基于健康信念理论的品管圈活动对脑梗死患者依从性、肢体运动功能及认知功能的影响

Effects of quality control circle activities on compliance,motor function and cognitive function of patients with cerebral infarction based on health belief theory

目的:探讨基于健康信念理论的品管圈活动对脑梗死患者依从性、肢体运动功能及认知功能的影响。方法:选取2019年4月至2021年5月在聊城市第三人民医院接受康复治疗的脑梗死伴肢体运动功能及认知功能障碍患者98例,采用随机数字表法将患者分为观察组和对照组,每组49例。对照组采用常规护理方式干预,观察组运用基于健康信念理论的品管圈护理干预。比较护理前后两组患者肢体运动功能、认知功能、锻炼依从性。结果:护理后观察组Fugel-Meyer运动功能评分量表(FMA)上肢部分、下肢部分评分及Berg平衡量表(BBS)评分均显著高于对照组,且Holden步行功能分级显著优于对照组,差异有统计学意义(P<0.05);护理后观察组洛文斯顿认知功能评定测验(LOTCA)量表中知觉、定向等维度评分及量表总评分均显著高于对照组,护理后观察组康复训练总依从率95.92%(47/49)显著高于对照组的75.51%(37/49),差异有统计学意义(P<0.05)。结论:基于健康信念理论的品管圈活动,可通过树立患者健康信念,提高其训练依从性,从而取得良好康复效果。

Objectivee To explore the effect of quality control circle activities based on health belief theory on the compliance,motor function and cognitive function of cerebral infarction patients.Methods Ninety-eight patients with cerebral infarction accompanied by limb motor function and cognitive dysfunction who received rehabilitation treatment in the hospital from April 2019 to May 2021 were selected and divided into observation group and control group by random number table method,with 49 cases in each group.The control group was treated with routine nursing intervention,while the observation group was treated with quality control circle nursing intervention based on health belief theory.Limb motor function,cognitive function and exercise compliance were compared between the two groups before and after nursing.Results After nursing,the observation group of Fugel-Meyer motor function assessment scale(FMA)upper part,lower part score,and Berg balance scale(BBS)score were significantly higher than those of control group,and Holden walking function classification was better than that of control group,and the differences were statistically significant(P<0.05).After nursing,the observation group of Loewenstein occupational therapy lognitive assessment (LOTCA) scale of perception, orientation and other dimension scores and scale total score were higher than the controlgroup, the total compliance rate of rehabilitation training 95. 92% (47/49) was significantly higher than that of controlgroup's 75.51% (37/49), and the differences were statistically significant (P<0. 05). Conclusions Quality controlcircle activities based on health belief theory can improve patients' training compliance by establishing their health belief,thus achieving good rehabilitation effects.