目的干预模式对急性脑梗死术后康复训练依从性及效果的影响

Effect of intervention model on compliance and effect of rehabilitation training in patients with acute cerebral infarction

目的研究目的干预模式对急性脑梗死(ACI)患者术后康复训练依从性及效果的影响。方法选择2014年1月至2015年12月在该院接受治疗的ACI患者110例,分为对照组(n=55)和干预组(n=55)。干预组采用目的干预模式,对照组采用常规护理。结果干预组有47例完全依从,6例部分依从,总依从率为96.36%;对照组有31例完全依从,16例部分依从,总依从率仅为85.45%,两组总依从率比较差异有统计学意义(P<0.05)。干预后干预组患者的NIHSS评分为(3.47±1.63)分、Barthel指数为(91.26±7.94)分、FMA评分为(92.53±6.37)分,对照组上述各项评分分别为(5.62±1.47)、(78.29±11.47)、(73.81±10.35)分,两组相应项目评分比较差异有统计学意义(P<0.05);生活质量评价显示,干预组患者的生活质量评分更高(P<0.05)。结论 ACI患者采用目的干预模式可以提高康复训练的依从性,提高神经、肢体功能康复水平和日常生活能力。

Objective To study the Effect of intervention model on compliance and effect of rehabilitation training in patients with acute cerebral infarction. Methods 110 ACI patients treated in the hospital were selected from January 2014 to December 2015. They were divided into control group （n = 55） and intervention group （n = 55） randomly. The intervention group used interven- tion model in treatment,control group used routine nursing. Results In intervention group,there were 47 cases of full compliance, 6 cases of partial compliance,the total compliance rate was 96.36% ,while in the control group,there were 31 cases of complete compliance, 16 cases of partial compliance, the total compliance rate was only 85.45%. There were statistically significant differences between the two groups（P〈0.05）. After intervention,NIHSS score,Barthel index and FMA score in the intervention group were （3.47±1.63）,（91. 26±7. 94） and （92. 53±6. 37） points respectively, while in the control group were （5. 62±1.47）, （78.29±11.47）, （73.81± 10. 35） points respectively, there were significant differences between the two groups（P〈0.05）. Patients＇ life quality in intervention group scores higher（P〈0.05）. Conclusion ACI patients adopted the intervention on purpose can improve the compliance in rehabilitation training,neurological function,limb function rehabilitation and the ability of daily life.