基于信息-动机-行为技巧模型的康复训练在脑卒中患者中的应用实践

黄燕珠;周丹卉;张清;张亚峰

神经损伤与功能重建 ›› 2022, Vol. 17 ›› Issue (12) : 710-713.

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神经损伤与功能重建 ›› 2022, Vol. 17 ›› Issue (12) : 710-713.
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基于信息-动机-行为技巧模型的康复训练在脑卒中患者中的应用实践

  • 黄燕珠,周丹卉,张清,张亚峰
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Application Practice of Rehabilitation Training Based on Information-Motivation-Behavior Skills Model in Stroke Patients

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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%,χ2 =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。

Abstract

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%, χ2 =6.194, P=0.013). Conclusion: Rehabilitation training based on the IMB model can improve the efficacy of treatment in stroke patients.

关键词

信息-动机-行为技巧模型 / 康复训练 / 卒中 / 应用实践

Key words

information-motivation-behavior-skill model

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黄燕珠;周丹卉;张清;张亚峰. 基于信息-动机-行为技巧模型的康复训练在脑卒中患者中的应用实践[J]. 神经损伤与功能重建. 2022, 17(12): 710-713
Application Practice of Rehabilitation Training Based on Information-Motivation-Behavior Skills Model in Stroke Patients[J]. Neural Injury and Functional Reconstruction. 2022, 17(12): 710-713

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