由68分升至94分。出院3个月随访,患者已恢复日常活动。

    Abstract:

    This article summarizes the nursing experience of a patient with post-stroke motor dysfunction in the plateau phase of rehabilitation who received non-invasive brain-computer interface (BCI) therapy under a doctor-engineer-nurse integration model. Key nursing considerations included the establishment of a doctor-engineer-nurse collaborative pathway integrating conventional rehabilitation with non-invasive BCI therapy; implementation of adaptive nursing based on multi-stage assessment and collaborative decision-making; synchronous nursing involving treatment response monitoring and dynamic intervention; and comprehensive nursing integrating behavioral guidance with structured empowerment.After eight weeks of intervention, the patient′s near-infrared whole-brain functional connectivity strength increased from 0.45 to 0.78, and the number of functional connections increased from 94.0 to 224.0.The Fugl-Meyer Assessment Scale score improved from 60 to 86; the modified Ashworth spasticity grade of the affected hand decreased from 1+ to 0; the modified Barthel Index score increased from 80 to 95; the anxiety score of the Hospital Anxiety and Depression Scale decreased from 10 to 5, and the depression score from 8 to 3; and the Stroke Self-Efficacy Questionnaire score increased from 68 to 94.At the 3-month follow-up after discharge, the patients had returned to regular daily activities.

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田丹英,张丽华,杨中善,唐艳,刘祯,吴会丽,乐革芬.非侵入性脑机接口治疗脑卒中后运动功能障碍患者的护理[J].护理学杂志,2026,41(13):36-39

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  • 收稿日期:2026-01-02
  • 最后修改日期:2026-04-06
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  • 在线发布日期: 2026-08-07