脑卒中患者康复锻炼依从性动态变化的研究  

A study on the rehabilitation exercise compliance curve in stroke patients

作　　者：盛晗 邵圣文[2] 王惠琴[1] 姚梅琪[1] 陈金花[1] 

机构地区：[1]杭州市浙江大学医学院附属第二医院,310009 [2]湖州师范学院护理学院

出　　处：《中华护理杂志》2016年第6期712-715,共4页Chinese Journal of Nursing

基　　金：浙江省卫计委医药卫生科研项目(2015KYA106)

摘　　要：目的探讨脑卒中患者康复锻炼依从性的变化规律及影响因素。方法选取94例脑卒中患者,应用量表测量康复锻炼依从性,每2周测量1次,连续测量至第24周后绘制依从性曲线,并对患者24周平均康复锻炼依从性进行单因素分析和多元回归分析。结果 24周观察期内,患者康复锻炼平均依从指数为(52.91±7.03),依从性高峰在第6周(59.90±11.93),最低值出现在第24周(47.40±7.18)。康复锻炼依从性的影响因素有年龄、婚姻状况、是否参加出院后康复指导(P<0.05)。结论脑卒中患者治疗及康复期间,康复锻炼依从性随时间呈横"S"样动态变化,这可能与护理干预措施具有一定时效性有关。在依从性下降期间,适时给予再次护理干预,有利于依从性保持较高水平,能够促进患者康复。Objective To explore the pattern and influencing factors of rehabilitation exercise compliance in stroke patients. Methods A total of 94 stroke patients were observed by measuring rehabilitation exercise compli- ance once every 2 weeks for continuous 24 weeks. The compliance curve was drawn and analyzed using single-fac- tor analysis and multiple regression analysis. Results The overall level of rehabilitation exercise compliance in stroke patients was（52.91±7.03）. The rehabilitation exercise compliance hit its peak at 6th week（59.90±11.93） and the lowest level at 24th week （47.40±7.18）. The influencing factors included：age,marital status and whether to participate in rehabilitation guidance after discharge（P〈0.05）. Conclusion The rehabilitation exercise compliance in stroke patients changes dynamically with time demonstrating a horizontal S-shaped curve.The influencing factors of rehabilitation exercise compliance include age,marital status and whether to participate in rehabilitation guidance after discharge.

关 键 词：卒中 康复 病人依从 

分 类 号：R473.74[医药卫生—护理学]