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| Application detection of cerebral infarction patients by behavior changing theories |
| XU Hong WANG Yingli XIN Yuying |
| Dalian Municipal Central Hospital, Liaoning Province, Dalian 116003, China |
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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.
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[1] 沈玉英，蓝惠兰，陈丽芳.自我管理行为干预对老年脑梗死病人生活质量的影响[J].护理研究，2016，30（1）：115-117.
[2] Maeshima S，Okamoto S，Okazaki H，et al. Hemorrhagic transformation in patients with cerebral infarction referred to a rehabilitation hospital [J]. Interv Neurol，2016，4（3/4）：69-74.
[3] 王娜.行为护理对脑梗死运动功能障碍患者康复效果的影响探究[J].实用临床护理学杂志，2018，3（12）：50，55.
[4] 尚明.个性化护理模式在脑梗死患者中的应用效果体会[J].中西医结合心血管病杂志，2016，4（14）：98-99.
[5] 梁淑云，许雪华，王飞红.行为护理对脑梗死后偏瘫患者运动功能及生活质量的影响[J].中国临床护理，2018，10（3）：216-217，221.
[6] Wyer PC，Umscheid CA，Wright S，et al. Teaching Evidence Assimilation for Collaborative Health Care（TEACH）2009-2014：Building Evidence-Based Capacity within Health Care Provider Organizations [J]. EGEMS（Wash DC），2015，3（2）：1165.
[7] 陈晓，方巧红，张洪.行为策略对脑梗死患者肢体功能恢复、神经功能康复及并发症的影响[J].中国医药导报，2017，14（29）：151-154.
[8] 孙永延，陈越琼.护理随访对脑梗死恢复期患者遵医行为及身心健康的影响[J].河北医药，2017，39（17）：2706-2708.
[9] 全国第四届脑血管病学术会议.脑卒中患者临床神经功能缺损评分标准[J].中华神经科杂志，1996，29（6）：381-384.
[10] 陈清棠.脑卒中患者临床神经功能缺损程度评分标准（1995）[J].中华神经科杂志，1996，29（6）：381-383.
[11] 李荣风，徐夫真，纪林芹，等.家庭功能评定量表的初步修订[J].中国健康心理学杂志，2013，21（7）：996-1000.
[12] 王新德.实用临床神经病学[M].北京：科学技术文献出版社，2007：619-620，630.
[13] Page SJ，Levine P，Hade E. Psychometric properties and administration of the wrist / hand subscales of the Fugl-Meyer assessment in minimally impaired upper extremity hemiparesis in stroke [J]. Arch Phys Med Rehabil，2012， 93（12)：2373-2376．
[14] Pallesen LP，Ragaller M，Kepplinger J，et al. Diagnostic impact of transesophageal echocardiography in patients with acute cerebral ischemia [J]. Echocardiography，2016， 33（4）：555-561.
[15] 吴红梅，刘芸，刘琳玲，等.认知行为治疗在脑梗死后失眠患者应用的临床观察[J].中国老年保健医学杂志，2017， 15（3）：21-23.
[16] 徐桂红，欧翠玲，敖友爱，等.老年高血压伴脑梗死患者的健康行为及其影响因素[J].中国老年学杂志，2017， 37（10）：2542-2545.
[17] Lo W L，Mao Y R，Li L，et al. Prospective clinical study of rehabilitation interventions with multisensory interactive training in patients with cerebral infarction：study protocol for a randomised controlled trial [J]. Trials，2017， 18（1）：173.
[18] 王者凤，张玉爱.脑卒中患者自我管理行为在神经功能缺损与健康状况间的中介作用[J].中华行为医学与脑科学杂志，2017，26（7）：624-627.
[19] 张凤珠，翁艺真. 老年脑梗死患者健康行为与家庭功能水平的关系[J].临床护理学杂志，2016，15（2）：11-13.
[20] 茹小娟，江滨，张辉，等.北京城市卒中社区康复及危险因素自我管理效果分析[J].中国卒中杂志，2017，12（7）：598-603.
[21] 李阳.行为改变策略联合系统健康教育在脑梗死恢复期患者中的应用效果观察[J].哈尔滨医药，2018，38（2）：125-126.
[22] 丁砚兰，冯慧萍. 综合护理模式对老年脑梗死患者认知行为及预后效果的影响[J].武警医学，2016，27（10）：1066-1069.
[23] Hudson CC，Adams S，Lauderdale J，et al． Cultural Expressions of Intergenerational Trauma and Mental Health Nursing Implications for U．S．Health Care Delivery Following Ｒefugee Ｒesettlement：An IntegrativeＲeview of the Literature [J]. J Transcult Nurs，2015，27（3）：1097-1108．
[24] 徐志钦，高平.分阶段变化护理干预模式对脑梗死偏瘫病人的影响[J].中国实用神经病杂志，2016，19（1）：129-130.
[25] 屈莉.护理对静脉溶栓治疗青年急性脑梗死患者认知程度、行为饮食习惯及二级预防依从性的影响[J].血栓与止血学，2017，23（5）：892-894.
[26] 王晓红，曾正亮，林晓姝.护理干预对恶性肿瘤并发急性双侧前后循环脑梗死患者的影响[J].中国肿瘤临床与康复，2016，23（12）：1512-1514.
[27] 林丽芳.知信行模式健康教育对急性脑梗死生存质量的影响[J].中外医学研究，2018，16（31）：93-95.
[28] 张婉，安立红，郭霞，等.健康行为和因素对脑梗死患者执行功能的影响[J].中国老年学杂志，2016，36（4）：839-841. |
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