自我效能理论主导的靶向训练对脑卒中患者运动功能及日常生活能力的影响

章汝; 章小华; 傅国萍; 俞迪红; 何锐

doi:10.16766/j.cnki.issn.1674-4152.003507

自我效能理论主导的靶向训练对脑卒中患者运动功能及日常生活能力的影响

doi: 10.16766/j.cnki.issn.1674-4152.003507

章汝^1, ,,
章小华²,
傅国萍³,
俞迪红⁴,
何锐³

1.
绍兴第二医院医共体总院健康管理部，浙江绍兴 312000
2.
绍兴第二医院医共体总院院办室，浙江绍兴 312000
3.
绍兴第二医院医共体总院神经内科，浙江绍兴 312000
4.
绍兴第二医院医共体总院康复医学科，浙江绍兴 312000

基金项目:

浙江省医共体建设发展齐鲁研究项目 2023ZHA-QL216

详细信息

通讯作者:
章汝，E-mail：zh13867518166@163.com

中图分类号: R743.3 R493
计量
- 文章访问数: 217
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- PDF下载量: 6
- 被引次数: 0
出版历程
- 收稿日期: 2024-02-28
- 网络出版日期: 2024-07-20

The impact of targeted training led by self-efficacy theory on motor function and daily living ability of stroke patients

1.
Medical Community General Hospital Health Management Department, the Medical Community Headquarters of Shaoxing Second Hospital, Shaoxing, Zhejiang 312000, China

摘要

摘要: 目的分析自我效能理论主导的靶向训练在脑卒中患者康复中的应用，探讨其对患者运动功能及日常生活能力的影响。方法选取2021年6月—2023年1月绍兴第二医院医共体总院收治的140例脑卒中后出院患者作为研究对象，根据随机数字表法将其分为对照组(70例)和观察组(70例)，对照组应用常规延续护理，观察组在对照组基础上应用自我效能理论主导的靶向训练。比较2组干预前后患者运动功能、日常生活能力及自我效能感，统计2组患者康复锻炼依从性。结果干预后，观察组患者简式Fugl-Meyer运动功能量表(FMA)及改良Barthel指数(MBI)得分分别为(66.33±5.24)分、(70.41±5.96)分，均高于对照组[(60.43±6.17)分、(63.89±4.83)分，P<0.05]；干预后，观察组患者自我效能量表(GSES)得分为(33.62±2.95)分，明显高于对照组的(25.79±4.66)分(P<0.05)；观察组患者康复锻炼依从性为92.86%(65/70)，高于对照组的80.00%(56/70，P<0.05)。结论自我效能理论主导的靶向训练能够有效提高脑卒中患者运动功能及日常生活能力，有助于提高患者自我效能感及康复锻炼依从性，改善患者预后。
- 脑卒中 /
- 自我效能理论 /
- 靶向训练 /
- 运动功能 /
- 日常生活能力
Abstract: Objective Analyze the application of targeted training led by self-efficacy theory in the rehabilitation of stroke patients, and explore its impact on their motor function and daily living ability. Methods A total of 140 discharged stroke patients admitted from June 2021 to January 2023 were selected as the research subjects at the Medical Community Headquarters of Shaoxing Second Hospital. They were randomly divided into a control group and an observation group, with 70 patients in each group. The control group received routine continuing care, while the observation group received additional targeted training led by self-efficacy theory. Compare the motor function, daily living ability, and self-efficacy of patients in the two groups before and after intervention, and assessed the rehabilitation exercise compliance of both group. Results After intervention, the simplified Fugl-Meyer motor function assessment (FMA) and modified Barthel index (MBI) scores of the observation group patients were (66.33±5.24) points and (70.41±5.96) points, respectively, which were higher than those of the control group [(60.43±6.17) points and (63.89±4.83) points], with a significance level of P<0.05. The general self-efficacy scale (GSES) score of the observation group patients was (33.62±2.95) points, significantly higher than that of the control group [(25.79±4.66) points, P<0.05]. The compliance rate of rehabilitation exercise in the observation group was 92.86% (65/70), which was higher than that of the control group [80.00% (56/70)], with a significance level of P<0.05. Conclusion Targeted training led by self-efficacy theory can effectively improve the motor function and daily living ability of stroke patients, enhance their self-efficacy and rehabilitation exercise compliance, and promote patient prognosis.
- Stroke /
- Self-efficacy theory /
- Targeted training /
- Sports function /
- Daily living ability

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图 1 自我效能理论示意图

Figure 1. Self-efficacy theory diagram

下载: 全尺寸图片幻灯片

表 1 2组脑卒中患者一般资料比较

Table 1. Comparison of general information between two groups of stroke patients

项目	对照组(n=70)	观察组(n=70)	统计量	P值
性别(例)
男性	51	45	1.193^a	0.275
女性	19	25
年龄(x±s，岁)	60.52±6.23	59.84±7.19	0.598^b	0.551
BMI(x±s)	21.46±2.85	21.57±3.10	0.219^b	0.827
文化程度(例)
初中及以下	19	20	0.402^c	0.733
中专及高中	34	36
大专及以上	17	14
照顾者(例)
父母	8	6	2.074^a	0.557
配偶	34	37
子女	15	19
其他	13	8
卒中类型(例)
脑出血	23	26	0.283^a	0.595
脑梗死	47	44
偏瘫侧(例)
左侧	38	40	0.116^a	0.734
右侧	32	30
合并症(例)
糖尿病	16	14	1.089^a	0.780
高血压	22	24
心血管疾病	8	5
无	24	27
美国国立卫生院卒中量表得分(x±s，分)	8.80±2.27	9.13±2.54	0.810^b	0.419
注：^a为χ²值，^b为t值, ^c为Z值。

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表 2 2组脑卒中患者运动功能及日常生活能力比较(x±s，分)

Table 2. Comparison of motor function and daily living abilities in two groups of stroke patients (x±s, points)

组别	例数	上肢		下肢		FMA总分		MBI
组别	例数	干预前	干预后	干预前	干预后	干预前	干预后	干预前	干预后
对照组	70	27.85±4.29	33.48±5.20	21.44±3.42	25.46±4.14	50.26±7.41	60.43±6.17	55.26±4.87	63.89±4.83
观察组	70	27.12±4.30	37.52±4.46	22.10±3.86	28.62±3.55	49.73±6.79	66.33±5.24	54.88±5.23	70.41±5.96
统计量		1.006^a	3.716^b	1.071^a	4.007^b	0.441^a	5.931^b	0.445^a	6.246^b
P值		0.316	<0.001	0.286	<0.001	0.660	<0.001	0.657	<0.001
注：^a为t值，^b为F值。

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表 3 2组脑卒中患者自我效能感比较(x±s，分)

Table 3. Comparison of self-efficacy between two groups of stroke patients (x±s, points)

组别	例数	干预前	干预后
对照组	70	21.82±3.51	25.79±4.66
观察组	70	20.97±3.80	33.62±2.95
统计量		1.206^a	8.793^b
P值		0.230	<0.001
注：^a为t值，^b为F值。

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表 4 2组脑卒中患者康复锻炼依从性对比[例(%)]

Table 4. Comparison of exercise adherence in two groups of stroke patients [cases (%)]

组别	例数	高水平	中等水平	低水平	康复训练依从性
对照组	70	36(51.43)	20(28.57)	14(20.00)	56(80.00)
观察组	70	47(67.14)	18(25.71)	5(7.14)	65(92.86)
注：2组康复训练依从性比较，χ²=4.933，P=0.026。

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