作者：姬艳尊，吴丹，林月英，王心颖

单位：

1.河北省衡水市第二人民医院神经内科二病区2.河北省衡水市人民医院神经内二科

Units：

1.Ward 2, Department of Neurology, the Second People's Hospital of Hengshui, Hengshui 053000, China 2.Department of Neurology, Hengshui People's Hospital, Hengshui 053000, China

关键词：

缺血性卒中; 颅内动脉狭窄; 青年人; 行为转变理论; 康复;

Keywords：

Ischemic stroke; Intracranial artery stenosis; Young adult; Behavioral change theory; Rehabilitation

CLC：

DOI：

10.12114/j.issn.1008-5971.2023.00.147

Funds：

2022年度河北省医学科学研究课题（20220453）

摘要：

目的 分析基于行为转变理论的干预模式对伴有颅内动脉狭窄(IAS)的青年急性期缺血性卒中(AIS)患者康复效果的影响。方法 选取2021年1月至2023年1月衡水市第二人民医院神经内科二病区收治的60例伴有IAS的青年AIS患者作为研究对象，采用随机数字表法将其分为对照组和观察组，每组30例。对照组患者给予常规干预，观察组患者在对照组基础上给予基于行为转变理论的干预模式。比较两组治疗前、治疗2周后美国国立卫生研究院卒中量表(NIHSS)评分、Barthel指数评分、汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分、脑卒中专用生活质量量表(SS-QOL)评分及干预2周后预后良好率。结果 与干预前相比，干预2周后两组NIHSS评分、HAMA评分、HAMD评分降低，Barthel指数评分、SS-QOL评分升高(P<0.05)；与对照组相比，干预2周后观察组NIHSS评分、HAMA评分、HAMD评分降低，Barthel指数评分、SS-QOL评分升高(P<0.05)。干预2周后，观察组预后良好率为93.3%(28/30)，高于对照组的70.0%(21/30)(χ2=4.007,P=0.045)。结论 基于行为转变理论的干预模式可有效改善伴有IAS的青年AIS患者的神经功能及预后，减轻患者焦虑、抑郁情绪，提高患者日常生活自理能力、生活质量。

Abstract：

Objective To analyze the impact of behavioral change theory based intervention mode on rehabilitation effect in young acute ischemic stroke (AIS) patients with intracranial artery stenosis (IAS) . Methods A total of 60 young AIS patients with IAS admitted to the Ward 2, Department of Neurology, the Second People's Hospital of Hengshui from January 2021 to January 2023 were selected as the research objects. They were divided into control group and observation group by random number table method, with 30 cases in each group. The patients in the control group were given routine intervention, and the patients in the observation group were given behavioral change theory based intervention mode on the basis of the control group. The scores of National Institutes of Health Stroke Scale (NIHSS) , Barthel index, Hamilton Anxiety Scale (HAMA) , Hamilton Depression Scale (HAMD) , Stroke Specic Quality of Life Scale (SS-QOL) before and after 2 weeks of intervention and the incidence of good prognosis after 2 weeks of intervention were compared between the two groups. Results After 2 weeks of intervention, the NIHSS, HAMA and HAMD scores of the two groups were lower than those before the intervention, and the Barthel index and SS-QOL scores were higher than those before the intervention, respectively (P < 0.05) . After 2 weeks of intervention, the NIHSS, HAMA and HAMD scores of the observation group were lower than those of the control group, and the Barthel index and SS-QOL scores were higher than those of the control group (P < 0.05) . After 2 weeks of intervention, the incidence of good prognosis of the observation group was 93.3% (28/30) , which was higher than 70.0% (21/30) of the control group (χ2 =4.007, P=0.045) . Conclusion The behavioral change theory based intervention mode can effectively improve the neurological function and prognosis of young AIS patients with IAS, reduce their anxiety and depression, and improve their daily living ability and quality of life.

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