运动想象型脑机接口引导的瘫痪患者康复护理流程的构建与初步验证

doi:10.3761/j.issn.0254-1769.2026.15.002

中华护理杂志 ›› 2026, Vol. 61 ›› Issue (15): 2028-2034.DOI: 10.3761/j.issn.0254-1769.2026.15.002

• 中枢神经系统疾病护理研究 • 上一篇下一篇

运动想象型脑机接口引导的瘫痪患者康复护理流程的构建与初步验证

李立群¹(), 刘娟², 邵秀芹¹, 叶俊¹, 朱业安¹, 董晓阳¹, 鄢茵¹^,^*()

¹ 南昌大学第一附属医院康复医学科南昌市 330006
² 南昌大学护理学院南昌市 330006

收稿日期:2026-04-26 出版日期:2026-08-10 发布日期:2026-08-04
*通讯作者: 鄢茵，E-mail：1353047576@qq.com
作者简介:李立群：女，硕士（博士在读），主管护师，E-mail：1964340975@qq.com
第一联系人：作者贡献声明
李立群：选题构思、研究设计、文献回顾、实地观察、专家函询实施、数据分析及论文撰写与修改；刘娟：文献筛选、资料整理及数据统计；邵秀芹：研究设计指导、指标拟订及论文修改；叶俊：临床实地观察、研究实施及数据收集；朱业安：脑机接口与人工智能相关技术支持及方案论证；董晓阳：专家函询实施及数据整理；鄢茵：研究设计指导、方案论证、论文修改及质量把控
基金资助:
南昌大学第一附属医院2024年度临床研究培育项目(YFYLCYJPY202433)

Construction and preliminary validation of a standard operating procedure for active rehabilitation nursing in patients with paralysis guided by motor imagery-based brain-computer interface

LI Liqun¹(), LIU Juan², SHAO Xiuqin¹, YE Jun¹, ZHU Ye’an¹, DONG Xiaoyang¹, YAN Yin¹^,^*()

¹ Department of Rehabilitation Medicine， the First Affiliated Hospital of Nanchang University， Nanchang 330006， China
² School of Nursing， Nanchang University， Nanchang 330006， China

Received:2026-04-26 Online:2026-08-10 Published:2026-08-04
* Corresponding author: YAN Yin，E-mail：1353047576@qq.com
Funding program:
Clinical Research Incubation Program of the First Affiliated Hospital of Nanchang University in 2024(YFYLCYJPY202433)

摘要/Abstract

摘要：

目的构建运动想象型脑机接口引导的瘫痪患者主动康复护理标准作业程序并进行初步验证，为脑机接口在康复护理中的规范化应用提供参考。方法通过文献回顾、临床实地观察及院内专家小组讨论，构建护理标准作业程序初稿；2026年2—3月采用德尔菲法对16名专家进行2轮函询，对条目进行修订与优化，形成终稿；采用前瞻性单组试点设计，选取江西省南昌市某三级甲等医院康复医学科5例瘫痪患者开展初步临床应用验证。结果 2轮函询问卷有效回收率均为100%，专家权威系数分别为0.897和0.906；第2轮专家函询中，各级条目重要性评分变异系数为0~0.142，肯德尔和谐系数为0.183~0.396，均具有统计学意义（P<0.001）。最终形成包含5个一级条目、11个二级条目、16个三级条目的标准作业程序。初步验证结果显示，标准作业程序流程执行率为95.6%，训练完成率为100%，未发生严重不良事件，患者、家属及护理人员满意度均较高，患者运动想象参与度良好。结论构建的运动想象型脑机接口引导的瘫痪患者主动康复护理标准作业程序科学合理、内容全面、专科性强，可为脑机接口在康复护理中的规范化应用提供参考。

关键词: 脑机接口, 运动想象, 瘫痪, 康复护理, 标准作业程序, 德尔菲法

Abstract:

Objective To construct and preliminarily validate a standard operating procedure（SOP） for active rehabilitation nursing in patients with paralysis guided by motor imagery-based brain-computer interface（MI-BCI），providing a reference for the standardized application of brain-computer interfaces in rehabilitation nursing. Methods An initial draft of the nursing SOP was developed through literature review，clinical field observation，and expert panel discussion. From February to March 2026，16 experts were consulted using the Delphi method in 2 rounds to revise and optimize the SOP. A prospective single-arm pilot study was subsequently conducted，and 5 paralysis patients from the rehabilitation medicine department of a tertiary A hospital in Nanchang，Jiangxi Province，were selected for preliminary clinical application validation. Results The effective response rates of the 2 rounds of expert consultation questionnaires were both 100%，and the expert authority coefficients were 0.897 and 0.906，respectively. In the second round of expert consultation，the coefficients of variation of item importance scores ranged from 0 to 0.142，and Kendall’s coefficients of concordance ranged from 0.183 to 0.396，all showing statistical significance（P<0.001）. The final SOP consisted of 5 first-level items，11 second-level items，and 16 third-level items. Preliminary validation results showed that the SOP implementation rate was 95.6%，the training completion rate was 100%，and no serious adverse events occurred. Patients，family caregivers，and nurses all reported high satisfaction，and patients demonstrated good participation in motor imagery training. Conclusion The constructed SOP for MI-BCI-guided active rehabilitation nursing in patients with paralysis is scientific，comprehensive，and highly specialized，and it may provide a reference for the standardized application of brain-computer interface technology in rehabilitation nursing.

Key words: Brain-Computer Interface, Motor Imagery, Paralysis, Rehabilitation Nursing, Standard Operating Procedure, Delphi Method

李立群, 刘娟, 邵秀芹, 叶俊, 朱业安, 董晓阳, 鄢茵. 运动想象型脑机接口引导的瘫痪患者康复护理流程的构建与初步验证[J]. 中华护理杂志, 2026, 61(15): 2028-2034.

LI Liqun, LIU Juan, SHAO Xiuqin, YE Jun, ZHU Ye’an, DONG Xiaoyang, YAN Yin. Construction and preliminary validation of a standard operating procedure for active rehabilitation nursing in patients with paralysis guided by motor imagery-based brain-computer interface[J]. Chinese Journal of Nursing, 2026, 61(15): 2028-2034.

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参考文献 16

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运动想象型脑机接口引导的瘫痪患者康复护理流程的构建与初步验证

Construction and preliminary validation of a standard operating procedure for active rehabilitation nursing in patients with paralysis guided by motor imagery-based brain-computer interface

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