Application of nursing intervention based on the COM-B in stroke patients during the rehabilitation period
10.3760/cma.j.cn115682-20240910-05031
- VernacularTitle:基于COM-B的护理干预在脑卒中康复期患者中的应用
- Author:
Wenya WANG
1
;
Baoyun MA
1
;
Shubei PANG
1
;
Wenwen WANG
1
;
Qi CHEN
1
;
Lina GUO
1
;
Heyao CAO
1
;
Yuanli GUO
1
Author Information
1. 郑州大学第一附属医院神经内科，郑州 450000
- Publication Type:Journal Article
- Keywords:
Stroke;
Capability, opportunity, motivation-behavior model;
Healthy behavior;
Self-care ability
- From:
Chinese Journal of Modern Nursing
2025;31(15):2076-2080
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application of nursing intervention based on the capability, opportunity, motivation-behavior model (COM-B) in stroke patients during the rehabilitation period.Methods:Using the convenience sampling method, 146 stroke patients admitted to the First Affiliated Hospital of Zhengzhou University from February 2021 to February 2024 were selected as the research objects. According to the admission time sequence, they were divided into the COM-B group and the routine group, with 73 cases in each group. The routine group received routine nursing measures, and the COM-B group was intervened with the COM-B intervention, both for 3 months. The scores of the Health Education Self-Management Scale for Stroke Patients (HES-SP), the Exercise of Self-Care Agency Scale (ESCA), the Fugl-Meyer Assessment (FMA), and the Barthel Index of the two groups before and after the intervention were compared.Results:Finally, 72 patients in the COM-B group and 71 patients in the routine group completed the study. After 3 months of intervention, the scores of ESCA, HES-SP, FMA, and the Barthel Index of the two groups were all higher than those before the intervention, and the scores of COM-B group were all higher than those of the routine group, and the differences were statistically significant ( P<0.05) . Conclusions:The application of the COM-B intervention in stroke patients can improve patients' healthy behaviors and self-care abilities, and enhance their limb motor function and activities of daily living abilities, with a good application effect.
