基于动机行为转变的奥塔戈运动训练在老年脑卒中患者康复中的应用效果研究  

Application Effects of Otago Exercise Training Based on Motivational Behavior Transformation in Rehabilitation of Elderly Stroke Patients

作　　者：焦云惠 陈国香 王俊琴 屈艳玲 JIAO Yunhui;CHEN Guoxiang;WANG Junqin;QU Yanling(Department of Neurology,the Third People's Hospital of Datong,Datong 037000,China;Department of Neurosurgery,the Third People's Hospital of Datong,Datong 037000,China;Department of Science and Education,the Third People's Hospital of Datong,Datong 037000,China;Second Department of Cardiac Heart Disease,Yuncheng Central Hospital,Yuncheng 044000,China)

机构地区：[1]山西省大同市第三人民医院神经内科,037000 [2]山西省大同市第三人民医院神经外科,037000 [3]山西省大同市第三人民医院科教科,037000 [4]山西省运城市中心医院心血管内二科,044000

出　　处：《实用心脑肺血管病杂志》2025年第4期136-140,共5页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：2022年山西省卫生健康委科研课题计划(2022029)。

摘　　要：目的 探讨基于动机行为转变的奥塔戈运动训练在老年脑卒中患者康复中的应用效果。方法 选择2022年大同市第三人民医院神经内科收治的老年脑卒中患者85例为研究对象,采用随机数字表法将患者分为常规康复组(42例)和奥塔戈组(43例)。常规康复组患者接受常规康复管理,奥塔戈组患者接受基于动机行为转变的奥塔戈运动训练,两组干预时间均为入院开始至出院,并随访至出院后2个月。比较两组干预前、出院后1个月、出院后2个月肢体运动功能[采用Fugel-Meyer肢体运动功能量表(FMA)评价]、日常生活活动能力(采用Barthel指数评价)、康复锻炼行为执行意向(采用脑卒中患者康复锻炼行为执行意向问卷评价),出院后2个月患者满意度。结果 干预方法与时间在FMA评分、Barthel指数、脑卒中患者康复锻炼行为执行意向问卷评分上存在交互作用(P<0.05),干预方法、时间在FMA评分、Barthel指数、脑卒中患者康复锻炼行为执行意向问卷评分上主效应显著(P<0.05)。出院后1、2个月奥塔戈组FMA评分、Barthel指数、脑卒中患者康复锻炼行为执行意向问卷评分高于常规康复组(P<0.05)。出院后2个月,奥塔戈组患者满意度评分高于常规康复组(P<0.05)。结论 基于动机行为转变的奥塔戈运动训练能提高老年脑卒中患者肢体运动功能、日常生活活动能力、康复锻炼行为执行意向及患者满意度。Objective To explore the application effects of Otago exercise training based on motivational behavior transformation in rehabilitation of elderly stroke patients.Methods A total of 85 elderly stroke patients admitted to Department of Neurology in the Third People's Hospital of Datong in 2022 were selected as the research subjects.The patients were divided into the conventional rehabilitation group(n=42)and the Otago group(n=43)by random number table method.Patients in the conventional rehabilitation group received conventional rehabilitation management,while patients in the Otago group received Otago exercise training based on motivational behavior transformation.Both groups were managed from admission to discharge and followed up for 2 months after discharge.The limb motor function[evaluated by the Fugl-Meyer Motor Assessment(FMA)],activities of daily living(evaluated by the Barthel Index),and the implementation intention of rehabilitation exercise behaviors(evaluated by the Implementation Intention Questionnaire for Stroke Patients'Rehabilitation Exercise Behaviors)before intervention and at 1 and 2 months after discharge,patient satisfaction at 2 months after discharge were compared between the two groups.Results There was an interaction between intention method and time on FMA score,Barthel Index,Implementation Intention Questionnaire for Stroke Patients'Rehabilitation Exercise Behaviors score(P<0.05),both intention method and time produced significant main effects on FMA score,Barthel Index,Implementation Intention Questionnaire for Stroke Patients'Rehabilitation Exercise Behaviors score(P<0.05).At 1 and 2 months after discharge,FMA score,Barthel Index,Implementation Intention Questionnaire for Stroke Patients'Rehabilitation Exercise Behaviors score in Otago group were higher than those in conventional rehabilitation group(P<0.05).At 2 months after discharge,patient satisfaction in Otago group was higher than that in conventional rehabilitation group(P<0.05).Conclusion Otago exercise training based on motiv

关 键 词：卒中 老年人 奥塔戈运动训练 动机行为转变 康复 

分 类 号：R743[医药卫生—神经病学与精神病学]