基于依从性曲线变化规律的阶段性干预在卒中后肩手综合征中的应用

Application of Phased Intervention of Compliance Curve Changes in Shoulder-Hand Syndrome After Stroke

目的探讨基于依从性曲线变化规律的阶段性护理模式对卒中后肩手综合征(SHSAS)患者功能锻炼依从性及生活质量的影响。方法选取睢县人民医院2019年1月至2020年12月收治的134例SHSAS患者,按随机数字表法分成研究组(67例)和对照组(67例)。对照组接受常规护理干预,研究组于对照组基础上接受基于依从性曲线变化规律的阶段性护理模式干预。对比两组干预前、干预6个月功能锻炼依从性调查表、康复自我效能量表(SER)评分、日常生活能力量表(ADL)评分、脑卒中影响量表(SIS)评分。结果研究组干预6个月功能锻炼依从性评分较对照组高(P<0.05);研究组干预6个月SER评分较对照组高(P<0.05);研究组干预6个月ADL评分较对照组高(P<0.05);研究组干预6个月SIS评分较对照组高(P<0.05)。结论基于依从性曲线变化规律的阶段性护理模式应用于SHSAS患者可有效提升其功能锻炼依从性,增强自我效能,提高日常生活能力及生活质量。

Objective To explore the effect of the phased nursing model with the change rule of compliance curve on functional exercise compliance and quality of life in patients with post-stroke shoulder-hand syndrome(SHSAS).Methods A total of 134 patients with SHSAS in Suixian People’s Hospital from January 2019 to December 2020 were selected and divided into research group(67 cases)and control group(67 cases)according to the random number table method.The control group received routine nursing intervention,while the research group received periodic nursing mode intervention based on the change rule of compliance curve on the basis of control group.The scores of functional exercise compliance questionnaire,rehabilitation self-efficacy scale(SER),daily living ability scale(ADL)and stroke impact scale(SIS)were compared between the two groups before intervention and 6 months after intervention.Results The functional exercise compliance score of research group after 6 months of intervention was higher than that of control group(P<0.05).The SER score of research group after 6 months of intervention was higher than that of control group(P<0.05).The ADL score of research group after 6 months of intervention was higher than that of control group was higher(P<0.05).The SIS score of research group was higher than that of control group after 6 months of intervention(P<0.05).Conclusion The application of the phased nursing model with the changing law of compliance curve to SHSAS patients can effectively improve their functional exercise compliance,enhance their self-efficacy,and improve their daily living ability and quality of life.