Application of stage nursing intervention based on the compliance curve in rehabilitation training of hemiplegia patients with cerebral infarction / 中国实用护理杂志

ABSTRACT

Objective:To study effect of rehabilitation training self-efficacy and training compliance of stage nursing intervention Based on the Compliance Curve for hemiplegia patients with Cerebral Infarction.Methods:Totally 116 stroke patients with hemiplegia from July 2017 to June 2018 were Divided into observation groups (January 2018 to June 2018) 60 cases, control group (July 2017 to December 2017) 56 cases. The control group given including health education, psychological intervention, basic nursing, rehabilitation training, complications prevention, follow-up management etc received routine nursing interventions. The observation group combined nursing intervention based on the compliance curve. After 6 months of follow-up, the rehabilitation self-efficacy, rehabilitation training compliance, and rehabilitation effects were compared between two groups.Results:The observation group physical exercise self-efficacy, coping self-efficacy, self-efficacy rehabilitation (SER) in rehabilitation self-efficacy scale was (35.36 ± 4.45), (51.24 ± 6.42), (86.60 ± 9.20) points, which was significantly higher than that control group (30.45 ± 4.56), (42.45 ± 6.34), (72.90 ± 8.45) points, and the difference was statistically significant ( t values were 5.658, 7.145, 8.028, P<0.05 or 0.01) ; The 6-24 week rehabilitation training compliance index curve was a flat line, Physical exercise, exercise effect monitoring, active seeking advice, and rehabilitation training total compliance index were (74.26 ± 8.20), (68.36±7.20), (61.45±7.21), (70.26±8.54) points, which was significantly higher than that of the control group (67.06±7.12), (6.12±7.34), (56.12±6.45), (63.23±7.36) points, and the difference was statistically significant ( t values were 4.845, 5.882, 4.030, 4.556, P<0.05) ; Fugl-Meyer Assessment Scale (FMA), Berg Balance Scale (BBS), Barethl index score were (22.32 ± 4.12), (32.72 ± 5.36), (72.45 ± 8.21) points, which were significantly higher than that in the control group (18.45±3.26), (26.45±4.42), (60.65±7.42) points, and the difference was statistically significant ( t values were 5.370, 6.586, 7.801, P<0.05). Conclusion:Staged nursing intervention based on the compliance curve help to promote the development of rehabilitation self-efficacy, and enhance rehabilitation training compliance behavior, then improve rehabilitation training effect.