基于HAPA理论的脑卒中偏瘫患者恐动心理干预方案构建  

Construction of a psychological intervention plan for fear of movement in stroke patients with hemiple⁃gia based on HAPA theory

作　　者：于海荣[1] 徐秀群 钱海兰[1] 陈星 李艳清 朱颖倩 杨雪妮 YU Hairong;XU Xiuqun;QIAN Hailan;CHEN Xing;LI Yanqing;ZHU Yingqian;YANG Xueni(Department of Nursing,Affiliated Hospital of Nantong University,Nantong 226001,China;School of Nursing and Rehabilitation,Nantong University,Nantong 226001,China)

机构地区：[1]南通大学附属医院护理部,江苏南通226001 [2]南通大学护理与康复学院,江苏南通226001

出　　处：《老年医学研究》2024年第6期30-35,共6页Geriatrics Research

基　　金：南通市科技局市社会民生科技计划项目(MS2023024,基于HAPA理论的脑卒中偏瘫患者恐动心理干预方案构建及应用)。

摘　　要：目的基于HAPA理论,构建系统化、规范化的脑卒中偏瘫患者恐动心理的干预方案。方法以HAPA理论为基础,基于质性研究及横断面调查的结果,通过文献查阅、小组讨论形成脑卒中偏瘫患者恐动心理的干预方案初稿;经过两轮德尔菲专家函询修订方案,形成最终方案。结果共20名专家完成2轮函询,问卷有效回收率分别为90%、100%;专家权威系数均为0.80。最终构建的脑卒中偏瘫患者恐动心理干预方案包括一级条目6项,二级条目14项和三级条目31项。结论成功构建基于HAPA理论的脑卒中偏瘫患者恐动心理干预方案,该方案具有科学性和实用性,可为脑卒中偏瘫恐动患者的康复运动锻炼指导提供参考。Objective To construct a systematic and standardized intervention plan for fear of movement in stroke patients with hemiplegia based on the HAPA theory.Methods Based on the HAPA theory and the results of previous cross-sectional surveys and qualitative studies,a preliminary draft of a psychological intervention plan for fear of movement in stroke hemiplegic patients was developed through various methods such as literature reviewand group discussion.After two rounds of Delphi expert consultation and revision of the initial draft plan,the final plan was formed.Results A total of 20 experts completed 2 rounds of correspondence,and the effective response rates of the questionnaires were 90%and 100%respectively;the authority coefficients of experts were all 0.8.The final construction of the psychophobic intervention program for hemiplegic patients with stroke consisted of 6 items of Level 1,14 items of Level 2,and 31 items of Level 3.Conclusions A psychological intervention program for stroke patients with hemiplegia based on HAPA theory is successfully constructed.The program is scientific and practical,and can provide reference for rehabilitation exercise guidance for stroke patients with hemiplegia.

关 键 词：脑卒中 偏瘫 恐动心理 干预方案 HAPA理论 

分 类 号：R743[医药卫生—神经病学与精神病学]