首页|脑卒中肢体功能障碍患者运动恐惧的研究进展

脑卒中肢体功能障碍患者运动恐惧的研究进展

Research progress on fear of movement in stroke patients with limb dysfunction

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查阅中国知网、万方数据(数字化期刊群全文收录期刊)中关于脑卒中肢体功能障碍患者康复运动期间跌倒恐惧的文献资料,总结脑卒中肢体功能障碍患者运动恐惧经常使用到的评估工具、影响因素,以及相应的护理干预措施.常用评估工具包括自行设计的患者一般资料调查表、坦帕运动恐惧症量表、运动自我效能量表、自我感受负担量表、社会支持评定量表等,脑卒中肢体功能障碍患者运动恐惧的影响因素通常包括年龄、跌倒史、康复护理宣教、Fugl-Meyer量表评分、运动自我效能、自我感受负担、社会支持等,其中,年龄≥60 岁、有跌倒史、康复护理宣教缺失、Fugl-Meyer量表评分<50 分、运动自我效能低水平、自我感受负担中高水平、社会支持低水平的脑卒中肢体功能障碍患者运动恐惧发生概率较高.护理人员要在做好评估的基础上,有的放矢,指导患者循序渐进地进行康复,克服运动恐惧心理,降低该病患者的跌倒恐惧感,增强战胜疾病的信心与勇气,最大限度地恢复机体功能.
Literature on fear of falling during rehabilitation exercises in stroke patients with limb dysfunction in CNKI and Wanfang Data(full-text journals in digitized journal collections)were reviewed,summarizing the commonly used assessment tools,influencing factors,and corresponding nursing interventions measures for the fear of movement in stroke patients with limb dysfunction.Commonly used assessment tools include self-designed patient General Information Questionnaire,the Tampa Scale for Kinesiophobia,the Exercise Self-Efficacy Scale,the Self-Perceived Burden Scale,and the Social Support Rating Scale.Factors influencing the fear of movement in stroke patients with limb dysfunction typically include age,history of falls,rehabilitation nursing education,Fugl-Meyer scale score,exercise self-efficacy,self-perceived burden,and social support.Specifically,stroke patients aged≥60 years,with a history of falls,lacking rehabilitation nursing education,Fugl-Meyer scale score<50 points,having low levels of exercise self-efficacy,moderate to high levels of self-perceived burden,and low levels of social support are more likely to develop fear of movement.Nursing staffshould,based on thorough assessment,provide targeted guidance to patients for gradual rehabilitation,helping them overcome their fear of movement,reduce the fear of falling,enhance confidence and courage in overcoming the disease,and maximize functional recovery of the body.

StrokeLimb dysfunctionFear of movementInfluencing factorsIntervention measures

狄思雨、陈旭、李秀莉、刘宇璇、赵海珍、沈文燕

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清华大学附属北京清华长庚医院神经内科(北京市,102218)

兴化市中医院(江苏省兴化市,225700)

河北医科大学第一医院(河北省石家庄市,050011)

石家庄市人民医院(河北省石家庄市,050000)

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脑卒中 肢体功能障碍 运动恐惧 影响因素 干预措施

2024

护理实践与研究
河北省儿童医院

护理实践与研究

影响因子:1.354
ISSN:1672-9676
年,卷(期):2024.21(8)
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