知信行模式干预脑卒中患者康复依从性的观察

Compliance of rehabilitation in patients with known observation of the movement disorder after stroke for the intervention model

目的探讨知信行模式对脑卒中运动障碍患者康复训练的依从性的影响。方法 98例脑卒中偏瘫患者均为2012年5月至2014年4月就诊于威海市文登中心医院医学康复科,随机分为观察组52例,对照组46例。对照组给予常规护理模式护理,观察组同时引进＂知信行＂模式给予干预。采用SPSS13.0统计软件进行数据分析,计量资料以均数±标准差（x±s）表示,处理采用t检验,计数资料处理采用χ^2检验,P〈0.05为差异有统计学意义。结果观察组干预后脑卒中神经功能缺损评分（NIHSS）及日常生活能力评分（ADL）与对照组比较,差异有统计学意义（t=4.18、6.18,P〈0.05）;两组依从性比较,差异有统计学意义（χ^2=20.08,P〈0.05）。结论知信行模式干预脑卒中运动障碍患者康复训练,可以明显改善患者的依从性,进而提高患者康复的临床效果。

Objective To investigate the effects of the knowledge of the pattern on the compliance of rehabilitation training in patients with stroke. Methods A total of 98 patients of cerebral apoplexy with hemiplegia were collected from May 2012 to April 2014 in the department of rehabilitation medicine of Wendeng central hospital of Weihai city. Patients were randomly divided into observation group（n=52） and control group（n=46）. The routine nursing care was given to the control group, while the intervention of ＂knowledge and trust＂ mode was given to the observation group. Statistical method of SPSS13.0 software was used for data analysis. The measurement data was expressed as x±s and differences were considered significant when P〈0.05. Results There were significant differences in neurological deficit（NIHSS） and the ability of daily life（ADL） score between observation group and the control group（t=4.18 and 6.18, P〈0.05）. There was also significant difference in compliance between two groups（χ^2=20.08, P〈0.05）. Conclusion The pattern of knowledge and trust can improve the compliance in the rehabilitation training in patients with cerebral apoplexy, which improves the clinical effects of rehabilitation.