基于思维导图的三级康复训练在脑卒中偏瘫患者中的应用研究

Application of tertiary rehabilitation training base on the mind mapping in stroke patients with hemiplegia

目的探讨基于思维导图的三级康复训练在脑卒偏瘫患者中的应用效果。方法选择2017年5月—2019年6月脑卒中偏瘫患者92例为研究对象,依据两组患者性别、年龄、卒中类型、偏瘫部位、肌力分级、文化程度具有可比性的原则分为观察组48例、对照组44例。对照组给予常规三级康复训练,观察组在此基础上给予基于思维导图的三级康复训练。随访6个月,比较两组康复自我效能、康复训练依从性、康复效果。结果干预后随访6个月,观察组身体锻炼依从性、锻炼效果监测依从性、主动寻求建议依从性高于对照组(P<0.05),观察组日常生活活动效能、自我管理效能评分Fugl-Meyer运动功能量表(FMA)评分、Berg平衡量表(BBS)评分、Barthel指数高于对照组,差异均有统计学意义(P<0.05)。结论基于思维导图的三级康复训练有助于提高脑卒中偏瘫患者康复自我效能,增强康复训练依从行为,提高康复训练效果。

Objective To explore the application effect of mind mapping health education in tertiary rehabilitation training base on the mind mapping in stroke patients with hemiplegia.Methods To select 92 stroke patients with hemiplegia from May 2017 to June 2019 as the research objects.The two groups were comparable according to the gender,age,type of stroke,hemiplegia site,muscle strength grade,education level,48 patients were selected as the observation group,44 patients were selected as the control group.The control group was given the regular tertiary rehabilitation training,and the observation group was given the tertiary rehabilitation trainning base on the mind mapping.After 6 months of follow-up,the rehabilitation self-efficacy,rehabilitation training compliance,and rehabilitation effects were compared between the two groups.Results After 6 months of follow-up,the observation group scores of physical exercise compliance,compliance with exercise effect monitoring,compliance with active seeking advice were higher than the control group(P<0.05);the scores of activities of daily living,managerial selfefficacy,Fugl-Meyer assessment scale score(FMA),Berg balance scale score(BBS)and Barthel index were higher than the control group,the difference was statistically significant(P<0.05).Conclusion The tertiary rehabilitation training base on the mind mapping promoted the development of rehabilitation self-efficacy of stroke patients with hemiplegia,improved the compliance behavior of rehabilitation training and the effect of rehabilitation training.