首页|自我决定理论视角下多模态运动训练对脑梗死后偏瘫患者肢体功能恢复的影响

自我决定理论视角下多模态运动训练对脑梗死后偏瘫患者肢体功能恢复的影响

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目的 探讨自我决定理论视角下多模态运动训练对脑梗死后偏瘫患者肢体功能恢复的影响.方法 选取 2020 年 1 月至 2021 年 11 月收治的 108 例脑梗死后偏瘫患者,按随机数字表法分为对照组(采取常规护理)和观察组(采取自我决定理论视角下多模态运动训练),每组54 例.比较2 组间干预前后患者心理状态(状态-特质焦虑问卷),肢体功能(肢体运动功能评分量表),自我效能(慢性病自我效能量表)和生活自理能力(扩展Barthel指数量表).结果 干预后,2 组心理状态评分均降低(P<0.05),2 组肢体功能评分,自我效能评分和生活自理能力评分均升高(P<0.05),且观察组和对照组上述评分比较,差异均有统计学意义(P<0.05).结论 自我决定理论视角下多模态运动训练能有效改善脑梗死后偏瘫患者心理状态,增强肢体功能,提高患者自我效能和生活自理能力.
Influence of self-determination theory-based multimodal exercise training on limb function recovery in patients with hemiplegia of cerebral infarction
Objective To explore the influence of self-determination theory-based multimodal exercise training on limb function recovery in patients with hemiplegia of cerebral infarction.Methods From January 2020 to November,2021 Totally 108 patients with hemiplegia of cerebral infarction admitted to the hospital were recruited.They were randomly assigned to receive either routine nursing(the control group,n=54)or self-determination theory-based multimodal exercise training(the observation group,n=54).The psychological status(State-Trait Anxiety Inventory[STAI-Y]),limb function(Limb Motor Function Rating Scale),self-efficacy(Self-Efficacy to Manage Chronic Disease Scale[SEMCD]),self-care ability(modified Barthel Index[MBI])were compared between groups.Results After intervention,patients in both groups showed significantly lower the scores of psychological status,significantly higher the scores of limb function,self-efficacy and self-care ability than those before intervention(all P<0.05),and there were significant differences in the above scores between observation group and control group(P<0.05).Conclusion For patients with hemiplegia of cerebral infarction,self-determination theory-based multimodal exercise training can effectively improve their psychological status,strengthen limb function,and enhance self-efficacy and self-care ability.

self-determination theorymultimodal exercise trainingcerebral infarctionhemiplegialimb function

袁琳萍、张金丽、刘杨

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236400 安徽省阜阳市中医医院心血管内科

自我决定理论 多模态运动训练 脑梗死 偏瘫 肢体功能

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(6)
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