自我管理行为干预对脑卒中患者康复效果的影响

Influence of self-management behavior on rehabilitation effect of cerebral apoplexy patients

目的:探讨自我管理行为干预对脑卒中患者康复效果的影响。方法:将2013年5月~2014年12月在我院就诊的100例脑卒中患者随机等分为对照组和干预组,对照组接受常规入院宣教及出院康复指导,自行在家康复锻炼,定期门诊复查,不适时随诊;干预组在此基础上实施自我管理行为干预的康复模式。干预前和干预6个月后进行Fugl-Meyer运动功能评分和世界卫生组织生存质量评分。结果:通过6个月的干预,干预组的运动功能评分和生活质量评分均高于对照组,差异均有统计学意义(P<0.05)。结论:自我管理行为干预能明显促进脑卒中患者肢体运动功能的康复,改善患者的生活质量。

Objective： To discuss the influence of self-management behavior on the rehabilitation effect of cerebral apoplexy patients. Methods： Divided100 cerebral apoplexy patients receiving our hospital from May 2013 to December 2014 into control group and interference group randomly,the patients in the control group received routine admission education and discharge rehabilitation guidance and carried out rehabilitation exercise at home by themselves,received outpatient reexamination regularly and received treatment in case of discomfort; the patients in the interference group implemented the self-management behavior interference rehabilitation model on this basis. Scoring was made for Fugl-Meyer exercise function score and WHO survival quality score6 months before and after interference. Results： Through 6 months＇ interference,the exercise function score and life quality score of the interference group were higher than those of the control group,and the difference was statistically significant（ P〈0. 05）. Conclusion： Self-management behavior interference could significantly improve the rehabilitation of limb exercise function of cerebral apoplexy patients and improve the patients＇ life quality.