Effect of spouse synchronous feedback on rehabilitation compliance and health literacy of ischemic stroke hemiplegia patients

doi:10.3969/j.issn.1672-6731.2020.07.016

Abstract

Abstract:

Objective To explore the effect of spouse synchronous feedback on compliance of rehabilitation exercise and health literacy of ischemic stroke hemiplegic patients. Methods From June 2018 to October 2019, 80 ischemic stroke hemiplegic patients admitted in the ward were recruited in this study. They were divided into 2 groups, i.e. 40 cases in experimental group and 40 cases in control group randomly. The control group received routine health education, while the experimental group received spouse synchronous feedback health education based on routine health education. The rehabilitation compliance score, health literacy score, neurological deficit score, muscle strength score, limb function score, ability of daily living score and quality of life score of 2 groups were recorded for comparison. Results After health education intervention, the compliance of rehabilitation exercise (P=0.006), the compliance of monitoring the effect of rehabilitation exercise (P=0.000) and the compliance of actively seeking advice (P=0.000) scores, health knowledge (P=0.011), health belief (P=0.000), health behavior (P=0.000) and health skills (P=0.000) scores, MMT (P=0.000), FMA (P=0.000) and ADL (P=0.000) scores, as well as physiological dimension (P=0.000), psychological dimension (P=0.000), environmental dimension (P=0.000) and social relationship dimension (P=0.000) were higher than before intervention, while NIHSS score was lower than before intervention (P=0.000). Except NIHSS score was decreased in the experimental group (P=0.000), the other parameters were higher than those in the control group (P=0.000, for all). Conclusions In the health education of ischemic stroke patients with hemiplegia, the method of spouse synchronous feedback can enhance the compliance of rehabilitation exercise and health literacy of the patients, help to reduce nerve function damage, improve muscle strength, limb function and daily living ability, and improve the quality of living.

Key words: Stroke, Brain ischemia, Hemiplegia, Rehabilitation, Health education

摘要：

目的探讨配偶同步回授法对缺血性卒中偏瘫患者康复锻炼依从性和健康素养的影响。方法 2018年6月至2019年10月诊治的缺血性卒中偏瘫患者随机接受常规健康教育（对照组，40例）和在常规健康教育基础上实施配偶同步回授法健康教育（试验组，40例），分别采用自行设计的康复锻炼依从性问卷、中国公民健康素养调查问卷、美国国立卫生研究院卒中量表（NIHSS）、徒手肌力测定（MMT）、Fugl-Meyer评价量表（FMA）、改良Barthel指数（mBI）和世界卫生组织生活质量评估简表（WHOQoL-BREF）对康复锻炼依从性、健康素养，以及神经功能、肌力、肢体功能、日常生活活动能力和生活质量进行评价。结果无论是常规健康教育还是在常规健康教育基础上实施配偶同步回授法健康教育，经健康教育干预后两组患者康复锻炼依从性（P=0.006）、康复锻炼效果监测依从性（P=0.000）和主动寻求建议依从性（P=0.000）评分，健康知识（P=0.011）、健康信念（P=0.000）、健康行为（P=0.000）和健康技能（P=0.000）评分，MMT（P=0.000）、FMA（P=0.000）和ADL（P=0.000）评分，以及生理维度（P=0.000）、心理维度（P=0.000）、环境维度（P=0.000）和社会关系维度（P=0.000）等项参数均高于干预前，而NIHSS评分低于干预前（P=0.000）；试验组除NIHSS评分降低（P=0.000），其余各项参数均高于对照组（P=0.000）。结论缺血性卒中偏瘫患者在常规健康教育基础上实施配偶同步回授法健康教育，可促进患者康复锻炼依从性和健康素养，减轻神经功能缺损程度，改善肌力、肢体功能和日常生活活动能力，提高生活质量。

关键词: 卒中, 脑缺血, 偏瘫, 康复, 健康教育

CAI Ying, GAO Min-ru, LIU Qiong. Effect of spouse synchronous feedback on rehabilitation compliance and health literacy of ischemic stroke hemiplegia patients[J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2020, 20(7): 648-654.

蔡, 高敏茹, 刘琼. 配偶同步回授法对缺血性卒中偏瘫患者康复锻炼依从性和健康素养的影响分析[J]. 中国现代神经疾病杂志, 2020, 20(7): 648-654.

