首页|基于依从性曲线变化规律的阶段性护理结合激励式心理干预对脑梗死恢复期患者康复自我效能感及肢体功能恢复的影响

基于依从性曲线变化规律的阶段性护理结合激励式心理干预对脑梗死恢复期患者康复自我效能感及肢体功能恢复的影响

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  • NSTL
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目的 探讨基于依从性曲线变化规律的阶段性护理结合激励式心理干预在脑梗死恢复期患者中的应用效果。方法 选取2020年10月至2021年10月收治的90例脑梗死恢复期患者为研究对象，以随机数字表法将其分为对照组和观察组，各45例。对照组实施常规护理，观察组在对照组基础上实施基于依从性曲线变化规律的阶段性护理结合激励式心理干预。比较两组的干预效果。结果 干预后，观察组的身体锻炼、锻炼效果监测、主动寻求建议评分高于对照组(P＜0。05)。干预后，观察组的一般自我效能感量表(GSES)、Fugl-Meyer下肢评价量表(FMA-LE)、Holden步行功能分级(FAC)、Barthel指数、世界卫生组织生存质量测定量表简表(WHOQOL-BREF)评分高于对照组(P＜0。05)。结论 基于依从性曲线变化规律的阶段性护理结合激励式心理干预有助于提高脑梗死恢复期患者的康复锻炼依从性和自我效能感，促进肢体功能恢复，提高生活质量。
Effects of staged nursing based on the change rule of compliance curve combined with incentive psychological intervention on rehabilitation self-efficacy and limb function recovery of patients with cerebral infarction in convalescent stage
Objective To explore the application effect of staged nursing based on the change rule of compliance curve combined with incentive psychological intervention in patients with cerebral infarction in convalescent stage.Methods A total of 90 patients with convalescent stage cerebral infarction admitted from October 2020 to October 2021 were selected as the research objects,and the patients were divided into control group and observation group by random number table method,with 45 cases in each group.The control group was given routine nursing,and the observation group was given staged nursing based on the change rule of compliance curve combined with incentive psychological intervention on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of physical exercise,exercise effect monitoring and active seeking suggestions in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of General Self-Efficacy Scale(GSES),Fugl-Meyer Assessment Scale for Lower Extremity(FMA-LE),Holden Functional Ambulation Category(FAC),Barthel index and World Health Organization Quality of Life Scale Brief(WHOQOL-BREF)in the observation group were higher than those in the control group(P<0.05).Conclusion The staged nursing based on the change rule of compliance curve combined with incentive psychological intervention is helpful to improve the rehabilitation exercise compliance and self-efficacy of patients with cerebral infarction in convalescent stage,promote the recovery of limb function and improve the quality of life.

staged nursing based on the change rule of compliance curveincentive psychological inter-ventioncerebral infarctionconvalescent stageself-efficacylimb function

李娜娜、李静、吕桦

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陕西省康复医院神经康复一科,陕西 西安,710065

陕西省康复医院中医康复科,陕西 西安,710065

陕西省人民医院神经内一科,陕西 西安,710068

基于依从性曲线变化规律的阶段性护理 激励式心理干预 脑梗死 恢复期 自我效能感 肢体功能

陕西省中医药局中医药科研项目

JCMS046

2024

10.19347/j.cnki.2096-1413.202403032

临床医学研究与实践

临床医学研究与实践

ISSN：
年,卷(期)：2024.9(3)
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