【摘要】 目的探讨行为转变理论在脑梗死患者中的应用效果情况。方法选取2015年5月～2018年5月大连市中心医院收治200例脑梗死患者作为研究对象,依据是否实施行为转变理论分为对照组(100例)和行为转变理论组(100例)。观察两组脑梗死患者护理前后美国国立卫生研究院的脑卒中量表(NIHSS)评分、家庭功能评分、Barthel指数和Fugl-Meyer评分情况,观察两组脑梗死患者临床疗效情况。结果两组患者护理前NIHSS评分、家庭功能评分、Barthel指数和Fugl-Meyer评分比较,差异均无统计学意义(P>0.05);护理后两组患者NIHSS评分和家庭功能评分均低于护理前,Barthel指数和Fugl-Meyer评分均高于护理前,且行为转变理论组患者护理后NIHSS评分和家庭功能评分均低于对照组,行为转变理论组患者护理后Barthel指数和Fugl-Meyer评分均高于对照组,差异有统计学意义(P<0.05)。行为转变理论组脑梗死患者临床治疗总有效率高于对照组,差异有统计学意义(P<0.05)。结论行为转变理论在脑梗死患者中应用,可以改善NIHSS评分、家庭功能评分,提高Barthel指数和Fugl-Meyer评分,值得临床推广应用。更多还原

【Abstract】 Objective To approach result of cerebral infarction patients by behavior changing theories. Methods From May 2015 to May 2018, in Dalian Municipal Central Hospital, 200 patients with cerebral infarction were selected as study subject, they were divided into control group(100 cases) and behavior changing theories group(100 cases) by using behavior changing theories or not. The NIHSS score, FAD score, Barthel index, Fugl-Meyer score of cerebral infarction patients in two groups before nursing and after nursing were detected, the clinical efficacy of cerebral infarction patients in two groups were detected. Results Before nursing, the NIHSS score, FAD score, Barthel index, Fugl-Meyer score of cerebral infarction patients in two group were compared, the differences were not statistically significant(P >0.05); after nursing, the NIHSS scores, FAD scores in two groups after nursing were lower than before nursing, the Barthel index, Fugl-Meyer scores in two groups were higher than before nursing, and the NIHSS scores, FAD score in behavior changing theories group were lower than control group, the Barthel index, Fugl-Meyer scores were higher than control group, the differences were statistically significant(P < 0.05). The clinical treatment total efficiency in behavior changing theories group was higher than control group, the difference was statistically significant(P < 0.05). Conclusion The application of cerebral infarction patients by behavior changing theories can improve NIHSS score, FAD score,increase Barthel index, Fugl-Meyer score, and it is worth to be used.更多还原