/ / Recommend / Download Citations

URL: https://journal11.magtechjournal.com/cjcnn/EN/10.3969/j.issn.1672-6731.2020.07.016

https://journal11.magtechjournal.com/cjcnn/EN/Y2020/V20/I7/648

References

[1] Kim CY, Lee JS, Kim HD, Kim IS. Effects of the combination of respiratory muscle training and abdominal drawing-in maneuver on respiratory muscle activity in patients with post -stroke hemiplegia:a pilot randomized controlled trial[J]. Top Stroke Rehabil, 2015, 22:262-270.
[2] Wang LD, Liu JM, Yang Y, Peng B, Wang YL. Summary of China stroke prevention and treatment report 2017[J].Zhongguo Nao Xue Guan Bing Za Zhi, 2018, 15:611-617.[王陇德, 刘建民, 杨弋, 彭斌, 王伊龙.《中国脑卒中防治报告2017》概要[J]. 中国脑血管病杂志, 2018, 15:611-617.]
[3] Cerebrovascular Disease Group, Neurology Branch, Chinese Medical Association. Chinese guidelines for the diagnosis and treatment of acute ischemic stroke 2014[J]. Zhonghua Shen Jing Ke Za Zhi, 2015, 48:246-257.[中华医学会神经病学分会, 中华医学会神经病学分会脑血管病学组. 中国急性缺血性脑卒中诊治指南2014[J]. 中华神经科杂志, 2015, 48:246-257.]
[4] Yuan BH, Chen CF, Liu XF, Luo QL. The effect of synchronous feedback of spouse on the compliance and health literacy of rehabilitation exercise of hemiplegic patients with stroke[J].Hu Li Shi Jian Yu Yan Jiu, 2018, 15:150-152.[袁宝华, 陈彩凤, 刘秀峰, 罗巧玲. 配偶同步回授法对脑卒中偏瘫患者康复锻炼依从性与健康素养的影响[J]. 护理实践与研究, 2018, 15:150-152.]
[5] Liu XZ, Hu J, Ma BL. Correlation analysis between baseline NIHSS score, blood vessel evaluation and the early rehabilitation scales of cerebral infarction[J]. Zhongguo Shi Yong Shen Jing Ji Bing Za Zhi, 2016, 19:5-7.[刘秀贞, 胡洁, 马宝兰. 基线NIHSS评分血管评估与脑梗死早期康复量表的相关性分析[J]. 中国实用神经疾病杂志, 2016, 19:5-7.]
[6] Pu CH. Measuring with a hand-held dynamometer[C]//The Second Rehabilitation Medical Forum of Chinese Medical Association, the Fourth Youth Academic Conference of Chinese Rehabilitation Medical Association, and the Third Member Congress of Beijing Rehabilitation Medical Association, Beijing, 2005. Beijing:Chinese Medical Association, 2005.[朴春花. 徒手肌力测量仪测定偏瘫患者患侧股四头肌肌力的信度、效度研究[C]//中国医师协会第二届康复医学论坛暨中国康复医学会第四届青年学术会议, 北京康复医学会第三届会员代表大会论文集, 北京, 2005. 北京:中国医师协会, 2005.]
[7] Liu C. The effect of chain family nursing mode combined with family visit on limb function rehabilitation of stroke hemiplegia patients[J]. Guo Ji Hu Li Xue Za Zhi, 2019, 38:573-576.[刘婵. 链式亲情护理模式配合家庭访视对脑卒中偏瘫患者肢体功能康复的影响[J]. 国际护理学杂志, 2019, 38:573-576.]
[8] Jin Y, Chen J, Li YZ, Ren CC. Influence of remote rehabilitation nursing intervention on daily life ability of patients with hemiplegia after stroke and pressure index of their caregivers[J]. Hu Li Yan Jiu, 2016, 30:202-204.[金燕, 陈静, 李煜珍, 任传成. 远程康复护理干预对急性脑卒中偏瘫病人日常生活能力及照顾者压力指数的影响[J]. 护理研究, 2016, 30:202-204.]
[9] Du YT, Fang JQ. The introduce and usage of WHOQOL instrument in Chinese[J]. Xian Dai Kang Fu, 2000, 4:1127-1129.[都元涛, 方积乾. 世界卫生组织生存质量测定量表中文版介绍及其使用说明[J]. 现代康复, 2000, 4:1127-1129.]
