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| 行为分阶段改变理论模型在早期脑卒中康复训练中的应用 |
| The Application of the theoretical model and stages of change in Stroke Patients with Hemiplegia |
| 投稿时间：2025-05-15 修订日期：2025-05-15 |
| DOI： |
| 中文关键词: 行为分阶段改变理论 脑卒中 偏瘫 早期卒中运动康复 |
| 英文关键词: the transtheoretical model and stages of change stroke hemiplegia early exercise rehabilitation |
| 基金项目: |
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| 中文摘要: |
| 研究基于行为分阶段改变理论模型在早期脑卒中康复训练中的应用。方法：选择自2023年3月至 2024年12月收治本院的脑卒中偏瘫患者96例。按照随机列表法将入选患者分为对照组（n=48）与观察组（n=48），对两组进行为期3个月的干预。对照组实施常规康复运动，观察组给予以行为分阶段改变理论模型（TTM）为基础的早期卒中康复指导。比较两组患者的早期运动康复落实率、肢体运动功能（FMA评分）、卒中后生活质量（SS-QOL评分）、心理弹性（CD-RISC评分）。结果：观察组的早期运动康复落实率明显高于对于对照组（48 vs 41, P=0.019）；干预后观察组的上肢FMA评分（52.15±5.82 vs 48.50±5.74, P=0.003）、下肢FMA评分（25.85±3.52 vs 23.48±3.49, P=0.001）、SS-QOL评分（78.33±10.93 vs 73.27±6.24, P=0.006）、CD-RISC评分（79.29±9.16 vs 65.78±8.82, P<0.001）均较对照组明显增加。结论：基于TTM的早期卒中运动康复可提高脑卒中偏瘫患者早期运动康复落实率，调节患者的心理弹性，提升了患者康复依从性与主动性，促进患者形成长期康复行为习惯，提高了卒中运动康复效果和生活质量，临床实践效果显著。 |
| 英文摘要: |
| To study the application of the Transtheoretical Model of Behavioral Change in patients with early stroke rehabilitation training. Method: A total of 96 stroke patients with hemiplegia admitted to our hospital from March 2023 to December 2024. Patients were divided into a control group (n=48) and an observation group (n=48) using a randomized list method. Both groups underwent a 3-month intervention.The control group received routine rehabilitation exercises, while the observation group was given early stroke rehabilitation guidance based on the Theory of Behavior Transition Model (TTM). The early motorrehabilitation implementation rate, limb motor function (FMA score), post-stroke quality of life (SS-QOL score), and psychological resilience (CD-RISC score) were compared between the two groups. Results: The early motor rehabilitation implementation rate in the observation group was significantly higher than that in the control group (48 vs 41, P=0.019). After intervention, the upper limb FMA score (52.15±5.82 vs 48.50±5.74, P=0.003), lower limb FMA score (25.85±3.52 vs 23.48±3.49, P=0.001), SS-QOL score (78.33±10.93 vs 73.27±6.24, P=0.006), and CD-RISC score (79.29±9.16 vs 65.78±8.82, P<0.001) in the observation group were significantly higher than those in the control group. Conclusion: Early stroke motor rehabilitation based on the Transtheoretical Model of Behavioral Change can improve the implementation rate of early motor rehabilitation in stroke patients with hemiplegia, regulate the psychological resilience of patients, enhance their compliance and initiative in rehabilitation, promote the formation of long-term rehabilitation behavior habits, improve the effectiveness of stroke exercise rehabilitation and quality of life. The clinical practice effect is significant. |
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