基于计划行为理论的护理干预对脑卒中早期康复的影响  

Influence of nursing intervention based on the theory of planned behavior on early rehabilitation of stroke

作　　者：彭庆 PENG Qing(Department of Neurology,the Fifth People's Hospital of Huai'an City,Jiangsu Province,Huai'an223300,China)

机构地区：[1]江苏省淮安市第五人民医院神经内科,江苏淮安223300

出　　处：《中国当代医药》2023年第18期193-196,共4页China Modern Medicine

摘　　要：目的探讨基于计划行为理论(TPB)的护理干预对脑卒中早期康复的影响。方法选取2022年2月至10月淮安市第五人民医院神经内科收治的84例脑卒中患者作为研究对象,按照随机数字表法分为对照组(42例)与观察组(42例)。对照组采用常规护理方法,观察组采用基于TPB的护理干预。比较两组患者的康复锻炼依从性、康复效果。结果观察组患者的康复锻炼依从性优于对照组,差异有统计学意义(P<0.05)。干预前,两组患者的Fugl-Meye评分量表(FMA)评分与改良Barthel指数(MBI)评分比较,差异均无统计学意义(均P>0.05);干预后,两组患者的FMA评分与MBI评分均高于干预前,且观察组患者干预后的FMA评分与Barthel评分高于对照组,差异均有统计学意义(均P<0.05)。结论基于TPB的护理干预在提高脑卒中早期康复运动依从性、运动功能与日常生活活动能力方面优于常规护理。Objective To explore the influence of nursing intervention based on the theory of planned behavior(TPB)on early rehabilitation of stroke.Methods From February 2022 to October 2022,84 stroke patients admitted to the Department of Neurology of the Fifth People's Hospital of Huai'an City were selected as the research objects.According to the random number table method,they were divided into the control group(42 cases)and the observation group(42 cases).The control group was given routine nursing intervention,and the observation group was given nursing of based on the TPB.The compliance of rehabilitation exercise and rehabilitation effect were compared between the two groups.Results The compliance of rehabilitation exercise in the observation group was better than that in the control group,with statistically significant difference(P<0.05).Before intervention,there were no significant differences between the scores of Fugl-Meyer assessment(FMA)and modify Barthel index(MBI)of the two groups(P>0.05).After intervention,the FMA score and MBI score of patients in the two groups were higher than those before intervention,and the FMA score and MBI score of patients in the observation group were higher than those in the control group,with statistically significant differences(all P<0.05).Conclusion The nursing intervention based on TPB is better than the routine nursing intervention in improving the motor compliance,motor function and activities of daily living of early rehabilitation of stroke patients.

关 键 词：计划行为理论 脑卒中 早期康复运动 依从性 

分 类 号：R473.5[医药卫生—护理学]