中西医结合护理（中英文）2025，Vol.11Issue(2)：217-220,4.DOI:10.11997/nitcwm.202502055
基于健康信念模式下的Otago运动在脑卒中患者预防跌倒中的应用
Application of Otago exercise based on health belief model in fall prevention of stroke patients
摘要
Abstract
Objective To explore the application effect of Otago exercise based on health belief model in the prevention of falls in stroke patients.Methods A retrospective study design was adopted,and 96 patients in the recovery phase of ischemic stroke admitted to Jiangmen Central Hospital from May 2021 to May 2023 were selected as the research subjects.Forty-nine patients received routine rehabilitation treatment(the routine group),and 47 patients received the Otago exercise based on health belief model in addition to the routine rehabilitation treatment(the observation group).The intervention lasted 12 weeks.The rehabilitation confidence,fall frequency and incidence,fall self-efficacy,balance ability,mobility,and rehabilitation self-efficacy of the two groups were compared.Results After 12 weeks of intervention,the observation group had higher scores on the Confidence after Stroke Measure(CaSM),the Modified Falls Efficacy Scale(MFES),the Brunel Balance Assessment(BBA)and the Stroke Self-Efficacy Questionnaire(SSEQ),and shorter time on the Timed Up and Go Test(TUGT)than the routine group(P<0.05).Both groups showed better performance in all indicators after 12 weeks of intervention compared with the levels before the intervention(P<0.05).During the intervention,3 patients in the observation group fell,all of whom fell once.Ten patients in the routine group fell,including 6 patients falling once and 4 patients falling twice.The incidence of falls in the observation group was 6.38％(3/47),which was significantly lower than 20.41％(10/49)in the routine group(P<0.05).Conclusion The Otago exercise based on health belief model can enhance the rehabilitation confidence and self-efficacy of stroke patients,improve their balance and mobility,help prevent falls,and reduce the incidence of falls.关键词
脑卒中/健康信念模式/Otago运动/跌倒自我效能/康复信心Key words
stroke/health belief model/Otago exercise/fall self-efficacy/rehabilitation confidence分类
医药卫生引用本文复制引用
林艳莹,张冰,温咏婵..基于健康信念模式下的Otago运动在脑卒中患者预防跌倒中的应用[J].中西医结合护理（中英文）,2025,11(2):217-220,4.基金项目
江门市科技计划项目(2022YL01024) （2022YL01024）
