基于分阶段行为改变理论的护理干预结合阶段性抗阻训练对脑卒中后肢体功能障碍患者康复锻炼执行率及肢体功能的影响  

Effects of nursing intervention based on staged behavior change theory combined with staged resistance training on rehabilitation exercise execution rate and limb function of patients with limb dysfunction after stroke

作　　者：秦欢 蹇丹 QIN Huan;JIAN Dan(Mianxian Hospital,Hanzhong 724200,China)

机构地区：[1]陕西省勉县医院,陕西汉中724200

出　　处：《临床医学研究与实践》2025年第12期166-169,共4页Clinical Research and Practice

摘　　要：目的探讨基于分阶段行为改变理论的护理干预结合阶段性抗阻训练对脑卒中后肢体功能障碍患者康复锻炼执行率及肢体功能的影响。方法选取2021年3月至2023年3月我院收治的100例脑卒中后肢体功能障碍患者为研究对象,以随机数字表法将其分为对照组和观察组,各50例。对照组实施常规护理,观察组实施基于分阶段行为改变理论的护理干预结合阶段性抗阻训练。比较两组的干预效果。结果观察组的康复锻炼执行优良率高于对照组(P<0.05)。干预后,观察组的上肢、下肢Fugl-Meyer运动功能评定量表(FMA)评分高于对照组(P<0.05)。干预后,观察组的心理、生理及社会适应性评分高于对照组(P<0.05)。观察组的护理满意度高于对照组(P<0.05)。结论基于分阶段行为改变理论的护理干预结合阶段性抗阻训练能提高脑卒中后肢体功能障碍患者的康复锻炼执行优良率,改善其肢体功能,提高生活质量和护理满意度。Objective To explore the effects of nursing intervention based on staged behavior change theory combined with staged resistance training on rehabilitation exercise execution rate and limb function of patients with limb dysfunction after stroke.Methods A total of 100 patients with limb dysfunction after stroke admitted in our hospital from March 2021 to March 2023 were selected as the research objects,and the patients were divided into control group and observation group by random number table method,with 50 cases in each group.The control group received routine nursing,while the observation group received nursing intervention based on staged behavior change theory combined with staged resistance training.The intervention effects of the two groups were compared.Results The excellent and good rate of rehabilitation exercise execution in the observation group was higher than that in the control group(P<0.05).After intervention,the Fugl-Meyer Assessment(FMA)scores of upper and lower limbs in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of psychology,physiology and social adaptability in the observation group were higher than those in the control group(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion The nursing intervention based on staged behavior change theory combined with staged resistance training can improve the excellent and good rate of rehabilitation exercise execution in patients with limb dysfunction after stroke,ameliorate their limb function,and elevate the quality of life and nursing satisfaction.

关 键 词：分阶段行为改变理论 阶段性抗阻训练 脑卒中 肢体功能障碍 

分 类 号：R473[医药卫生—护理学]