CAJ | 학술논문

目的：探讨阶段性改变模式行为干预预防复发脑卒中患者跌倒的效果。方法将172例复发脑卒中患者，根据随机数字表分为干预组87例和对照组85例。干预组住院期间及出院后给予阶段性改变模式的行为干预措施，包括无意图期、意图期、准备期、行动期和维持期干预，评估患者所属阶段实施相应干预措施；对照组接受常规健康教育及出院后指导。两组患者分别于出院后1周、3个月、6个月进行电话随访，比较两组间跌倒发生率。结果出院6个月干预组失访5例，发生跌倒5例；对照组失访9例，发生跌倒16例，两组失访患者一般资料差异无统计学意义，跌倒发生率比较，差异有统计学意义（χ2=6.412， P=0.011）。结论运用阶段性改变模式进行行为干预，可以降低复发脑卒中患者跌倒的发生率，帮助脑卒中患者建立健康的行为模式。
목적：탐토계단성개변모식행위간예예방복발뇌졸중환자질도적효과。방법장172례복발뇌졸중환자，근거수궤수자표분위간예조87례화대조조85례。간예조주원기간급출원후급여계단성개변모식적행위간예조시，포괄무의도기、의도기、준비기、행동기화유지기간예，평고환자소속계단실시상응간예조시；대조조접수상규건강교육급출원후지도。량조환자분별우출원후1주、3개월、6개월진행전화수방，비교량조간질도발생솔。결과출원6개월간예조실방5례，발생질도5례；대조조실방9례，발생질도16례，량조실방환자일반자료차이무통계학의의，질도발생솔비교，차이유통계학의의（χ2=6.412， P=0.011）。결론운용계단성개변모식진행행위간예，가이강저복발뇌졸중환자질도적발생솔，방조뇌졸중환자건립건강적행위모식。
Objective To probe into the effect of periodic behavior change model on prevention of fall of stroke patients. Methods A total of 172 patients were divided into control group (n=85) and intervention group (n=87). Periodic behavior change model was implemented in intervention group during hospitalization and after discharge including interventions in precontemplation stage, contemplation stage, preparation stage, action stage and maintenance stage and the evaluation on the interventions in different states was conducted. Patients in control group received conventional health education and guidance after discharge. Telephone follow-up was conducted in patients in both groups one week, three months and six months after discharge for the fall incidence. Results Five cases were lost to follow-up and five cases of fall occurred in intervention group while nine cases lost to follow-up and sixteen cases of fall in control group. There was statistical significance of the fall incidence but no in the general information of patients in both groups (χ2=6.412, P=0.011). Conclusion Periodic behavior change model is effective for the reducing of fall incidence of stroke patients and helps to establish a healthy behavior model for stroke patients.