信息-动机-行为技巧模型在脑卒中病人早期康复护理中的应用研究

Application research on information-motivation-behavioral skills model in early rehabilitation nursing of stroke patients

[目的]探讨信息-动机-行为技巧模型(IMB)在脑卒中病人早期康复护理中的应用效果。[方法]将206例脑卒中病人根据住院所在病区分为两组,对照组给予常规康复训练指导,观察组应用IMB模型进行康复训练指导。比较干预后两组病人的康复训练依从性、运动功能评分(FMA)及日常生活能力评分(Barthel index,BI)。[结果]观察组病人干预后康复训练依从性优于对照组,两组比较差异有统计学意义(P=0.026);观察组病人干预后FMA得分(48.11分±6.89分)、BI得分(57.13分±6.90分)均高于对照组(40.60分±6.84分、49.69分±6.92分),两组比较差异有统计学意义(均P=0.000)。[结论]将IMB应用于脑卒中病人的早期康复护理中,可以提高病人康复训练的依从性,促进肢体运动功能和日常生活能力的恢复。

Objective：To explore the application effect of information-motivation-behavioral skills model（IMB）in the early rehabilitation nursing of stroke patients.Methods：A total of 206 patients with cerebral apoplexy were divided into two groups according to the wards in which they were hospitalized.The patients in control group were given routine rehabilitation training,while the patients in observation group were guided by IMB model for rehabilitation training.The rehabilitation training compliance,motor function score（FMA）and daily living ability score（Barthel index,BI）were compared between the two groups of patients after intervention.Results：After the intervention,in the observation group,the compliance of the rehabilitation training was better than that in control group,and there was a statistically significant difference between the two groups（P=0.026）;the FMA score（48.11±6.89）and BI score（57.13±6.90）in the observation group were all higher than those in the control group（40.60±6.84,49.69±6.92）,and the difference between the two groups was statistically significant（P=0.000）.Conclusions：Application of IMB in early rehabilitation nursing of stroke patients could improve compliance of patients＇ rehabilitation training and promote recovery of limb motor function and daily living ability.