CAJ | 학술논문

目的：探讨行为转变理论在脑卒中偏瘫患者步行训练中的应用效果。方法将2013年6～12月在本院住院60例脑卒中偏瘫患者设为对照组，实施常规的护理及步行训练指导；将2014年1～6月在本院住院62例脑卒中偏瘫患者设为干预组，将行为转变理论应用于患者步行训练健康教育中，干预时间3周，随访时间6个月。采用Holden步行功能分级（functional ambulation categories， FAC）和Bathel指数对患者进行测评。结果训练后两组患者FAC测评结果和Bathel得分比较，差异均有统计学意义（P＜0．05），干预组患者步行功能和日常活动能力均优于对照组。结论将行为转变理论应用于脑卒中偏瘫患者步行训练健康教育中，可提高患者步行能力和日常活动能力，进而提高患者的生活质量。
목적：탐토행위전변이론재뇌졸중편탄환자보행훈련중적응용효과。방법장2013년6～12월재본원주원60례뇌졸중편탄환자설위대조조，실시상규적호리급보행훈련지도；장2014년1～6월재본원주원62례뇌졸중편탄환자설위간예조，장행위전변이론응용우환자보행훈련건강교육중，간예시간3주，수방시간6개월。채용Holden보행공능분급（functional ambulation categories， FAC）화Bathel지수대환자진행측평。결과훈련후량조환자FAC측평결과화Bathel득분비교，차이균유통계학의의（P＜0．05），간예조환자보행공능화일상활동능력균우우대조조。결론장행위전변이론응용우뇌졸중편탄환자보행훈련건강교육중，가제고환자보행능력화일상활동능력，진이제고환자적생활질량。
Objective To study the effect of trans-theoretical model of behavior on ambulation training in stroke hemiplegic patients. Methods Sixty hospitalized stroke hemiplegic patients from June to December 2013 were selected as control group. The control group was treated with routine nursing and ambulation training guidance. Sixty-two hospitalized stroke hemiplegia patients, from January 2014 to June 2014, were selected as intervention group. Patients in the intervention group received trans-theoretical model of behavior together with ambulation training guidance for 3 weeks and follow-up record for 6 months. Holden functional ambulation categories ( FAC ) and Bathel index were used to evaluate the effect of ambulation training . Result Trans-theoretical model of behavior training improved the walking function and activities of daily living in intervention group patients , compared with those of the control group. Conclusions Taking trans-theoretical model of behavior in walking training health education can improve the ambulation ability and ability of daily living of stroke hemiplegic patients. Therefore this theory can enhance the stroke hemiplegic patients′life quality.