摘要
目的探讨信息-动机-行为技巧(IMB)下的康复干预在老年脑梗死患者中的应用效果。方法将符合本研究纳入及排除标准的116例脑梗死患者随机分成2组各58例,对照组采用常规康复,观察组采用基于IMB模型的康复干预。2组患者均在院内进行为期1个月的康复训练,院外监督患者继续进行2个月的康复训练并线上汇报每日康复训练情况,共连续干预3个月后评估2组患者上肢功能、运动功能、神经功能、生活质量及并发症发生情况。结果干预后2组患者Fugl-Meyer评估量表(FMA)及上肢Wolf(沃尔夫)运动功能测试量表(WMFT)评分均增加,且观察组增加幅度更显著[FMA:(25.91±4.42)分比(29.37±4.58)分,t=4.140,P<0.05;WMFT:(30.42±3.56)分比(34.29±4.05)分,t=5.466,P<0.05]。干预后2组患者FCA及BBS评分均增加,且观察组分值增加幅度更显著[FCA评分:(50.08±8.21)分比(57.63±8.58)分,t=4.842,P<0.05;BBS评分:(31.98±5.36)分比(37.41±5.79)分,t=5.241,P<0.05]。干预后2组患者NIHSS评分均降低,ADL评分均增加,且观察组分值变化幅度更显著[NIHSS评分:(9.60±1.73)分比(6.83±1.55)分,t=9.082,P<0.05;ADL评分:(75.33±5.56)分比(80.74±5.82)分,t=5.119,P<0.05]。干预后2组患者WHOQOL-BREF量表各维度评分及总分均升高,且观察组患者WHOQOL-BREF量表各维度评分及总分值变化幅度更显著(P<0.05)。观察组并发症发生率(1.72%)与对照组(18.97%)相比显著降低(P<0.05)。结论基于IMB模型的康复干预有效改善了老年脑梗死患者上肢功能、运动功能及神经功能,提高了患者生活质量,降低了并发症发生率。
Objective To probe the application impact of rehabilitation intervention based on information-motivation-behavioral skills model(IMB)in elderly cases with cerebral infarction.Methods Totally 116 cases of cerebral infarction meeting the inclusion and exclusion criteria of this study were randomly divided into two groups(n=58),in which routine nursing was utilized in the control group,and rehabilitation intervention based on IMB model was utilized in the observation group.Patients in both groups received 1-month rehabilitation training in the hospital,and patients supervised outside the hospital continued to receive 2-month rehabilitation training and reported their daily rehabilitation training online.After 3 months of continuous intervention,upper limb function,motor function,neurological function,quality of life,and complications were evaluated in both groups.Results After intervention,the scores of FMA and WMFT in both groups were increased,and the increase rate in the observation group was greater(FMA:(25.91±4.42)points vs(29.37±4.58)points,t=4.140,P<0.05;WMFT:(30.42±3.56)points vs(34.29±4.05)points,t=5.466,P<0.05).After intervention,FCA and BBS scores increased in both groups,and the increase rate was greater in the observation group(FCA:(50.08±8.21)points vs(57.63±8.58)points,t=4.842,P<0.05;BBS:(31.98±5.36)points vs(37.41±5.79)points,t=5.241,P<0.05).After intervention,the NIHSS score of both groups decreased,and the ADL score increased,and the score changes in the observation group were greater(NIHSS:(9.60±1.73)points vs(6.83±1.55)points,t=9.082,P<0.05;ADL:(75.33±5.56)points vs(80.74±5.82)points,t=5.119,P<0.05).After the intervention,the WHOQOL-BREF scale scores and total scores of the two groups increased,and the WHOQOL-BREF scale scores and total scores of the observation group had greater changes(P<0.05).The complication proportion of observation group(1.72%)was prominently lower than that of control group(18.97%,P<0.05).Conclusion Rehabilitation intervention based on IMB model could effectively improve the upper limb function,motor function,and nerve function,improve the quality of life of patients with cerebral infarction,and reduce the incidence of complications.
作者
朱玉珊
朱小平
ZHU Yushan;ZHU Xiaoping(Wuhan University Zhongnan Hospital,Wuhan 430000,China)
出处
《中国实用神经疾病杂志》
2024年第6期774-778,共5页
Chinese Journal of Practical Nervous Diseases
关键词
脑梗死
IMB模型
老年
上肢功能
运动功能
神经功能
Cerebral infarction
IMB model
Old age
Upper limb function
Motor function
Neural function
