脑卒中患者康复锻炼依从性动态变化的研究

发布时间：2019-01-19 21:09

【摘要】：目的探讨脑卒中患者康复锻炼依从性的变化规律及影响因素。方法选取94例脑卒中患者,应用量表测量康复锻炼依从性,每2周测量1次,连续测量至第24周后绘制依从性曲线,并对患者24周平均康复锻炼依从性进行单因素分析和多元回归分析。结果 24周观察期内,患者康复锻炼平均依从指数为(52.91±7.03),依从性高峰在第6周(59.90±11.93),最低值出现在第24周(47.40±7.18)。康复锻炼依从性的影响因素有年龄、婚姻状况、是否参加出院后康复指导(P0.05)。结论脑卒中患者治疗及康复期间,康复锻炼依从性随时间呈横"S"样动态变化,这可能与护理干预措施具有一定时效性有关。在依从性下降期间,适时给予再次护理干预,有利于依从性保持较高水平,能够促进患者康复。
[Abstract]:Objective to investigate the regularity and influencing factors of rehabilitation exercise compliance in stroke patients. Methods 94 patients with cerebral apoplexy were selected to measure the compliance of rehabilitation exercise with the scale once every 2 weeks, and the compliance curve was drawn after 24 weeks of continuous measurement. The compliance of 24-week rehabilitation exercise was analyzed by single factor analysis and multiple regression analysis. Results the average compliance index of rehabilitation exercise was (52.91 卤7.03), the peak of compliance was at the 6th week (59.90 卤11.93), and the lowest was at the 24th week (47.40 卤7.18). The influencing factors of rehabilitation exercise compliance were age, marital status, whether to participate in rehabilitation guidance after discharge (P0.05). Conclusion during the treatment and rehabilitation of stroke patients, the conformance of rehabilitation exercise showed a horizontal "S" dynamic change with time, which may be related to the time-effect of nursing intervention. In the period of compliance decline, timely re-nursing intervention is beneficial to maintain a high level of compliance and promote patients' rehabilitation.
【作者单位】：浙江大学医学院附属第二医院;湖州师范学院护理学院;
【基金】：浙江省卫计委医药卫生科研项目(2015KYA106)
【分类号】：R473.74

【相似文献】