Abstract: Background　The incidence of hemiplegia following cerebral infarction is increasing，which has a great impact on the quality of life and physical and mental health of the population in the world.In the past，Otago exercise program was often used to intervene such patients，which can achieve certain effects，but the overall effect is not satisfactory.Xiao's double C nursing is an intervention of important clinical significance，which can make patients reach various comfort levels，improve the quality of comprehensive care，and promote the patients' recovery as early as possible.Objective　To investigate the effect of Otago exercise program and Xiao's double C nursing in patients with hemiplegia induced by cerebral infarction.Methods　Eighty four cases of cerebral infarction following hemiplegia were recruited from Henan Provincial Chest Hospital from November 2015 to May 2017，and were equally randomized into the control group （n=42） and study group （n=42），receiving 2-month conventional nursing and Otago exercise program，2-month conventional nursing，Otago exercise program and Xiao's double C nursing，respectively.At baseline，and the end of the 1st，and 2nd months of intervention，sensorimotor recovery was assessed by Fugl-Meyer Assessment （FMA） scale，level of activities of daily living was assessed by Barthel index，and quality of life was assessed by 30-item QOL scale，respectively.Adherence to rehabilitation training and satisfaction with nursing were also measured at the end of intervention.Results　Intervention methods and duration had significant interactive effect on FMA score，Barthel index and 30-item QOL score （P<0.05）．And they produced obvious main effect on FMA score，Barthel index and 30-item QOL score （P<0.05）．Compared with baseline，FMA score，Barthel index and 30-item QOL score increased significantly in both groups at the end of the 1st and 2nd months of intervention （P<0.05）．Intergroup comparisons found that although FMA score，Barthel index and 30-item QOL score were similar in both groups at baseline （P>0.05），and FMA score，Barthel index and 30-item QOL score increased significantly in the study group at the end of the 1st and 2nd months of intervention （P<0.05）．Moreover，the adherence to rehabilitation training and satisfaction with nursing in the study group were all better than those of the control group （P<0.05）．Conclusion　Conventional nursing in combination with Otago exercise program and Xiao's double C nursing，can effectively recover the level of activities of daily living，improve the sensorimotor recovery and quality of life，adherence to rehabilitation training，and enhance satisfaction with nursing in elderly patients with hemiplegia following cerebral infarction.

Key words: Brain infarction, Hemiplegia, Otago exercise training, Xiao double C nursing mode

摘要： 背景　脑梗死偏瘫发病率不断增高，对世界范围内人口生活质量及身心健康均造成了极大影响，既往多采取奥塔戈运动训练对患者实施干预，可取得一定效果，但整体效果不佳，而萧氏双C护理为临床重要护理措施，可使患者各层次达到舒适状态，提升护理质量，促使患者及早康复。目的　探讨奥塔戈运动训练联合萧氏双C护理模式在老年脑梗死偏瘫患者中的应用效果。方法　选取2015年11月—2017年5月河南省胸科医院收治的脑梗死偏瘫患者84例，采用随机数字表法将其分为对照组（n=42）与研究组（n=42）。对照组采取奥塔戈运动训练+常规护理，研究组于对照组基础上采取萧氏双C护理模式，两组均干预2个月。分别于干预前、干预1个月、干预2个月采用Fugl-Meyer评定量表（FMA）、Barthel指数（BI）、生活质量核心量表（QOL-30）评定两组肢体功能、日常生活能力及生活质量，同时评价康复训练依从性及护理满意度。结果　治疗方法与时间在FMA评分、BI、QOL-30评分上存在交互作用（P<0.05），治疗方法和时间在FMA评分、BI、QOL-30评分上主效应均显著（P<0.05）。干预前两组FMA评分、BI、QOL-30评分比较，差异均无统计学意义（P>0.05）；干预1个月、干预2个月研究组FMA评分、BI、QOL-30评分较对照组升高（P<0.05）。两组干预1个月、干预2个月FMA评分、BI、QOL-30评分较干预前升高（P<0.05）。研究组康复训练依从性及护理满意度均优于对照组（P<0.05）。结论　奥塔戈运动训练联合萧氏双C护理模式，可有效恢复脑梗死偏瘫老年患者日常生活能力及肢体功能，改善其生活质量，提高康复训练依从性及护理满意度。

关键词: 脑梗死, 偏瘫, 奥塔戈运动训练, 萧氏双C护理模式