摘要
目的探讨基于知信行理论的康复训练联合奥塔戈运动对脑卒中患者平衡功能及跌倒效能的影响.方法选取山东省枣庄中心医院2020年2月—2022年1月收治的72例脑卒中患者为研究对象,采用随机数字表法将其分为对照组与干预组,每组36例.对照组在出院后采用常规电话随访和常规康复训练指导,干预组在出院后采用基于知信行理论的奥塔戈运动训练,两组均连续治疗6个月.比较两组患者的肢体平衡能力、日常生活能力和跌倒效能改善情况.结果治疗前,两组患者Berg平衡量表(BBS)和Barthel指数(BI)评分比较,组间差异无统计学意义(P>0.05).治疗后,观察组的BBS和BI评分均高于对照组,组间差异有统计学意义(P<0.05);观察组患者跌倒效能评分为(89.73±5.43)分,高于对照组的(74.56±5.48)分,差异有统计学意义(P<0.05).结论基于知信行理论的康复训练联合奥塔戈运动能够提升脑卒中患者躯体平衡功能和日常运动能力,改善患者跌倒效能,提高训练依从性.
Objective To explore the effect of knowledge-attitude-practice theory rehabilitation training combined with Otago exercise on balance function and fall efficacy in stroke patients.Methods 72 stroke patients admitted to Zaozhuang Central Hospital of Shandong Province from February 2020 to January 2022 were selected as the study objects,and were divided into a control group and an intervention group by random number table method,with 36 cases in each group.The control group received routine telephone follow-up and routine rehabilitation training guidance after discharge,while the intervention group received Otago exercise training based on the theory of knowledge-attitude-practice after discharge,both groups were treated continuously for 6 months.The improvement of limb balance ability,daily living ability and fall efficiency of the two groups were compared.Results Before treatment,there was no significant difference in Berg Balance Scale(BBS)and Barthel index(BI)scores between the two groups(P>0.05).After 6 months of treatment,the BBS and BI scores of the observation group were higher than those of the control group,and the differences between groups were statistically significant(P<0.05);the fall efficacy score of the observation group was(89.73±5.43)points,which was higher than(74.56±5.48)points of the control group,and the difference was statistically significant(P<0.05).Conclusion Based on the theory of knowledge-attitude-practice,rehabilitation training combined with Otago exercise can improve the balance function and daily motor ability of stroke patients,and improve the fall efficacy and training compliance.
作者
顾宝清
GU Baoqing(Department of Rehabilitation,Shandong Guoxin Health Care Group Zaozhuang Central Hospital,Zaozhuang Shandong,277800,China)
出处
《反射疗法与康复医学》
2023年第15期109-112,共4页
Reflexology And Rehabilitation Medicine
关键词
脑卒中
奥塔戈运动项目
知信行理论
平衡功能
跌倒效能
Otago exercise
Theory of knowledge-attitude-practice
Stroke
Balance function
Fall efficacy
