基于信息-动机-行为技巧模型的延续性护理对脑卒中患者认知功能障碍的影响

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Abstract Objective To explore the impact of implementing continual nursing based on the information-motivation-behavioral skills (IMB) model on the cognitive dysfunction of patients with ischemic stroke. Methods From June 2018 to May 2019, 76 patients with cognitive dysfunction after ischemic stroke who were hospitalized in the Department of Neurology, the Fifth Affiliated Hospital of Xinjiang Medical University were divided into control group (38 cases) and IMB group (38 cases) by random number table method. Finally, 70 cases were followed up, including 36 cases in the IBM group and 34 cases in the control group. The control group was given conventional treatment and nursing care, while the IMB group was given a continuation nursing plan based on the IMB model on the basis of the control group. Before nursing intervention and three months after nursing intervention, the Montreal cognitive assessment scale (MoCA) and the Barthel index (BI) were used to evaluate the changes in the cognitive function of stroke patients. Results After three months of intervention, the MoCA and BI scores in the IMB group were higher than those before the intervention and higher than those in the control group, and the differences were statistically significant (P ＜ 0.05). Conclusion Continuous care based on the IMB skills model can improve the cognitive function of patients with cognitive dysfunction in stroke and improve the quality of life of patients.

Key words： Stroke Information-motivation-behavior skills model Continuous care Cognitive function

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	WANG Ping1 MA Yu2 YANG Yue1 ZHAO Ruiwen1 QI Yuxia1 Burebiguli·Aini1 CHANG Haixia3

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WANG Ping1 MA Yu2 YANG Yue1 ZHAO Ruiwen1 QI Yuxia1 Burebiguli·Aini1 CHANG Haixia3. Effect of continuous nursing based on information-motivation-behavioral skills model on cognitive impairment of stroke patients[J]. 中国医药导报, 2020, 17(23): 163-166.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I23/163

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