CAJ | 학술논문

目的：探讨以自我效能理论为核心的活动分析方法对缺血性脑卒中偏瘫患者康复中的应用效果。方法随机将缺血性脑卒中后偏瘫患者分为对照组和效能组各30例，对照组给予活动分析法康复训练10周。效能组在此基础上按照自我效能理论给予效能训练。两组在治疗前后均分别采用简式 Fugl －Meyer 量表（FMA）评定运动功能和平衡功能；用日常生活活动能力量表（Barthel 指数）和活动分析法评价日常生活能力和活动能力，用一般自我效能感量表（GSES）评价自我效能水平。用 SF －36量表作生命质量测评比较。结果治疗前两组患者 FMA 评分、Barthel 评分、日常活动分析法评分及一般自我效能评分差异无统计学意义（P ＞0.05）。治疗后两组各项指标评分均高于治疗前（P ＜0.05），效能组除日常生活活动能力的10项指标中有6项评分高于对照组（P 均＜0.05）外，其他3项指标评分均高于对照组。结论效能训练可强化活动分析方法对缺血性脑卒中下肢瘫患者的治疗效果明显。
목적：탐토이자아효능이론위핵심적활동분석방법대결혈성뇌졸중편탄환자강복중적응용효과。방법수궤장결혈성뇌졸중후편탄환자분위대조조화효능조각30례，대조조급여활동분석법강복훈련10주。효능조재차기출상안조자아효능이론급여효능훈련。량조재치료전후균분별채용간식 Fugl －Meyer 량표（FMA）평정운동공능화평형공능；용일상생활활동능역량표（Barthel 지수）화활동분석법평개일상생활능력화활동능력，용일반자아효능감량표（GSES）평개자아효능수평。용 SF －36량표작생명질량측평비교。결과치료전량조환자 FMA 평분、Barthel 평분、일상활동분석법평분급일반자아효능평분차이무통계학의의（P ＞0.05）。치료후량조각항지표평분균고우치료전（P ＜0.05），효능조제일상생활활동능력적10항지표중유6항평분고우대조조（P 균＜0.05）외，기타3항지표평분균고우대조조。결론효능훈련가강화활동분석방법대결혈성뇌졸중하지탄환자적치료효과명현。
Objective To evaluate the effect of self -efficacy training on hemiplegic patients after ischemic stroke. Methods Sixty cases were randomly divided into control group (n =30 )and self -efficacy training group (n =30).The self -efficacy group received rehabilitation training according to the self -efficacy theory (5 times /week, 40 min /per time,1 0 weeks of intervention).The movement and balance function were evaluated using Fugl -Meyer score (FMA)and the activities of daily living were evaluated by the task analysis scale and Barthel index.The self -efficacy level and quality of life were evaluated by the general self -efficacy scale (GSES)and medical outcomes study (SF -36).Results The scores of FMA,Barthel,SF -36 and GSES had no significant differences between the two groups before training (P >0.05 )and all indexes improved after training.Six scores of Barthel and all scores of FMA,SF -36 and GSES of self -efficacy group were significantly higher than those of control group after training (all P <0.05 ).Conclusion Self -efficacy application could improve the motor function on the rehabilitation of hemiplegic patients after ischemic stroke.