摘要
目的:探讨基于信息-动机-行为技巧(IMB)模型的康复训练在脑卒中患者的疗效。方法:脑卒中患者215例,随机分为研究组(n=108)和对照组(n=107)。对照组应用常规康复训练,研究组应用基于IMB模型的康复训练。比较2组治疗前后运动功能(FMA评分)、认知功能(MoCA评分)、生活能力(Barthel指数得分)、生活质量(SWAL-QOL量表得分)及干预后疗效、训练满意度。结果:研究组的有效率高于对照组(92.6%v.s 66.40%,χ^(2)=6.425,P=0.011)。干预后,2组的FMA、MoCA、BI、SWAL-QOL评分均较干预前显著提升(P<0.01),且研究组的FMA、MoCA、BI、SWAL-QOL评分显著高于对照组(P<0.01)。研究组的干预满意度高于对照组(90.74%v.s 78.50%,χ^(2)=6.194,P=0.013)。结论:基于IMB模型的康复训练可提升脑卒中患者的疗效。
Objective:To explore the effect of rehabilitation training based on the information-motivation-behavior skills(IMB)model in stroke patients.Methods:A total of 215 stroke patients were recruited and randomly divided into the study group(n=108)and control group(n=107).The control group received conventional rehabilitation training,and the study group received rehabilitation training based on the IMB model.The pre-and post-treatment motor function(FMA score),cognitive function(MoCA score),living ability(Barthel index),and quality of life(SWAL-QOL score)and the post-treatment efficacy and training satisfaction of the two groups were compared.Results:Efficacy was higher in the study group than in the control group(92.6%v.s.66.4%,χ^(2)=6.425,P=0.011).In both groups,the FMA,MoCA,BI,and SWAL-QOL scores after treatment were increased compared to before treatment(P<0.01),and the FMA,MoCA,BI,SWAL-QOL scores in the study group were significantly greater than those in the control group(P<0.01).Training satisfaction was greater in the study group than in the control group(90.74%v.s.78.50%,χ^(2)=6.194,P=0.013).Conclusion:Rehabilitation training based on the IMB model can improve the efficacy of treatment in stroke patients.
作者
黄燕珠
周丹卉
张清
张亚峰
HUANG Yan-zhu;ZHOU Dan-hui;ZHANG Qing;ZHANG Ya-feng(Department of Neurology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Hubei 430000,Wuhan)
出处
《神经损伤与功能重建》
2022年第12期710-713,共4页
Neural Injury and Functional Reconstruction
关键词
信息-动机-行为技巧模型
康复训练
卒中
应用实践
information-motivation-behavior-skill model
rehabilitation training
stroke
application practice
