摘要
目的 探讨互动达标理论下分阶段康复训练对脑梗死患者步行功能、负性情绪及依从性的影响。方法 选取2022年8月至2023年10月南华大学附属南华医院神经内科收治的110例脑梗死患者,按照随机数字表法将其分为两组,各55例。对照组接受常规护理和康复训练,观察组在对照组基础上接受互动达标理论下分阶段康复训练。比较两组干预前后的计时起立-行走测试(TUGT)、Holden步行功能分级量表(FAC)评分、负性情绪及康复训练依从性。结果 干预后,两组TUGT短于干预前、FAC评分高于干预前,且观察组TUGT短于对照组、FAC评分高于对照组(P<0.05)。干预后,两组焦虑自评量表、抑郁自评量表评分均低于干预前,且观察组低于对照组(P<0.05)。观察组康复训练依从性优于对照组(P<0.05)。结论 互动达标理论下分阶段康复训练可改善脑梗死患者的步行功能、减轻负性情绪及提高康复训练依从性。
Objective To investigate the effect of phased rehabilitation training under theory of interactive compliance on walking function,negative emotions and compliance in patients with cerebral infarction.Methods A total of 110 patients with cerebral infarction admitted to Department of Neurology in Affiliated Nanhua Hospital,University of South China from August 2022 to October 2023 were selected and divided into two groups by using a random number table method,with 55 cases in each group.The control group received routine nursing and rehabilitation training,while the observation group received phased rehabilitation training under interactive compliance theory on the basis of the control group.Timed up and go test(TUGT),functional ambyiation category scale(FAC)score,negative emotions and rehabilitation training compliance before and after intervention between the two groups were compared.Results After intervention,TUGT of the two groups were shorter than before intervention,FAC scores of the two groups were higher than before intervention,TUGT of the observation group was shorter than the control group,and FAC score of the observation group was higher than the control group(P<0.05).After intervention,scores of self-rating anxiety scale and self-rating depression scale in the two groups were lower than before intervention,and those scores in the observation group were lower than those in the control group(P<0.05).Compliance of rehabilitation training in the observation group was better than that in the control group(P<0.05).Conclusion Phased rehabilitation training under theory of interactive compliance can improve walking function,reduce negative emotions and enhance rehabilitation training compliance in patients with cerebral infarction.
作者
刘彦伶
邹娇丽
龙兴
王四美
LIU Yanling;ZOU Jiaoli;LONG Xing;WANG Simei(Department of Neurology,Affiliated Nanhua Hospital,University of South China,Hunan Province,Hengyang421002,China)
出处
《中国医药导报》
CAS
2024年第19期175-178,F0003,共5页
China Medical Herald
基金
湖南省卫生健康委科研计划项目(D202314018184)。
关键词
脑梗死
互动达标理论
步行功能
早期康复
Cerebral infarction
Interactive compliance theory
Walking function
Early rehabilitation
