文章摘要

慢性病自我管理方案在脑梗死患者中的应用

作者: 1罗权平, 1王玉芳
1 上海市闵行区吴泾社区卫生服务中心,上海 200241
通讯: 罗权平 Email: luckylqp118@163.com
DOI: 10.3978/j.issn.2095-6959.2021.02.011

摘要

目的:探讨对脑梗死恢复期患者实施慢性病自我管理方案(chronic disease self-management program,CDSMP)干预的效果。方法:选取2018年8月至2019年8月在闵行区吴泾社区卫生服务中心就诊的150例脑梗死患者,按入组先后顺序分为两组。对照组按照常规管理模式进行管理,观察组按照慢性病自我管理方案进行干预。分别在干预前和干预后6个月,采用社区脑卒中患者功能锻炼依从性量表、简式Fugl-Meyer运动功能评分法(Fugl-Meyer Assessment,FMA)、改良Barthel指数(Modified Barthel Index,MBI)、脑卒中恢复期患者自我管理行为评定量表、脑卒中生活质量量表(stroke-specific quality of life scale,SS-QOL)、自我效能量表(General Self-Efficacy Scale,GSES)评定两组康复锻炼依从性、运动功能、日常生活活动能力、自我管理行为、生活质量及自我效能。结果:干预前,两组社区脑卒中患者功能锻炼依从性量表各维度评分及总分、上下肢FMA评分、MBI评分、SS-QOL各维度评分及总分、脑卒中恢复期患者自我管理行为评定量表各维度评分及总分和GSES量表评分比较差异无统计学意义(P>0.05);干预6个月后,观察组社区脑卒中患者功能锻炼依从性量表各维度评分及总分、上下肢FMA评分、MBI评分、SS-QOL各维度评分及总分、脑卒中恢复期患者自我管理行为评定量表各维度评分及总分和GSES量表评分均显著高于对照组,差异有统计学意义(P<0.05)。结论:对脑梗死恢复期患者实施CDSMP干预可提高其康复锻炼的依从性、自我管理行为及自我效能,促进肢体功能恢复,提高生活质量。
关键词: 慢性病自我管理方案;脑梗死;康复锻炼依从性;自我管理行为

Application of chronic disease self-management program in patients with cerebral infarction

Authors: 1LUO Quanping, 1WANG Yufang
1 Wujing Community Health Service Center, Minhang District, Shanghai 200241, China

CorrespondingAuthor: LUO Quanping Email: luckylqp118@163.com

DOI: 10.3978/j.issn.2095-6959.2021.02.011

Abstract

Objective: To explore the effect of chronic disease self-management program (CDSMP) on convalescent patients with cerebral infarction. Methods: A total of 150 cases of patients with cerebral infarction in Wujing community health service center, Minhang District from August 2018 to August 2019 were collected and divided into two groups according to the order of enrollment. The control group was managed according to the routine management mode, while the observation group was intervened according to chronic disease self-management program. They were evaluated with Questionnaire of Exercise Adherence, Fugl-Meyer Assessment (FMA), Modified Barthel Index (MBI), Self management behavior scale of stroke patients, Stroke-Specific Quality of Life Scale (SS-QOL) and General Self-Efficacy Scale (GSES) before and 6 months after intervention. Results: Before the intervention, there was no significant difference in the scores of each dimension and total score of questionnaire of exercise adherence, Self- management behavior scale of stroke patients, stroke-specific quality of life scale(SS-QOL), upper and lower limbs FMA scores, MBI scores and GSES (P>0.05). The scores of each dimension and total score of Questionnaire of Exercise Adherence, Self-Management Behavior Scale of stroke patients, SS-QOL, upper and lower limbs FMA scores, MBI scores of the observation group and GSES were higher than that of the control group 6 months after the intervention, and the difference was statistically significant (P<0.05). Conclusion: CDSMP intervention in convalescent cerebral infarction patients can improve their compliance of rehabilitation exercise and self- management behavior and self-efficacy, promote the recovery of limb function and improve the quality of life.
Keywords: chronic disease self-management program; cerebral infarction; compliance of rehabilitation exercise; self- management behavior

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