基于智谋理论的康复指导对首发脑卒中患者锻炼行为执行意向的影响
Application effect of rehabilitation instruction based on resourcefulness theory on exercise behavior implementation intention in patients with first-episode stroke
全伊萍 1赵方方 2孙俊 3管文娟 4胡海颖 3张慧 1谢非 1梁雨 5陈霞5
作者信息
- 1. 安徽中医药大学护理学院,安徽合肥,230012
- 2. 中国科学技术大学附属第一医院(安徽省立医院) 康复医学科,安徽合肥,230001
- 3. 中国科学技术大学附属第一医院(安徽省立医院) 神经内科,安徽合肥,230001
- 4. 中国科学技术大学附属第一医院(安徽省立医院) 医务科,安徽合肥,230001
- 5. 中国科学技术大学附属第一医院(安徽省立医院) 护理部,安徽合肥,230001
- 折叠
摘要
目的 探讨基于智谋理论的康复指导对首发脑卒中患者锻炼行为执行意向的影响,为临床提供方法借鉴.方法 选取安徽省某三级甲等综合医院 2022 年 9 月至 2023 年 2 月神经内科住院且首次发病的脑卒中患者作为研究对象,将一、二病区设为试验组,三、四病区设为对照组,每组各 40 例.对照组患者采用常规康复指导,试验组患者在对照组基础上采用基于智谋理论的康复指导,比较干预前后两组患者智谋水平、康复锻炼行为执行意向及日常生活活动能力.结果 80 例患者均完成研究.两组患者的智谋水平、康复锻炼行为执行意向得分及日常生活活动能力干预前后差值比较,差异具有统计学意义(均P＜0.001),试验组均高于对照组.结论 基于智谋理论的康复指导可提高首发脑卒中患者的智谋水平、激发锻炼行为执行意向,从而改善日常生活活动能力.
Abstract
Objective To investigate the effect of rehabilitation instruction based on resourceful theory on the execution intention of exercise behaviour in patient with the first-episode stroke.Methods From September 2022 to February 2023,a total of 80 inpatients with first-episode stroke from a general hospital in Anhui Province participated in the study.Patients in Wards Ⅰ and Ⅱ were assigned to an intervention group,while those in Wards Ⅲ and Ⅳ were assigned to a control group,with 40 patients per group.The patients in control group received standard interventions,while those in the intervention group were offered with a rehabilitation instruction based on resourceful theory in addition to the standard interventions.Stroke patient rehabilitation exercise behaviour execution intention questionnaire,resourcefulness scale and modified Barthel were employed for assessments before and after the intervention.Results After the intervention,the intervention group showed significantly higher scores inexecutive intention of exercise behaviour,resourcefulness level and daily living activities compared to those in the control group(all P＜0.01).Conclusion Rehabilitation instruction based on the theory of resourcefulness can effectively increase the executive intention of exercise behaviour in the patients with first-episode stroke,improve the resourcefulness thinking levels and enhance the daily living activity of the patients.
关键词
首发脑卒中/康复指导/智谋理论/锻炼行为/执行意向Key words
first stroke/rehabilitation instruction/theory of resourcefulness/exercrse behaviour/executive intention引用本文复制引用
基金项目
中华医学会杂志社护理学科研课题(CMAPH-NRI2021001)
出版年
2024
NETL
NSTL
万方数据