IMB引导预见性护理对急性缺血性脑卒中患者康复效果的影响(1)
【摘要】 目的：探究以信息-动机-行为技巧(information-motivation-behavioral skills，IMB)引导预见性护理对急性缺血性脑卒中患者康复效果的影响，为患者术后康复提供指导。方法：选取笔者所在医院2018年5月-2019年3月治疗的700例脑卒中患者，采用随机分组法，均分为对照组(350例)和观察组(350例)。对照组采取常规护理，观察组实施IMB引导预见性护理。对比两组患者术后肢体运动功能、生活自理能力、心理恢复情况，术后并发症情况。结果：护理后，两组患者FMA、BI评分较护理前均升高，SAS评分较护理前降低，且观察组FMA、BI评分明显高于对照组，SAS评分低于对照组，差异均有统计学意义(P<0.05)。观察组术后并发症发生率明显低于对照组，差异有统计学意义(P<0.05)。结论：对急性缺血性脑卒中患者实行IMB引导预见性护理，可明显改善肢体运动功能、生活自理能力，降低术后并发症发生率。
【关键词】 急性缺血性脑卒中 信息-动机-行为技巧 预见性护理 康复效果
doi：10.14033/j.cnki.cfmr.2020.22.041 文献标识码 B 文章编号 1674-6805(2020)22-0-03
[Abstract] Objective： To explore the effect of information-motivation-behavioral skills (IMB) guided predictive nursing on the rehabilitation of patients with acute ischemic stroke， and to provide guidance for the rehabilitation of patients after operation. Method： A total of 700 stroke patients treated in our hospital from May 2018 to March 2019 were randomly divided into the control group (350 cases) and the observation group (350 cases). The control group was received routine nursing， while the observation group was received IMB guided predictive nursing. The limb motor function， self-care ability， psychological recovery and complications were compared between the two groups. Result： After nursing， FMA and BI scores of the two groups were higher than those before nursing， and SAS score was lower than that before nursing. FMA and BI scores of the observation group were significantly higher than those of the control group， and SAS score was lower than that of the control group， the differences were statistically significant (P<0.05). The incidence of postoperative complications in the observation group was significantly lower than that in the control group， the difference was statistically significant (P<0.05). Conclusion： IMB-guided predictive nursing for patients with acute ischemic stroke can significantly improve the motor function of limbs， the ability of self-care， and reduce the incidence of complications.
[Key words] Acute ischemic stroke Information-motivation-behavior skills Predictive nursing Rehabilitation effect
First-author’s address： Hankou Hospital of Wuhan City， Wuhan 430010， China
腦卒中又称中风，是由于脑部血管突然爆裂或血液堵塞导致血液不能流入大脑，而造成的脑组织损伤，其发病率、致残率高，严重者可引起死亡[1]。脑卒中患者因神经功能损害、脑部病变造成其意识、肢体、语言、智力等功能障碍，感知功能下降，极易发生跌倒、烫伤、坠床、管脱等意外事故，严重影响患者的生活质量[2]。其中护理在脑卒中患者术后恢复起着重要的作用，而预见性护理是按照患者病情的变化，预见其可能发生的隐藏问题，做出正确的护理措施。信息-动机-行为技巧(information-motivation-behavioral skills，IMB)是通过其信息、动机、行为具备一定水平时转变人的行为[3]。本次研究通过IMB引导预见性护理对脑卒中患者康复效果的影响进行分析，现报告如下。, 百拇医药(张莉)
【关键词】 急性缺血性脑卒中 信息-动机-行为技巧 预见性护理 康复效果
doi：10.14033/j.cnki.cfmr.2020.22.041 文献标识码 B 文章编号 1674-6805(2020)22-0-03
[Abstract] Objective： To explore the effect of information-motivation-behavioral skills (IMB) guided predictive nursing on the rehabilitation of patients with acute ischemic stroke， and to provide guidance for the rehabilitation of patients after operation. Method： A total of 700 stroke patients treated in our hospital from May 2018 to March 2019 were randomly divided into the control group (350 cases) and the observation group (350 cases). The control group was received routine nursing， while the observation group was received IMB guided predictive nursing. The limb motor function， self-care ability， psychological recovery and complications were compared between the two groups. Result： After nursing， FMA and BI scores of the two groups were higher than those before nursing， and SAS score was lower than that before nursing. FMA and BI scores of the observation group were significantly higher than those of the control group， and SAS score was lower than that of the control group， the differences were statistically significant (P<0.05). The incidence of postoperative complications in the observation group was significantly lower than that in the control group， the difference was statistically significant (P<0.05). Conclusion： IMB-guided predictive nursing for patients with acute ischemic stroke can significantly improve the motor function of limbs， the ability of self-care， and reduce the incidence of complications.
[Key words] Acute ischemic stroke Information-motivation-behavior skills Predictive nursing Rehabilitation effect
First-author’s address： Hankou Hospital of Wuhan City， Wuhan 430010， China
腦卒中又称中风，是由于脑部血管突然爆裂或血液堵塞导致血液不能流入大脑，而造成的脑组织损伤，其发病率、致残率高，严重者可引起死亡[1]。脑卒中患者因神经功能损害、脑部病变造成其意识、肢体、语言、智力等功能障碍，感知功能下降，极易发生跌倒、烫伤、坠床、管脱等意外事故，严重影响患者的生活质量[2]。其中护理在脑卒中患者术后恢复起着重要的作用，而预见性护理是按照患者病情的变化，预见其可能发生的隐藏问题，做出正确的护理措施。信息-动机-行为技巧(information-motivation-behavioral skills，IMB)是通过其信息、动机、行为具备一定水平时转变人的行为[3]。本次研究通过IMB引导预见性护理对脑卒中患者康复效果的影响进行分析，现报告如下。, 百拇医药(张莉)