基于信息-动机-行为技巧模型的延续性护理对脑卒中患者认知功能障碍的影响  

Effect of continuous nursing based on information-motivation-behavioral skills model on cognitive impairment of stroke patients

作　　者：王萍[1] 马玉 杨越 赵瑞文 祁玉霞 布热比古丽·艾尼 常海霞[3] WANG Ping;MA Yu;YANG Yue;ZHAO Ruiwen;QI Yuxia;Burebiguli·Aini;CHANG Haixia(Department of Neurology,the Fifth Hospital Affiliated of Xinjiang Medical University,Xinjiang Uygur Autonomous Region,Urumqi830011,China;Department of Dermatology,Shanshan County People′s Hospital,Xinjiang Uygur Autonomous Region,Shanshan838200,China;Department of Nursing,the Fifth Affiliated Hospital of Xinjiang Medical University,Xinjiang Uygur Autonomous Region,Urumqi830011,China)

机构地区：[1]新疆医科大学第五附属医院神经内科,新疆乌鲁木齐830011 [2]新疆鄯善县人民医院皮肤科,新疆鄯善838200 [3]新疆医科大学第五附属医院护理部,新疆乌鲁木齐830011

出　　处：《中国医药导报》2020年第23期163-166,共4页China Medical Herald

基　　金：新疆维吾尔自治区自然科学基金资助项目(2018D01C304);新疆维吾尔自治区卫生健康委员会适宜技术推广项目(SYTG-201957)。

摘　　要：目的探讨实施基于信息-动机-行为技巧(IMB)模型的延续性护理对缺血性脑卒中患者认知功能障碍的影响。方法2018年6月—2019年5月在新疆医科大学第五附属医院神经内科住院的76例缺血性脑卒中后认知功能障碍的患者随机数字表法将其分为对照组(38例)和IMB组(38例)。最终完成随访70例,其中IBM组36例,对照组34例。对照组接受常规治疗和护理,IMB组在对照组的基础上给予基于IMB模型的延续性护理方案。护理干预前及护理干预3个月后,采用蒙特利尔认知评估表(MoCA)及日常生活功能力Barthel指数(BI)评价脑卒中患者认知功能的变化情况。结果干预3个月后,IMB组MoCA、BI评分高于干预前,且高于对照组,差异有统计学意义(P<0.05)。结论基于IMB技巧模型的延续性护理可改善脑卒中认知功能障碍患者的认知功能,提高患者的生命质量。Objective To explore the impact of implementing continual nursing based on the information-motivation-behavioral skills(IMB)model on the cognitive dysfunction of patients with ischemic stroke.Methods From June 2018 to May 2019,76 patients with cognitive dysfunction after ischemic stroke who were hospitalized in the Department of Neurology,the Fifth Affiliated Hospital of Xinjiang Medical University were divided into control group(38 cases)and IMB group(38 cases)by random number table method.Finally,70 cases were followed up,including 36 cases in the IBM group and 34 cases in the control group.The control group was given conventional treatment and nursing care,while the IMB group was given a continuation nursing plan based on the IMB model on the basis of the control group.Before nursing intervention and three months after nursing intervention,the Montreal cognitive assessment scale(MoCA)and the Barthel index(BI)were used to evaluate the changes in the cognitive function of stroke patients.Results After three months of intervention,the MoCA and BI scores in the IMB group were higher than those before the intervention and higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Continuous care based on the IMB skills model can improve the cognitive function of patients with cognitive dysfunction in stroke and improve the quality of life of patients.

关 键 词：脑卒中 基于信息-动机-行为技巧模型 延续性护理 认知功能 

分 类 号：R651[医药卫生—外科学]