基于"信息-动机-行为技巧"的干预模式在老年脑梗死患者中的应用研究

Application of an intervention model based on"information-motivation-behavioral skills"in elderly patients with cerebral in-farction

中文关键词: 老年  脑梗死  信息-动机-行为技巧  运动功能  自我管理能力

英文关键词: elderly  cerebral infarction  information-motivation-behavioral skills  motor function  self-management ability

中文摘要:

      目的 观察基于"信息-动机-行为技巧"的干预模式在老年脑梗死患者中的应用效果.方法 选取2022年1月—2023年12月阜阳市人民医院收治的102例老年脑梗死患者的临床资料,按照不同的干预方式分为观察组(n=51)和对照组(n=51).对照组接受常规干预,观察组在与对照组相同干预的基础上加上基于"信息-动机-行为技巧"的干预模式.分别在干预前、干预3个月后采用Fugl-Meyer运动功能量表(FMA)、Barthel指数(BI)、自我护理能力测定量表(ES-CA)、世界卫生组织生活质量测定量表(WHOQOL-BREF)评估并比较2组患者运动功能、日常生活能力、自我护理能力、生活质量.结果 干预后,2组患者FMA、BI、ESCA总分及各维度评分,WHOQOL-BREF各维度评分均较同组干预前升高(P＜0.05);观察组上述评分均高于对照组(P＜0.05).结论 基于"信息-动机-行为技巧"的干预模式应用于老年脑梗死患者,可有效提升患者的运动功能及日常生活能力,改善其自我护理能力及生活质量.

英文摘要:

      Objective To observe the application effects of an intervention model based on"information-motivation-be-havioral skills"(IMB)in elderly patients with cerebral infarction.Methods A retrospective analysis was conducted on the clinical data of 102 elderly patients with cerebral infarction admitted to People's Hospital of Fuyang City from January 2022 to December 2023.They were divided into observation group(n=51)and control group(n=51)according to different interven-tion methods.The control group received routine nursing intervention,while the observation group received the intervention model based on IMB.The Fugl-Meyer Assessment(FMA),Barthel Index(BI),Exercise of Self-Care Agency Scale(ES-CA),and the World Health Organization Quality of Life-BREF(WHOQOL-BREF)were used to evaluate and compare motor function,daily living ability,self-care capacity and quality of life of the two groups before and after 3 months of intervention.Results After the intervention,the total scores and dimensions of FMA,BI,ESCA,and WHOQOL-BREF in both groups were significantly higher than those in the same group before the intervention(P＜0.05),and the observation group was higher than the control group(P＜0.05).Conclusion The intervention model based on IMB can effectively improve the motor func-tion and daily living ability of elderly patients with cerebral infarction,as well as their self-care ability and quality of life.