基于IMB的超早期康复锻炼在缺血性脑卒中患者中的应用效果

Application Effect of Ultra-Early Rehabilitation Exercise Based on IMB in Patients with Ischemic Stroke

目的 探讨基于信息-动机-行为技巧(IMB)的超早期康复锻炼对缺血性脑卒中患者的影响。方法 纳入2020年10月至2022年10月河南省直第三人民医院收治的103例缺血性脑卒中患者,依据随机数表法分为对照组(51例)与干预组(52例),对照组接受常规康复锻炼,干预组接受基于IMB的超早期康复锻炼,两组均连续干预3个月。对比两组干预前后肢体功能[Fugl-Meyer运动功能评定量表(FMA)]、生活质量[世界卫生组织生活质量测定量表(WHOQOL-BREF)]、神经功能[美国国立卫生研究院卒中量表(NIHSS)]、日常生活活动能力[日常生活活动能力评定表(ADL)],并统计两组并发症。结果 干预后两组上肢功能评分、下肢功能评分、FMA总分、WHOQOL-BREF各维度评分及总分、ADL评分均高于干预前,NIHSS评分低于干预前,且与对照组相比,干预组变化幅度更大(P<0.05)。干预组并发症发生率低于对照组(P<0.05)。结论 基于IMB的超早期康复锻炼有助于改善缺血性脑卒中患者肢体功能、生活质量及日常生活活动能力,减轻神经功能损害,减少并发症。

Objective To explore the influence of ultra-early rehabilitation exercise based on information-motivation-behavior skills(IMB)in patients with ischemic stroke.Methods A total of 103 patients with ischemic stroke in the Third People’s Hospital of Henan Province from October 2020 to October 2022 were selected and randomly divided into control group(51 cases)and intervention group(52 cases).The control group accepted routine rehabilitation exercise,while the intervention group accepted ultra-early rehabilitation exercise based on IMB.Both groups were continuously intervened for 3 months.The limb function[Fugl-Meyer motor function assessment(FMA)],quality of life[World Health Organization quality of life scale-brief form questionnaire(WHOQOL-BREF)],neurological function[National Institutes of Health stroke scale(NIHSS)]and activity of daily living[activities of daily living(ADL)]were compared between the two groups before and after intervention,and the complications of the two groups were counted.Results After intervention,the scores of upper limb function,lower limb function,total score of FMA,the total score and each dimension of WHOQOL-BREF and ADL in the two groups were higher than those before intervention,while the scores of NIHSS were lower than those before intervention,and the changes in intervention group were greater than those in control group(P<0.05).The incidence of complications in intervention group was lower than that in control group(P<0.05).Conclusion Ultra-early rehabilitation exercise based on IMB is helpful to improve limb function,quality of life and activities of daily living of patients with ischemic stroke,reduce neurological damage and reduce complications.