认知行为干预联合健康信念对脑梗死后偏瘫患者康复的影响

Effect of cognitive behavioral intervention combined with health belief on rehabilitation of hemiplegic patients after cerebral infarction

目的实验将针对脑梗死后偏瘫患者实施认知行为干预联合健康信念进行康复指导,进一步分析对患者康复治疗的影响。方法100例脑梗死后偏瘫患者,根据盲目随机法分为观察组和对照组,每组50例。对照组患者采用常规干预措施,观察组患者采用认知行为干预联合健康信念指导。比较两组患者肢体运动功能Fugel-Meyer(FMA)、生活质量(生理健康、身体健康、生命活力及社会功能)、美国国立卫生研究院卒中量表(NIHSS)评分。结果观察组患者FMA评分(68.74±13.45)分高于对照组的(54.69±14.52)分,NIHSS评分(4.19±3.17)分低于对照组的(6.15±4.18)分,差异均具有统计学意义(P<0.05)。干预后,观察组患者生理健康评分(86.25±2.35)分、身体健康评分(87.65±2.47)分、生命活力评分(89.79±2.58)分及社会功能评分(85.32±2.19)分均高于对照组的(68.32±2.07)、(71.14±2.54)、(70.67±2.21)、(69.82±2.65)分,差异均具有统计学意义(P<0.05)。结论采用认知行为干预联合健康信念对脑梗死后偏瘫患者进行康复指导,有助于提升患者的肢体运动功能,同时改善患者的生活质量、心理认知,取得了良好的成效,具有临床推广价值。

Objective To further analyze the influence of cognitive behavioral intervention combined with health belief on rehabilitation of hemiplegic patients after cerebral infarction.Methods A total of 100 hemiplegic patients after cerebral infarction were randomly divided into observation group and control group,with 50 patients in each group.Patients in the control group were treated with conventional intervention,while patients in the observation group were treated with cognitive behavioral intervention combined with health belief guidance.The scores of Fugel-Meyer assessment(FMA),quality of life(hysiological health,physical health,vitality and social function)and National Institutes of Health Stroke Scale(NIHSS)score were compared between the two groups.Results The FMA score(68.74±13.45)points in the observation group was higher than(54.69±14.52)points in the control group,and the NIHSS score(4.19±3.17)points was lower than(6.15±4.18)points in the control group.The differences were statistically significant(P<0.05).After intervention,the physiological health score(86.25±2.35)points,physical health score(87.65±2.47)points,vitality score(89.79±2.58)points,and social function score(85.32±2.19)points in the observation group were higher than(68.32±2.07),(71.14±2.54),(70.67±2.21),and(69.82±2.65)points in the control group,and the differences were statistically significant(P<0.05).Conclusion The rehabilitation guidance of hemiplegic patients after cerebral infarction by cognitive behavioral intervention combined with health belief is helpful to improve the limb motor function,quality of life and psychological cognition of patients,and has achieved good results,which is worthy of clinical promotion.