基于个性优势的结构化治疗与教育对缺血性脑卒中康复效果的随机对照试验

doi:10.3969/j.issn.1006-9771.2024.08.012

Abstract

Abstract:

Objective To evaluate the effect of structured therapy and education based on personal strength on ischemic stroke.

Methods From March, 2021 to September, 2023, a total of 114 patients with ischemic stroke from the First People's Hospital of Kunshan were randomly divided into control group (n = 57) and experimental group (n = 57). The control group received routine medicine, rehabilitation training and standard health education, while the experimental group received routine medicine, rehabilitation training and structured therapy and education based on personal strength, for six weeks. They were compared with the scores of modified Rankin Scale (mRS), motor-evoked potential (MEP) latency and amplitude, modified Barthel Index and Self-Recovery Efficacy Scale score and recurrence within three months after the start of the study. The scores of Morisky Medication Adherence Scale (MMAS) and Five Facet Mindfulness Questionaire (FFMQ) were also compared.

Results After treatment, the score of mRS (t = 5.002), MEP latency period (t = 9.739) and amplitude (t = 4.394), modified Barthel Index (t = 11.261), the score of Self-Recovery Efficacy Scale (Z = -2.638), and the scores of MMAS (t= 19.521) and FFMQ (t= 15.381) were better in the experimental group than in the control group (P< 0.05).

Conclusions Structured therapy and education based on personal strength could faciliate to improve the recovery and self-management of ischemic stroke patients.

Key words: ischemic stroke, structured therapy and education, rehabilitation, self-management, randomized controlled trial

CLC Number:

R804.23

YU Tingting, CAI Fuliang, MIAO Guihua, GU Chen, PENG Yuan. Effect of structured therapy and education based on personal strength on ischemic stroke: a randomized controlled trial[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(8): 965-971.

Figures/Tables 8

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References 32

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组别	n	性别(男/女)/n	年龄/岁	身高/cm	体质量/kg	偏瘫侧(左/右)/n
对照组	57	41/16	58.3±8.21	168.1±7.73	71.93±8.55	25/32
试验组	57	39/18	57.9±7.97	167.3±6.30	69.46±7.52	22/35
χ²/t值		0.168	0.255	0.605	1.641	0.326
P值		0.682	0.799	0.547	0.104	0.568

组别	n	测试	$\bar{x}\pm s$	t值	P值
对照组	57	前测	3.66±0.57	2.272	0.021
		后测	3.46±0.33
试验组	57	前测	3.69±0.52	6.653	< 0.001
		后测	3.09±0.46
治疗前两组均值差			0.04±0.10	0.360	0.721
治疗后两组均值差			-0.37±0.07	5.002	< 0.001

指标	组别	n	测试	$\bar{x}\pm s$	t值	P值
潜伏期/ms	对照组	57	前测	24.97±0.78	2.616	0.010
			后测	24.49±1.22
	试验组	57	前测	25.02±0.83	9.121	< 0.001
			后测	23.32±1.14
	治疗前两组均值差			0.05±0.15	0.338	0.736
	治疗后两组均值差			1.67±0.17	9.739	< 0.001
振幅/mV	对照组	57	前测	0.57±0.10	2.772	0.007
			后测	0.64±0.13
	试验组	57	前测	0.58±0.12	7.089	< 0.001
			后测	0.75±0.14
	治疗前两组均值差			0.00±0.02	0.170	0.866
	治疗后两组均值差			0.11±0.03	4.394	< 0.001

组别	n	测试	$\bar{x}\pm s$	t值	P值
对照组	57	前测	36.11±4.16	10.162	< 0.001
		后测	43.09±3.36
试验组	57	前测	35.56±4.42	23.351	< 0.001
		后测	50.58±4.04
治疗前两组均值差			-0.51±0.65	0.783	0.435
治疗后两组均值差			7.23±0.64	11.261	< 0.001

组别	n	测试	M(Q_L, Q_U)	Z值	P值
对照组	57	前测	117(83,128)	-1.831	0.067
		后测	119(99,132)
试验组	57	前测	125(100,131)	-3.146	0.002
		后测	130(122,132)
治疗前两组均值差				-0.916	0.361
治疗后两组均值差				-2.638	0.008

Effect of structured therapy and education based on personal strength on ischemic stroke: a randomized controlled trial

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组别	n	测试	$\bar{x}\pm s$	t值	P值
对照组	57	前测	1.65±0.39	4.051	< 0.001
		后测	1.92±0.32
试验组	57	前测	1.61±0.40	21.631	< 0.001
		后测	3.13±0.34
治疗前两组均值差			-0.03±0.07	0.668	0.432
治疗后两组均值差			1.21±0.06	19.521	< 0.001

组别	n	测试	$\bar{x}\pm s$	t值	P值
对照组	57	前测	66.65±5.89	4.305	< 0.001
		后测	71.20±5.40
试验组	57	前测	67.32±6.46	17.181	< 0.001
		后测	90.26±7.64
治疗前两组均值差			0.67±1.16	0.576	0.566
治疗后两组均值差			19.06±1.24	15.381	< 0.001

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组别	n	复发	未复发	χ²值	P值
对照组	57	6	51	3.235	0.271
试验组	57	2	55