摘要
目的:研究自我决定理论的康复干预对脑卒中患者自理能力及主观幸福感的影响。方法:在某院就诊的脑卒中患者80例,将2019年2至8月就诊患者选取40例作为对照组,2019年9月至2020年2月就诊患者选取40例作为观察组。对照组采用常规管护干预,观察组在对照组基础上采用自我决定理论的康复干预,均干预4周。采用FuglMeyer评分和Berg平衡功能量表(BBS)比较两组患者干预前后下肢运动功能和平衡功能;采用Barthel指数和主观幸福感指数量表(IWB)比较两组患者干预前、干预结束时、干预后3个月自理能力和主观幸福感;采用抑郁自评量表(SDS)、焦虑自评量表(SAS)比较两组患者干预前后心理状态。结果:观察组干预后Fugl Meyer、BBS得分明显高于对照组(t=4.379,4.037;P<0.05);干预结束时、干预后3个月Barthel指数明显高于对照组(t=4.420,5.866;P<0.05);干预结束时、干预后3个月IWB得分明显高于对照组(t=3.757,5.086;P<0.05);干预后SAS、SDS得分明显低于对照组(t=-7.930,-6.441;P<0.05)。结论:采用自我决定理论的康复干预对脑卒中患者运动康复功能恢复效果理想,可提高患者自理能力及主观幸福感,改善心理健康。
Objective:To study the effect of rehabilitation intervention based on self-determination theory on self-care ability and subjective well-being of stroke patients.Methods:A total of 80 stroke patients from February 2019 to February 2020 were selected,40 patients from February 2019 to August 2019 were selected as control group,and 40 patients from September 2019 to February 2020 were selected as observation group.The control group was treated with routine management and protection intervention,while the observation group was treated with self-determination theory rehabilitation intervention on the basis of the control group for 4 weeks.Fugl Meyer score and Berg Balance Function Scale(BBS)were used to compare the lower limb motor function and balance function of the two groups before and after intervention.Barthel index and subjective well-being index(IWB)were used to compare the self-care ability and subjective well-being of the two groups before,at the end of and 3 months after the intervention.Self-rating Depression Scale(SDS)and Self-rating Anxiety Scale(SAS)were used to compare the psychological state of the two groups before and after intervention.Results:After intervention,Fugl Meyer and BBS scores in the observation group were significantly higher than those in the control group(t=4.379,4.037;P<0.05);At the end of the intervention,Barthel index was significantly higher than that of the control group 3 months after the intervention(t=4.420,5.866;P<0.05).At the end of the intervention,IWB score was significantly higher than that of the control group 3 months after the intervention(t=3.757,5.086;P<0.05).After intervention,SAS and SDS scores were significantly lower than those of the control group(t=-7.930,-6.441;P<0.05).Conclusion:Rehabilitation intervention based on self-determination theory has ideal effect on the recovery of motor rehabilitation function of stroke patients,which can improve patients’self-care ability,subjective well-being and mental health.
作者
张莹
张桂芳
张月兰
张子玲
贺春艳
庄卫生
ZHANG Ying;ZHANG Guifang;ZHANG Yuelan(Henan Provincial People's Hospital,Department of Rehabilitation,Zhengzhou University People's Hospital Henan,Zhengzhou 450003,China)
出处
《中国健康心理学杂志》
北大核心
2022年第6期872-876,共5页
China Journal of Health Psychology
关键词
自我决定理论
康复干预
脑卒中
自理能力
主观幸福感
心理健康
Self-determination theory
Rehabilitation intervention
Stroke
Self-care ability
Subjective well-being
Mental health
