The impact of targeted training led by self-efficacy theory on motor function and daily living ability of stroke patients

ZHANG Ru; ZHANG Xiaohua; FU Guoping; YU Dihong; HE Rui

doi:10.16766/j.cnki.issn.1674-4152.003507

Volume 22 Issue 5

May 2024

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Article Navigation > Chinese Journal of General Practice > 2024 > 22(5): 805-808, 832

ZHANG Ru, ZHANG Xiaohua, FU Guoping, YU Dihong, HE Rui. The impact of targeted training led by self-efficacy theory on motor function and daily living ability of stroke patients[J]. Chinese Journal of General Practice, 2024, 22(5): 805-808, 832. doi: 10.16766/j.cnki.issn.1674-4152.003507

Citation:

ZHANG Ru, ZHANG Xiaohua, FU Guoping, YU Dihong, HE Rui. The impact of targeted training led by self-efficacy theory on motor function and daily living ability of stroke patients[J]. Chinese Journal of General Practice, 2024, 22(5): 805-808, 832. doi: 10.16766/j.cnki.issn.1674-4152.003507

Citation:

ZHANG Ru, ZHANG Xiaohua, FU Guoping, YU Dihong, HE Rui. The impact of targeted training led by self-efficacy theory on motor function and daily living ability of stroke patients[J]. Chinese Journal of General Practice, 2024, 22(5): 805-808, 832. doi: 10.16766/j.cnki.issn.1674-4152.003507

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The impact of targeted training led by self-efficacy theory on motor function and daily living ability of stroke patients

doi: 10.16766/j.cnki.issn.1674-4152.003507

ZHANG Ru^{1
,
,}
, ZHANG Xiaohua²
, FU Guoping³
, YU Dihong⁴
, HE Rui³

1.
Medical Community General Hospital Health Management Department, the Medical Community Headquarters of Shaoxing Second Hospital, Shaoxing, Zhejiang 312000, China

Funds:

2023ZHA-QL216

Received Date: 2024-02-28
Available Online: 2024-07-20

Abstract

Abstract

Objective Analyze the application of targeted training led by self-efficacy theory in the rehabilitation of stroke patients, and explore its impact on their motor function and daily living ability. Methods A total of 140 discharged stroke patients admitted from June 2021 to January 2023 were selected as the research subjects at the Medical Community Headquarters of Shaoxing Second Hospital. They were randomly divided into a control group and an observation group, with 70 patients in each group. The control group received routine continuing care, while the observation group received additional targeted training led by self-efficacy theory. Compare the motor function, daily living ability, and self-efficacy of patients in the two groups before and after intervention, and assessed the rehabilitation exercise compliance of both group. Results After intervention, the simplified Fugl-Meyer motor function assessment (FMA) and modified Barthel index (MBI) scores of the observation group patients were (66.33±5.24) points and (70.41±5.96) points, respectively, which were higher than those of the control group [(60.43±6.17) points and (63.89±4.83) points], with a significance level of P<0.05. The general self-efficacy scale (GSES) score of the observation group patients was (33.62±2.95) points, significantly higher than that of the control group [(25.79±4.66) points, P<0.05]. The compliance rate of rehabilitation exercise in the observation group was 92.86% (65/70), which was higher than that of the control group [80.00% (56/70)], with a significance level of P<0.05. Conclusion Targeted training led by self-efficacy theory can effectively improve the motor function and daily living ability of stroke patients, enhance their self-efficacy and rehabilitation exercise compliance, and promote patient prognosis.
- Stroke,
- Self-efficacy theory,
- Targeted training,
- Sports function,
- Daily living ability

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References(22)