[10] Ono T, Tomita Y, Inose M, Ota T, Kimura A, Liu M, Ushiba J.Multimodal sensory feedback associated with motor attempts alters BOLD responses to paralyzed hand movement in chronic stroke patients[J]. Brain Topogr, 2015, 28:340-351.
[11] Page SJ, Levine P, Hill V. Mental practice-triggered electrical stimulation in chronic, moderate, upper-extremity hemiparesis after stroke[J]. Am J Occup Ther, 2015, 69:1-8.
[12] Liu SW, Guan M, Gao Q. Application progress of task oriented training in hemiplegia rehabilitation after stroke[J]. Zhongguo Kang Fu Yi Xue Za Zhi, 2020, 35:374-378.[刘四维, 关敏, 高强.任务导向性训练在脑卒中后偏瘫康复中的应用进展[J]. 中国康复医学杂志, 2020, 35:374-378.]
[13] Srivastava S, Kao PC, Kim SH, Stegall P, Zanotto D, Higginson JS, Agrawal SK, Scholz JP. Assist-as-needed robot-aided gait training improves walking function in individuals following stroke[J]. IEEE Trans Neural Syst Rehanil Eng, 2015, 23:956-963.
[14] De Paul VG, Wishart LR, Richardson J, Thabane L, Ma JH, Lee TD. Varied overground walking training versus body-weight-supported treadmill training in adults within 1 year of stroke:a randomized controlled trial[J]. Neurorehabil Neural Repair, 2015, 29:329-340.
[15] Zhao J. Effect observation and nursing of acupoint massage in rehabilitation exercise of stroke hemiplegia patients[J]. Dang Dai Hu Shi (Shang Xun Kan), 2016, 23:113-115.[赵静. 穴位按摩在脑卒中偏瘫患者康复锻炼中的效果观察和护理[J]. 当代护士(上旬刊), 2016, 23:113-115.]
[16] Xie LJ, Wang JH, Tian SZ, Wang F, Zhao H, Zhang JB, Guo WP, Shi Y. Application of rehabilitation guidance based on exercise imagination in hemiplegia patients with stroke[J].Zhonghua Xian Dai Hu Li Za Zhi, 2016, 22:3766-3769.[谢立娟, 王建华, 田素斋, 王飞, 赵辉, 张军波, 郭文平, 史艳. 基于运动想象的康复指导在脑卒中偏瘫患者中的应用[J]. 中华现代护理杂志, 2016, 22:3766-3769.]
[17] Jin ZH, Liu Y. Effect of virtual reality rehabilitation training on limb function and balance function of elderly hemiplegic patients after stroke[J]. Zhongguo Lao Nian Xue Za Zhi, 2019, 39:5191-5194.[金振华, 刘勇. 虚拟现实康复训练对老年脑卒中后偏瘫患者肢体功能和平衡功能的影响[J]. 中国老年学杂志, 2019, 39:5191-5194.]
[18] Rong GN, Huang DM. Application progress of family rehabilitation nursing in stroke patients with hemiplegia[J].Zhonghua Xian Dai Hu Li Za Zhi, 2017, 23:140-144.[容根南, 黄冬枚. 家庭康复护理在脑卒中偏瘫患者中的应用进展[J].中华现代护理杂志, 2017, 23:140-144.]
[19] Wu H, Gu XD, Xu CY, Guo S, Ji JC, Shen CT, Fu JM. Effect of robot assisted walking training on pelvic motor ability and walking function of hemiplegic patients after stroke[J].Zhonghua Wu Li Yi Xue Yu Kang Fu Za Zhi, 2019, 41:174-177.[吴华, 顾旭东, 徐从英, 郭帅, 嵇建成, 申纯太, 傅建明.机器人辅助步行训练对脑卒中后偏瘫患者骨盆运动能力和步行功能的影响[J]. 中华物理医学与康复杂志, 2019, 41:174-177.]
[20] Guan M, Liu SW, Li BJ, Li C, Qu Y. Effect of motor relearning programme on motor function recovery of acute stroke patients with hemiplegia[J]. Zhongguo Xian Dai Shen Jing Ji Bing Za Zhi, 2017, 17:197-201.[关敏, 刘四维, 李宝金, 李程, 屈云. 运动再学习训练对脑卒中急性期偏瘫患者运动功能的康复作用[J]. 中国现代神经疾病杂志, 2017, 17:197-201.]

Please choose a citation manager

Content to export