脑梗死康复期自我管理行为对康复效果的影响观察(1)
【摘要】 目的：观察脑梗死康复期自我管理行为对康复效果的影响。方法：选取2016年3月-2017年3月本院脑梗死康复期患者200例为研究对象，将其根据脑卒中自我管理行为量表分为A组(自我管理行为很高组)、B组(自我管理行为偏高组)、C组(自我管理行为偏低组)及D组(自我管理行为很低组)，每组各50例，比较四组患者治疗后6、12周Fugl-Meyer量表及Barthel指数的评估结果。结果：治疗后6、12周，A组Fugl-Meyer量表评估结果中轻度运动障碍、Barthel指数评估结果中轻度残疾均显著多于B、C、D组，B组显著多于C、D組，C组显著多于D组，比较差异有统计学意义(P<0.05)。结论：脑梗死康复期自我管理行为对康复效果的影响较大，应重视对脑梗死康复期患者自我管理行为的评估与改善。
【关键词】 脑梗死； 康复期； 自我管理行为； 康复效果
Observation on the Influence of Self-management Behavior for the Rehabilitation Efficacy of Patients with Cerebral Infarction at Rehabilitation Stage/OUYANG Weiyi，DENG Guomin，ZHU Suqin，et al.//Medical Innovation of China，2018，15(01)：056-059
, 百拇医药
【Abstract】 Objective：To observe the effect of self-management behavior for the rehabilitation efficacy of patients with cerebral infarction at rehabilitation stage.Method：A total of 200 patients with cerebral infarction at rehabilitation stage in our hospital from March 2016 to March 2017 were selected as the research subjects.According to stroke self-management behavior scale，they were divided into A group(high self-management behavior group)，B group(self-management behavior group)，C group(low self-management behavior group) and D group(low self-management behavior group)，50 cases in each group.The results of the Fugl-Meyer scale and Barthel index of the four groups were compared at 6 and 12 weeks after treatment.Result：At 6 and 12 weeks after treatment，the mild disability in the results of the Fugl-Meyer assessment and mild disability in the Barthel index assessment in A group was significantly more than that of B，C and D group，the B group was significantly more than that of C and D group，C group was significantly more than that of D group，the difference was statistically significant(P<0.05).Conclusion：The effect of self-management behavior for the rehabilitation efficacy of patients with cerebral infarction at rehabilitation stage is great，and the evaluation and improvement of self-management behavior in patients with cerebral infarction at rehabilitation stage should be paid more attention.
, 百拇医药
【Key words】 Cerebral infarction； Rehabilitation stage； Self-management behavior； Rehabilitation efficacy
First-author’s address：The Fifth Affiliated Hospital of Southern Medical University，Guangzhou 510900，China
doi：10.3969/j.issn.1674-4985.2018.01.015
脑梗死作为神经科常见危急重疾病，具有较高的致残率及致死率，而较多存活患者后期康复期存在肢体功能障碍等情况[1-2]，因此患者仍面临较长时间的康复，且康复期面临的问题较多，时间较长，对患者要求较多、较高，因此脑梗死康复期也是极为重要的一个阶段。另外，长期的功能恢复过程对患者的自我态度要求较高，因此脑梗死恢复期患者自我管理行为的重要性较高[3]。而患者自我管理行为对康复效果的影响研究十分少见，因此本研究就脑梗死康复期自我管理行为对康复效果的影响进行观察，现报道如下。, 百拇医药(欧阳卫怡 邓国敏 朱素琴 罗曹靖)
【关键词】 脑梗死； 康复期； 自我管理行为； 康复效果
Observation on the Influence of Self-management Behavior for the Rehabilitation Efficacy of Patients with Cerebral Infarction at Rehabilitation Stage/OUYANG Weiyi，DENG Guomin，ZHU Suqin，et al.//Medical Innovation of China，2018，15(01)：056-059
, 百拇医药
【Abstract】 Objective：To observe the effect of self-management behavior for the rehabilitation efficacy of patients with cerebral infarction at rehabilitation stage.Method：A total of 200 patients with cerebral infarction at rehabilitation stage in our hospital from March 2016 to March 2017 were selected as the research subjects.According to stroke self-management behavior scale，they were divided into A group(high self-management behavior group)，B group(self-management behavior group)，C group(low self-management behavior group) and D group(low self-management behavior group)，50 cases in each group.The results of the Fugl-Meyer scale and Barthel index of the four groups were compared at 6 and 12 weeks after treatment.Result：At 6 and 12 weeks after treatment，the mild disability in the results of the Fugl-Meyer assessment and mild disability in the Barthel index assessment in A group was significantly more than that of B，C and D group，the B group was significantly more than that of C and D group，C group was significantly more than that of D group，the difference was statistically significant(P<0.05).Conclusion：The effect of self-management behavior for the rehabilitation efficacy of patients with cerebral infarction at rehabilitation stage is great，and the evaluation and improvement of self-management behavior in patients with cerebral infarction at rehabilitation stage should be paid more attention.
, 百拇医药
【Key words】 Cerebral infarction； Rehabilitation stage； Self-management behavior； Rehabilitation efficacy
First-author’s address：The Fifth Affiliated Hospital of Southern Medical University，Guangzhou 510900，China
doi：10.3969/j.issn.1674-4985.2018.01.015
脑梗死作为神经科常见危急重疾病，具有较高的致残率及致死率，而较多存活患者后期康复期存在肢体功能障碍等情况[1-2]，因此患者仍面临较长时间的康复，且康复期面临的问题较多，时间较长，对患者要求较多、较高，因此脑梗死康复期也是极为重要的一个阶段。另外，长期的功能恢复过程对患者的自我态度要求较高，因此脑梗死恢复期患者自我管理行为的重要性较高[3]。而患者自我管理行为对康复效果的影响研究十分少见，因此本研究就脑梗死康复期自我管理行为对康复效果的影响进行观察，现报道如下。, 百拇医药(欧阳卫怡 邓国敏 朱素琴 罗曹靖)