References

[1]	毛亚娣, 孙剑虹, 刘蓝冰, 等. 生物波穴位刺激联合中医情志护理对脑卒中后抑郁患者恢复效果的影响[J]. 中华全科医学, 2023, 21(3): 530-533. doi: 10.16766/j.cnki.issn.1674-4152.002924 MAO Y D, SUN J H, LIU L B, et al. The impact of biological wave acupoint stimulation combined with traditional Chinese medicine emotional nursing on the recovery effect of post-stroke depression patients[J]. Chinese Journal of General Practice, 2023, 21(3): 530-533. doi: 10.16766/j.cnki.issn.1674-4152.002924
[2]	陈金花, 马雅英, 吴肖飞, 等. 基于互联网的脑卒中患者康复护理模式的实践[J]. 中国护理管理, 2022, 22(3): 327-333. doi: 10.3969/j.issn.1672-1756.2022.03.002 CHEN J H, MA Y Y, WU X F, et al. Practice of Internet based rehabilitation nursing model for stroke patients[J]. Chinese Nursing Management, 2022, 22(3): 327-333. doi: 10.3969/j.issn.1672-1756.2022.03.002
[3]	王焕, 宋晓萍, 盛芝仁, 等. 基于患者报告结局的结构化随访在首发脑卒中患者延续护理中的应用[J]. 护士进修杂志, 2023, 38(5): 401-405. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX202305004.htm WANG H, SONG X P, SHENG Z R, et al. The application of structured follow-up based on patient reported outcomes in continuing care for first-episode stroke patients[J]. Journal of Nurses Training, 2023, 38(5): 401-405. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX202305004.htm
[4]	SVTV G, ÖZAKAR L, YALIN A I, et al. Bobath vs. Task-oriented Training After stroke: an assessor-blind randomized controlled trial[J]. Brain Inj, 2023, 37(7): 581-587. doi: 10.1080/02699052.2023.2203519
[5]	蔡莉莉, 吴琼, 王育宁, 等. 基于自我效能理论的护理干预联合早期精细化护理改善青年脑梗死病人抑郁的效果[J]. 护理研究, 2023, 37(19): 3582-3586. doi: 10.12102/j.issn.1009-6493.2023.19.031 CAI L L, WU Q, WANG Y N, et al. The effect of nursing intervention based on self-efficacy theory combined with early refined nursing on improving depression in young patients with cerebral infarction[J]. Nursing Research, 2023, 37(19): 3582-3586. doi: 10.12102/j.issn.1009-6493.2023.19.031
[6]	解晓霞, 姚震, 何旭, 等. INR联合APACHE Ⅳ评分对出血性脑卒中病人预后的预测价值[J]. 护理研究, 2023, 37(17): 3094-3098. doi: 10.12102/j.issn.1009-6493.2023.17.008 XIE X X, YAO Z, HE X, et al. The predictive value of INR combined with APACHE IV score for the prognosis of hemorrhagic stroke patients[J]. Nursing Research, 2023, 37(17): 3094-3098. doi: 10.12102/j.issn.1009-6493.2023.17.008
[7]	高蓓蓓, 董斌, 张霞, 等. 靶向游戏训练对缺血性脑卒中患者上肢功能的影响[J]. 护理学杂志, 2023, 38(6): 112-116. doi: 10.3870/j.issn.1001-4152.2023.06.112 GAO B B, DONG B, ZHANG X, et al. The effect of targeted game training on upper limb function in patients with ischemic stroke[J]. Journal of Nursing, 2023, 38(6): 112-116. doi: 10.3870/j.issn.1001-4152.2023.06.112
[8]	杨雪梅, 张孝林, 陈瑶, 等. 序贯性轮椅使用结合康复训练对老年脑卒中偏瘫患者下肢功能和平衡能力的影响[J]. 中国临床保健杂志, 2023, 26(2): 215-220. https://www.cnki.com.cn/Article/CJFDTOTAL-LZBJ202302017.htm YANG X M, ZHANG X L, CHEN Y, et al. The effect of sequential wheelchair use combined with rehabilitation training on lower limb function and balance ability in elderly stroke hemiplegic patients[J]. Chinese Journal of Clinical Health, 2023, 26(2): 215-220. https://www.cnki.com.cn/Article/CJFDTOTAL-LZBJ202302017.htm
[9]	王赛华, 施加加, 孙莹, 等. 简体版改良Barthel指数在脑卒中恢复期中的信度与效度研究[J]. 中国康复, 2020, 35(4): 179-182. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLKF202004004.htm WANG S H, SHI J J, SUN Y, et al. A study on the reliability and validity of the simplified version of the Barthel index in the recovery period of stroke[J]. Chinese Rehabilitation, 2020, 35(4): 179-182. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLKF202004004.htm
[10]	马旻, 艾自胜, 石志道. 一般自我效能感量表在中老年2型糖尿病患者中的信度效度检验[J]. 同济大学学报(医学版), 2022, 43(4): 515-520. https://www.cnki.com.cn/Article/CJFDTOTAL-TJIY202204010.htm MAM, AI Z S, SHI Z D. Reliability and validity test of general self-efficacy scale in middle-aged and elderly patients with type 2 diabetes[J]. Journal of Tongji University (Medical Edition), 2022, 43(4): 515-520. https://www.cnki.com.cn/Article/CJFDTOTAL-TJIY202204010.htm
[11]	王海鹏, 姚晓东, 刘鹏, 等. 基于优化运动技巧的卒中偏瘫患者居家康复训练的短期及长期效果[J]. 中国实用神经疾病杂志, 2023, 26(6): 661-667. https://www.cnki.com.cn/Article/CJFDTOTAL-HNSJ202306001.htm WANG H P, YAO X D, LIU P, et al. Short- and long-term effects of home rehabilitation training for stroke hemiplegic patients based on optimized motor skills[J]. Chinese Journal of Practical Neurology, 2023, 26(6): 661-667. https://www.cnki.com.cn/Article/CJFDTOTAL-HNSJ202306001.htm
