基于焦点解决模式的干预对脑卒中恢复期患者肢体功能及自我效能感的影响

Effects of intervention based on solution focused approach on limb function and self-efficacy in convalescent stroke patients

目的探讨基于焦点解决模式的干预对脑卒中恢复期患者肢体功能及自我效能感的影响。方法将300例脑卒中恢复期患者按照入院时间分为研究组与对照组,各150例。两组均给予常规干预,研究组在此基础上给予基于焦点解决模式的干预。干预前后采用焦虑自评量表及抑郁自评量表评定两组焦虑抑郁情绪,采用自我效能感量表评定两组自我效能感,采用FuglMeyer运动功能评测法评定两组肢体功能,采用日常生活活动能力量表评定两组日常生活能力,干预后比较两组肌力水平。结果干预后两组焦虑自评量表及抑郁自评量表评分均较干预前显著降低(P<0.01),研究组显著低于对照组(P<0.01),两组自我效能感量表评分均较干预前显著升高(P<0.01),研究组显著高于对照组(P<0.01)。干预后研究组肌力水平显著优于对照组(P<0.01),两组Fugl-Meyer运动功能评测法上肢、下肢评分均较干预前显著升高(P<0.01),研究组显著高于对照组(P<0.01)。干预后两组日常生活活动能力量表评分均较干预前显著升高(P<0.01),研究组显著高于对照组(P<0.01)。结论基于焦点解决模式的干预可以有效缓解脑卒中恢复期患者的焦虑抑郁情绪,增强自我效能感,改善肌力水平及肢体功能,提高日常生活能力。

Objective To investigate the effects of intervention based on solution focused approach on limb function and self-efficacy in convalescent stroke patients.Methods A total of 300 patients with convalescent stroke were divided into study group and control group according to the time of admission,with150 cases in each group.Both groups were given routine intervention,and the study group was given intervention based on solution focused approach on this basis.Before and after the intervention,the self-rating anxiety scale(SAS) and self-rating depression scale(SDS) were used to evaluate the anxiety and depression of the two groups,the self-efficacy scale(GSES) was used to evaluate the self-efficacy of the two groups,the Fugl-Meyer motor assessment(FMA) was used to evaluate the limb function of the two groups,and the activity of daily living scale(ADL) was used to evaluate the activity of daily living of the two groups.After the intervention,the muscle strength levels of the two groups were compared.Results After the intervention,the SAS and SDS scores of the two groups were significantly lower than those before the intervention(P < 0.01),and the study group was significantly lower than the control group(P<0.01).The GSES scores of the two groups were significantly higher than those before the intervention(P<0.01),and the study group was significantly higher than the control group(P<0.01).After the intervention,the muscle strength level of the study group was significantly better than that of the control group(P<0.01).The scores of upper and lower limbs of FMA in the two groups were significantly higher than those before the intervention(P <0.01),and the study group was significantly higher than the control group(P<0.01).After the intervention,the ADL scores of the two groups were significantly higher than those before the intervention(P<0.01),and the study group was significantly higher than the control group(P<0.01).Conclusions Intervention based on solution focused approach can effectively alleviate the anxiety and depression of patients with convalescent stroke,enhance self-efficacy,improve muscle strength and limb function,and improve the ability of daily living.