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Mediating effects of fall efficacy and walking ability on balance function and activity ability in foot drop patients with stroke |
LI Jingjing WANG Ningning MIAO Tianyu PARIDA Maimaiti |
College of Nursing, Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830011, China |
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Abstract Objective To study the correlation between fall efficacy, walking ability, balance function, and activity ability in foot drop patients with stroke. Methods From December 2020 to October 2021, 159 foot drop inpatients with stroke in the Department of Rehabilitation Medicine, the First Affiliated Hospital of Xinjiang Medical University were selected by convenience sampling method, and the fall efficacy, walking ability, balance function, and activities of daily living were measured. Pearson correlation was used, and the SPSS was used for statistical analysis. Results Balance function was positively correlated with walking ability and activity ability (r = 0.819, 0.789, P < 0.01), and negatively correlated with fall efficacy (r = -0.712, P < 0.01). Walking ability was positively correlated with activity ability (r = 0.722, P < 0.01). The fall efficacy was negatively correlated with activity ability (r = -0.621, P < 0.01). The fall efficacy and walking ability of stroke patients with foot drop had a mediating effect between balance function and activity ability, and the mediating effect accounted for 37.58% of the total effect. Conclusion The fall efficacy and walking ability play a partial mediating effect between balance function and activities of daily living.
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[1] 龚英,石国凤.脑卒中后足下垂的中西医康复治疗研究进展[J].中国疗养医学,2021,30(8):808-811.
[2] 巢宝华,刘建民,王伊龙,等.中国脑卒中防治:成就、挑战和应对[J].中国循环杂志,2019,34(7):625-631.
[3] Vijay MR,Yair MG,Cheryl P,et al. Hemorrhagic atypical planum sphenoidale meningioma with intermittent vision loss-rare presentation of apoplexy [J]. World Neurosurg,2019, 121(4):71-76.
[4] Thibaut A,Moissenet F,Di Perri C,et al. Brain plasticity after implanted peroneal nerve electrical stimulation to improve gait in chronic stroke patients:Two case reports [J]. Neuro Rehabilitation,2017,40(2):251-258.
[5] 罗乐,王涛.条口透承山治疗脑卒中恢复期患者足下垂的机制探讨[J].山西医药杂志,2021,50(9):1540-1542.
[6] 邓月梅,刘春花,余爱玲,等.老年心脑血管疾病患者院内跌倒效能评价及影响因素调查[J].护理实践与研究,2020,17(13):16-18.
[7] 王晓春,王俊华,谢水平.视觉反馈平衡训练仪训练对脑卒中后平衡及步行能力影响的Meta分析[J].循证医学,2019,19(2):86-91,101.
[8] 颜文,张雪梅,陈茜.养老机构老年人跌倒效能及其影响因素研究[J].中国全科医学,2019,22(19):2356-2360.
[9] 姜梦石,包烨华,楚佳梅,等.头穴久留针结合分期电针对脑卒中患者步行能力的影响[J].成都中医药大学学报2019,42(1):62-66.
[10] 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.中国各类主要脑血管病诊断要点2019[J].中华神经科杂志,2019,52(9):710-715.
[11] 葛均波、徐永健.内科学(第八版)[M].北京:人民卫生出版社,2013.
[12] 倪延延,张晋昕.假设检验时样本含量估计中容许误差δ的合理选取[J].循证医学,2011,11(6):370-372.
[13] 方积乾.生物医学研究的统计方法[M].北京:高等教育出版社,2010:284.
[14] 董丽娜,张凤萍,李春秋,等.老年首发脑梗死病人跌倒恐惧效能影响因素分析[J].护理研究,2021,35(8):1390- 1393.
[15] 刘彩霞,江婉明,陈碧贤,等.四种跌倒风险评估量表在老年患者中的应用研究[J].中医临床研究,2021,13(3):137-139.
[16] 瓮长水,王军,王刚,等.Berg平衡量表在脑卒中患者中的内在信度和同时效度[J].中国康复医学杂志,2007, 22(8):688-690,717.
[17] 郭辉,王剑桥,苏国栋,等.神经肌肉本体感觉促进疗法对脑卒中患者平衡、运动和日常生活活动效果的Meta分析[J].中国康复理论与实践,2021,27(5):530-541.
[18] 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.
[19] 李浅峰,陶明佳,姬媛媛.早期康复训练结合音乐放松疗法对脑卒中偏瘫患者亚急性期下肢功能及步行能力的干预价值[J].医学理论与实践,2021,34(7):1240- 1241.
[20] 李晶晶,帕丽达·买买提,王宁宁,等.脑卒中足下垂患者日常生活活动能力现状及其影响因素分析[J].护理学报,2022,29(10):9-13.
[21] 罗开亮,金雪明,马书杰,等.易筋经训练对脑卒中患者平衡功能及足底压力的影响[J].康复学报,2022,32(2):117-123.
[22] 王艳雪,曹海杰,孙乐鹏,等.重复经颅磁刺激与肌电生物反馈电刺激疗法联合治疗脑卒中后足下垂的疗效观察[J].中国康复,2019,34(3):119-122.
[23] Karunakaran KK,Pilkar R,Ehrenberg N,et al. Kinematic and Functional Gait Changes After the Utilization of a Foot Drop Stimulator in Pediatrics [J]. Front Neurosci,2019,13:732.
[24] 强珂皎,张玲,王静.老年心血管疾病住院患者跌倒效能现状及相关因素分析[J].护理实践与研究,2019,16(2):15-18.
[25] 田亚君,周丽,王学红,等.集束化护理干预联合穴位推拿按揉预防外伤性脊髓损伤截瘫患者足下垂及足内翻畸形的效果研究[J].现代中西医结合杂志,2020,29(34):3851-3855.
[26] 崔兆一,许丽雅,郑芳,等.伴有其他疾病与活动能力对罹患脑卒中高龄老年人跌到风险的影响[J].华北理工大学学报(医学版),2020,22(5):348-352.
[27] 信馨,滕立英,王素巍,等.中医情志护理干预对卒中后抑郁患者心理健康的影响[J].西部中医药,2020,33(4):140-143.
[28] 马莉亚,雷群芳,陈芬兰.中医康复训练结合情志干预对脑卒中偏瘫患者跌倒的预防作用[J].新中医,2020, 52(7):169-172.
[29] 王海燕,赵志军,蒋苹,等.镜像疗法联合常规康复训练对脑卒中后偏瘫患者肢体运动功能及平衡的效果观察[J].解放军医药杂志,2017,29(11):34-37.
[30] 李艳青,孙建萍,吴红霞.卒中后运动障碍影响因素及护理干预措施的研究进展[J].中国医药科学,2021,11(5):53-57.
[31] 江帆,朱其凤,付水生.强化坐-站训练对脑卒中患者平衡、步行及日常生活活动能力的影响[J].广西医科大学报,2017,34(8):1209-1212.
[32] 邓翠玉,李丽雅,付丽,等.社区脑卒中患者社会参与水平及其影响因素[J].中国老年学杂志,2021,41(9):1953- 1956. |
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