以保护动机理论为基础的康复锻炼在帕金森病患者中的应用  

Application of rehabilitation exercise based on protective motivation theory in patients with Parkinson’s disease

作　　者：陈艳[1,2] 倪幸欢 朱倩 刘琼[1,3] CHEN Yan;NI Xinghuan;ZHU Qian;LIU Qiong(Department of Nursing,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China;PhaseⅠClinical Ward,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China;Department of Neurology,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China)

机构地区：[1]上海交通大学医学院附属瑞金医院护理部,上海200025 [2]上海交通大学医学院附属瑞金医院Ⅰ期临床病区,上海200025 [3]上海交通大学医学院附属瑞金医院神经内科,上海200025

出　　处：《内科理论与实践》2023年第5期339-343,共5页Journal of Internal Medicine Concepts & Practice

基　　金：上海交通大学医学院护理科研重中之重项目(Jyhz2105);上海交通大学医学院附属瑞金医院护理科研基金项目(项目编号:RJHK-2021-6、RJHK-2022-7)。

摘　　要：目的:探讨以保护动机理论(protection motivation theory,PMT)为基础的康复锻炼对帕金森病(Parkinson disease,PD)患者锻炼依从性、运动功能及日常生活活动能力的干预效果。方法:选取2021年7月至2022年6月于本院神经内科住院的56例PD患者为研究对象。对照组给予传统的康复锻炼指导方案,试验组实施以PMT为基础的康复锻炼方案,比较2组干预前及干预后3个月的锻炼依从性、运动功能评定量表(unified PD rating scale,UPDRS)-Ⅲ及日常生活活动能力(巴塞尔指数)的得分。结果:干预3个月后试验组的锻炼依从性和巴塞尔指数高于对照组,UPDRS-Ⅲ得分低于对照组(均P<0.05)。结论:以PMT为基础的康复锻炼可提高PD患者的锻炼依从性,改善运动功能,提升日常生活活动能力。Objective To explore the intervention effect of rehabilitation exercise based on protective motivation theory on exercise compliance,motor function and activities of daily living of patients with Parkinson’s disease(PD).Methods From July in 2021 to June in 2022,56 PD patients who were hospitalized in the department of neurology of our hospital were enrolled as the study subjects.The control group was trained with a traditional rehabilitation exercise guidance plan,while the experimental group was trained with a rehabilitation exercise plan based on the theory of protective motivation.The scores of exercise compliance,motor function assessment[unified PD rating scale(UPDRS)-Ⅲ]and activity of daily living(Barthel index)before and 3 months after the intervention were compared between two groups.Results After 3 months of intervention,the exercise compliance and Barthel index in the experimental group were higher than those in the control group,and the UPDRS-Ⅲscore of the experimental group was lower than that in the control group(P<0.05).Conclusions Rehabilitation exercise based on the protective motivation theory can improve the exercise compliance,motor function and activities of daily living in the PD patients.

关 键 词：帕金森病 保护动机理论 锻炼依从性 运动功能 

分 类 号：R742[医药卫生—神经病学与精神病学]