摘要
Abstract
Objective:To investigate the application of the Transtheoretical Model of Behavior Change(TTM)-based approach in early-stage stroke rehabilitation training.Methods:A total of 96 stroke patients with hemiplegia admitted to our hospital from March 2023 to December 2024 were selected.Patients were randomly assigned to a control group(n=48)and an observation group(n=48)using a randomization list,and both groups underwent a 3-month intervention.The control group received conventional rehabilitation exercises,while the observation group received early stroke rehabilitation guidance based on the TTM.The implementation rate of early motor rehabilitation,limb motor function(Fugl-Meyer Assessment[FMA]scores),post-stroke quality of life(Stroke-Specific Quality of Life[SS-QOL]scores),and psychological resilience(Connor-Davidson Resilience Scale[CD-RISC]scores)were compared between the two groups.Results:The implementation rate of early motor rehabilitation was significantly higher in the observation group than in the control group(48 vs.41,P=0.019).After the intervention,the observation group showed significantly greater improvements in upper limb FMA scores(52.15±5.82 vs.48.50±5.74,P=0.003),lower limb FMA scores(25.85±3.52 vs.23.48±3.49,P=0.001),SS-QOL scores(78.33±10.93 vs.73.27±6.24,P=0.006),and CD-RISC scores(79.29±9.16 vs.65.78±8.82,P<0.001)compared to the control group.Conclusion:TTM-based early stroke motor rehabilitation enhances the implementation rate of early motor rehabilitation in stroke patients with hemiplegia,improves psychological resilience,increases rehabilitation compliance and initiative,promotes the formation of long-term rehabilitation behaviors,and enhances the effectiveness of stroke motor rehabilitation and quality of life,demonstrating significant clinical efficacy.关键词
行为分阶段改变理论/脑卒中/偏瘫/早期卒中运动康复Key words
transtheoretical model of behavior change/stroke/hemiplegia/early-stage stroke motor rehabilitation分类
临床医学
