帕金森病人平衡功能康复锻炼的影响因素分析

目的通过查阅文献，构建帕金森病平衡功能康复锻炼模型，分析影响帕金森病人平衡功能康复锻炼的相关因素。方法回顾性分析2019年6月至2021年7月收治的118例病人，采用自编问卷调查病人平衡功能康复锻炼相关情况，通过单因素分析和多元回归分析构建帕金森病平衡功能康复锻炼模型。结果单因素分析显示，帕金森病人平衡功能得分在不同Hoehn-Yahr分期、病程、康复锻炼频率、康复锻炼种类、运动自我效能和社会支持上比较差异均有统计学意义(P < 0.01)；运动自我效能和社会支持、平衡功能成显著正相关(P < 0.01)，社会支持与平衡功能成显著正相关(P < 0.01)。多因素分析发现进入模型的五个变量对平衡动能的贡献大小依次为:康复锻炼种类、康复锻炼频率、Hoehn-Yahr分期、运动自我效能和社会支持，共同解释了平衡功能康复效果的36.8%。结论针对性的个体化平衡功能康复锻炼模型要以Hoehn-Yahr分期为基础，注重测量其运动自我效能，提高社会支持度，首选前庭康复训练，坚持规律性的训练方案。

Analysis of influencing factors of balance function rehabilitation exercise in patients with Parkinson's disease

ObjectiveTo construct the balance function rehabilitation exercise model of Parkinson's disease(PD) through literature review, and to analyze the related factors affecting the balance function rehabilitation exercise of PD patients, so as to provide evidence for nursing intervention.MethodsA total of 118 patients who were treated in our hospital from June 2019 to July 2021 were selected.A self-compiled questionnaire was used to investigate the relevant conditions of balance function rehabilitation exercise.A model of balance function rehabilitation exercise for Parkinson's disease was constructed by univariate analysis and multiple regression analysis.ResultsUnivariate analysis showed that the balance function score of Parkinson's disease patients had statistical significance in different Hoehn-Yahr stage, course of disease, frequency and type of rehabilitation exercise, exercise self-efficacy and social support(P < 0.01).Self-efficacy was significantly correlated with social support and balance function(P < 0.01), and there was a significant positive correlation between social support and balance function(P < 0.01).Multivariate analysis showed that the contributions of the five variables to the balance kinetic energy were as follows in order: rehabilitation exercise type, rehabilitation exercise frequency, Hoehn-Yahr stage, exercise self-efficacy and social support, which jointly explained 36.8% of the balance function rehabilitation effect.ConclusionsThe targeted individualized balanced function rehabilitation exercise model should be based on Hoehn-Yahr stages, pay attention to measure the exercise self-efficacy, improve social support, the first choice is vestibular rehabilitation training, adhere to the regular training program.