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中国临床研究英文版:2022,35(3):432-435,440
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基于健康信念模式的康复团队管理在脑卒中早期肢体康复中应用
(南通大学附属南京江北医院康复医学科,江苏 南京 210048)
Application of rehabilitation team management based on health belief model in early limb rehabilitation of stroke
(Department of Rehabilitation Medicine, Nanjing Jiangbei Hospital Affiliated to Nantong University, Nanjing, Jiangsu 210048, China)
摘要
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Received:January 17, 2022   Published Online:March 20, 2022
中文摘要: 目的 探讨基于健康信念模式理论的康复团队管理在脑卒中早期偏瘫患者肢体功能康复的应用。 方法 选择2019年1月至12月南京江北医院收治的脑卒中偏瘫患者140例,采用整群抽样法分为试验组和对照组,每组70例。对照组采用常规西药治疗+康复训练,试验组在对照组的基础上采用康复团队管理模式结合健康信念模式教育理论的应用,比较2组的临床疗效、肢体运功功能、ADL能力、满意度。 结果 试验组临床疗效优于对照组 (Z=2.822,Z=0.005)。试验组干预后上肢及下肢肌力分别为2.76±0.61、3.42±0.62,优于对照组的2.25±0.45、2.84±0.61;出院时试验组的ADL评分明显高于对照组[(62.72±6.80)分 vs (52.5±4.01)分,t=8.544,P<0.001]。出院时试验组满意度高于对照组(98.57% vs 88.57%, χ2=4.275,Z=0.039)。 结论 基于健康信念模式的康复团队管理在脑卒中早期患者肢体功能康复中的应用效果明显,值得临床推广。
Abstract:Objective To investigate the application of rehabilitation team management based on health belief model theory in the rehabilitation of limb function of patients with hemiplegia in the early stage of stroke. Methodse A total of 140 stroke patients with hemiplegia treated in Nanjing Jiangbei hospital from January to December 2019 were divided into experimental group and control group by cluster sampling, with 70 cases in each group. The control group was treated with conventional western medicine + rehabilitation training, and the experimental group was treated with the application of rehabilitation team management mode combined with health belief mode and education theory on the basis of the control group. The clinical efficacy, limb function, ADL ability and satisfaction of the two groups were compared. Results The clinical efficacy of the experimental group was better than that of the control group (Z=2.822, Z=0.005). After the intervention, the muscle strength of upper and lower limbs in the experimental group were 2.76±0.61 and 3.42±0.62 respectively, which was better than that in the control group (2.25±0.45 and 2.84±0.61). At discharge, the ADL score of the experimental group was significantly higher than that of the control group (62.72±6.80 vs 52.5±4.01, t=8.544, P<0.001). Satisfaction at discharge of experimental group was higher than that in the control group (98.57% vs 88.57%, χ2=4.275,Z=0.039). Conclusion The application effect of rehabilitation team management based on health belief model in the rehabilitation of limb function of patients with early stroke is obvious, which is worthy of clinical promotion.
文章编号:     中图分类号:R473.5    文献标志码:B
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