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脑卒中患者上肢及手功能康复护理措施探讨 被引量:8

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摘要 目的探讨自我效能理论对脑卒中患者上肢及手功能康复的影响。方法行康复治疗的上肢及手功能障碍的卒中患者84例,随机分成对照组和干预组,对照组行常规健康教育,干预组在对照组基础上实施自我效能的护理教育,应用一般自我效能感量表(GSES)、Fugl-Meyer评分及改良Barthel指数量表分别在干预前、干预4周及8周后对两组进行评价。结果干预4周和8周后干预组自我效能评分、Fugl—meyer评分和改良Barthel指数均高于对照组,差异均有统计学意义(P〈0.05)。结论提高卒中患者的自我效能水平,有助于促进其上肢及手功能康复。 Objective To study the effect of self-efficacy theory on functional rehabilitation of upper limbs and hands among stroke patients. Method 84 stroke patients with dysfunction of upper limbs and hands received rehabilitation exercise in our hospital were selected and divided randomly into a control group and a intervention group.The intervention group was given self-efficacy education, while the control group was only received routine health education. General self-efficacy scale ( GSES ) , Fugl-Meyer assessment ( FMA ) and modified Barthel index ( MBI ) were observed before intervention and 4 weeks, 8 weeks after intervention.Results The self-efficacy level, FMA and MBI score of the intervention group were higher than those of'the control group ( P〈0.05 ) . Conclusion Enhancing self-efficacy is helpful to promote the functional rehabilitation of upper limbs and hands among stroke patients.
机构地区 杭州市中医院
出处 《浙江临床医学》 2017年第7期1353-1354,共2页 Zhejiang Clinical Medical Journal
关键词 自我效能 脑卒中 手功能 康复 Self-efficacy Stroke Hand function Rehabilitation
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