[12]	ZHUANG J Y, DING L, SHU B B, et al. Associated mirror therapy enhances motor recovery of the upper extremity and daily function after stroke: a randomized control study[J]. Neural Plast, 2021. DOI: 10.1155/2021/7266263.
[13]	周丽娜, 万映雪, 吴芳. 知信行模式健康教育联合多学科合作连续康复护理在脑卒中偏瘫患者中的应用[J]. 海南医学, 2022, 33(6): 805-809. doi: 10.3969/j.issn.1003-6350.2022.06.035 ZHOU L N, WAN Y X, WU F. Application of health education based on knowledge-attitude-practice model combined with continuous rehabilitation nursing based on multidisciplinary cooperation in stroke patients with hemiplegia[J]. Hainan Medical Journal, 2022, 33(6): 805-809. doi: 10.3969/j.issn.1003-6350.2022.06.035
[14]	李亚平, 杨利群, 陈娟英, 等. 基于互联网多模式干预在脑卒中患者延续性护理的疗效[J]. 浙江临床医学, 2022, 24(10): 1543-1545. doi: 10.3969/j.issn.1008-7664.2022.10.040 LI Y P, YANG L Q, CHEN J Y, et al. Effectiveness of internet-based multimodal intervention in the continuity of care for stroke patients. [J]. Zhejiang Clinical Medical Journal, 2022, 24(10): 1543-1545. doi: 10.3969/j.issn.1008-7664.2022.10.040
[15]	曹俊景, 李玲杰, 王小丽, 等. 微信健康管理平台对脑卒中患者自我管理能力及生活质量的影响[J]. 医药论坛杂志, 2021, 42(18): 1-4. https://www.cnki.com.cn/Article/CJFDTOTAL-HYYX202118001.htm CAO J J, LI L J, WANG X L, et al. Impact of WeChat health management platform on self-management ability and quality of life in stroke patients[J]. Journal of Medical Forum, 2021, 42(18): 1-4. https://www.cnki.com.cn/Article/CJFDTOTAL-HYYX202118001.htm
[16]	JEONG S, CHUNG Y. Task-oriented training with abdominal drawing-in maneuver in sitting position for trunk control, balance, and activities of daily living in patients with stroke: a pilot randomized controlled trial[J]. Healthcare(Basel), 2023, 11(23): 3092.
[17]	吴鸿玲, 张毅, 王奥, 等. 基于远程康复平台的任务导向性训练对脑卒中后出院患者运动功能和日常生活活动能力的影响[J]. 中华物理医学与康复杂志, 2022, 44(1): 40-43. WU H L, ZHANG Y, WANG A, et al. The impact of task oriented training based on remote rehabilitation platforms on motor function and daily living activities of discharged stroke patients[J]. Chinese Journal of Physical Medicine and Rehabilitation, 2022, 44(1): 40-43.
[18]	ELMANOWSKI J, KLEYNEN M, GEERS R P J, et al. Task-oriented arm training for stroke patients based on remote handling technology concepts: a feasibility study[J]. Technol Health Care, 2023;31(5): 1593-1605. doi: 10.3233/THC-220465
[19]	万羽洁, 钟美容, 黎景徽, 等. 基于自我效能理论的双侧上肢功能训练在老年脑卒中偏瘫病人中的应用[J]. 护理研究, 2023, 37(8): 1496-1499. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202308035.htm WAN Y J, ZHONG M R, LI J H, et al. Application of bilateral upper limb functional training based on self-efficacy theory in elderly stroke patients with hemiplegia[J]. Nursing Research, 2023, 37(8): 1496-1499. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202308035.htm
[20]	金振华, 陈玲, 刘勇. 基于自我效能理论的数字化步行功能训练对脑卒中患者下肢功能的效果[J]. 中国康复理论与实践, 2023, 29(5): 504-509. https://www.cnki.com.cn/Article/CJFDTOTAL-ZKLS202305002.htm JIN Z H, CHEN L, LIU Y. The effect of digital walking function training based on self-efficacy theory on lower limb function in stroke patients[J]. Chinese Rehabilitation Theory and Practice, 2023, 29(5): 504-509. https://www.cnki.com.cn/Article/CJFDTOTAL-ZKLS202305002.htm
[21]	范彩英, 洪翠芹, 宋斌, 等. 介护师参与下多学科延续护理对脑卒中肢体功能障碍患者康复的影响[J]. 护理学杂志, 2023, 38(6): 116-120. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202306028.htm FAN C Y, HONG C Q, SONG B, et al. The impact of multidisciplinary continuing care with the involvement of caregivers on the rehabilitation of stroke patients with limb dysfunction[J]. Journal of Nursing, 2023, 38(6): 116-120. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202306028.htm
[22]	李晓静, 孙丽霞, 杨兴菊, 等. 个案管理在脑卒中介入患者健康管理中的应用研究[J]. 中华护理教育, 2023, 20(7): 840-845. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHU202307013.htm LI X J, SUN L X, YANG X J, et al. Application of case management in the health management of stroke patients[J]. Chinese Journal of Nursing Education, 2023, 20(7): 840-845. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHU202307013.htm

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