早期外在注意力焦点策略结合运动想象疗法在后循环缺血性脑卒中护理中的应用效果

Application effect of early external attention focus strategy combined with motor imagery therapy in the nursing of posterior circulation ischemic stroke

目的探讨早期外在注意力焦点策略结合运动想象疗法在后循环缺血性脑卒中患者中的应用效果。方法选择2019年4月至2022年2月收治的104例后循环缺血性脑卒中患者为研究对象,按照随机数字表法将其分为对照组与观察组,各52例。对照组采取常规护理干预,观察组在对照组基础上实施早期外在注意力焦点策略结合运动想象疗法。比较两组的干预效果。结果干预后,观察组的自我感受负担量表(SPBS)各维度评分均低于对照组(P<0.05)。干预后,观察组的康复锻炼行为执行意向问卷各维度评分均高于对照组(P<0.05)。干预后,观察组的Fugl-Meyer运动功能评定量表(FMA)上肢与下肢功能评分、修订的巴氏指数(MBI)评分均高于对照组(P<0.05)。结论早期外在注意力焦点策略联合运动想象疗法可降低后循环缺血性脑卒中患者的疾病自我感受负担,提高康复锻炼行为执行意向,也能促进其肢体功能恢复,从而提高日常生活活动能力。

Objective To explore the application effect of early external attention focus strategy combined with motor imagery therapy in patients with posterior circulation ischemic stroke.Methods A total of 104 patients with posterior circulation ischemic stroke admitted from April 2019 to February 2022 were selected as the research objects and divided into control group and observation group according to the random number table method,with 52 cases in each group.The control group was given routine nursing intervention,and the observation group was given early external attention focus strategy combined with motor imagery therapy on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of each dimension of Self-Perceived Burden Scale(SPBS)in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of each dimension of rehabilitation exercise behavior implementation intention questionnaire in the observation group were higher than those in the control group(P<0.05).After intervention,the Fugl-Meyer Motor Assessment(FMA)upper and lower limb function scores and the Modified Barthel Index(MBI)score of the observation group were higher than those of the control group(P<0.05).Conclusion Early external attention focus strategy combined with motor imagery therapy can reduce the disease self-perceived burden of patients with posterior circulation ischemic stroke,improve the implementation intention of rehabilitation exercise behavior,and promote the recovery of limb function,thus improving the ability of daily life activities.