基于King互动达标理论在脑卒中后认知障碍患者康复训练中的应用研究

Application of the King theory in rehabilitation training for patients with cognitive impairment after stroke

目的探讨基于King互动达标理论在脑卒中后认知障碍患者康复训练中的应用效果。方法选取2018年11月—2019年11月收治的80例PSCI患者,随机分为对照组和观察组,各40例。对照组予以常规护理干预,观察组基于King互动达标理论开展护理干预。观察2组干预前后简易精神状态量表(MMSE)、脑卒中自我效能感量表(SSEQ)、社区脑卒中患者功能锻炼依从性量表评分。评价两组在不同干预手段前后的自我效能感、康复训练依从性以及认知功能积分。结果干预后2组MMSE、SSEQ评分升高,且观察组患者MMSE、SSEQ评分高于对照在,差异有统计学意义(P<0.05)。干预后,观察组康复训练依从性优于对照组,差异有统计学意义(P<0.05)。结论基于King互动达标理论的护理干预,有助于提高PSCI患者的自我效能感,增强其执行康复训练的主观能动性。

Objective To explore the application of the King theory in rehabilitation training for patients with cognitive impairment after stroke.Methods Select from November 2018 to November 2019 accord with standard of 80 patients with cognitive impairment after stroke,40 cases were randomly divided into control group(usual care)and observation group 40 cases(in routine care nursing intervention based on the theory of the interactive standard King),the two groups in different before and after the intervention of self-efficacy,and cognitive rehabilitation training compliance function integral.Results After 4 weeks of intervention,the scores of SSEQ,compliance scale of functional exercise and MMSE of stroke patients in the observation group were higher than those in the control group(P<0.05).Conclusion The application of the King theory to the rehabilitation training of patients with cognitive impairment after stroke can significantly enhance patients'sense of self-efficacy,further improve patients'compliance with rehabilitation training,and ultimately achieve the goal of improving patients'cognitive function.