Effect Of The IMB Model In Early Limb Function Exercises In Patients With First Stroke

Objective1.To construct an intervention program based on IMB model for limb function exercise in stroke patients;2.To explore the effect of IMB-based nursing intervention program on the exercise effect,functional recovery,self-care ability and compliance of limb function exercise of stroke patients,so as to provide scientific basis for limb function exercise of stroke patients.Methods1.Build a limb function exercise program based on IMB model for the early stage of first-episode stroke.After literature review,relevant factors affecting limb function exercise in patients with first-episode stroke were summarized,and a preliminary intervention plan was formed based on the guidance of IMB model and expert consultation.A preliminary experiment was conducted on 6 patients with limb dysfunction caused by first-episode stroke,and the final intervention plan was formed after modification.2.This study is a quasi-experimental study,88 patients with limb dysfunction caused by first stroke in the neurology department of a tertiary hospital in Zhengzhou city from June 2021 to January 2022 were selected as the research objects.Patients in ward 1 of neurology were selected as intervention group and patients in ward 2 of Neurology as control group by drawing lots.When there were 44 cases of subjects in each ward,sample selection was completed.The control group was given routine nursing intervention in hospital and routine nursing intervention before discharge,and the intervention group was given IMB model nursing intervention on the basis of the control group.Intervention team from the information,motivation,behavioral skills of the first stroke patients intervention.3,Motor function score,daily living ability score,stroke functional exercise compliance scale and stroke specific quality of life scale were used to measure motor function,daily living ability,functional exercise compliance and quality of life of patients before intervention and 1 month after intervention.4.SPSS25.0 statistical software was used for statistical analysis of the research data.Statistical description was carried out by adopting,frequency and composition ratio.Chi-square test was used for qualitative data,t-test of two independent samples,non-parametric test and repeated measure analysis of variance were used for quantitative data.The test level was α=0.05.ResultsDuring the study,a total of 4 stroke patients withdrew,2 in the intervention group and 2 in the control group,with a sample loss rate of 4.54%.Finally,84 cases were included.1.There were no statistically significant differences in the sociodemographic data,disease-related data and quality of life,treatment compliance,chronic disease self-efficacy,kidney transplantation self-management capacity and related clinical indicators of the two groups of recipients.(P>0.05).2.There was no statistically significant difference in the compliance score of limb function exercise between the two groups before and 1 week after intervention(P>0.05),but there was statistically significant difference 1 month after intervention(P<0.05).The total scores of functional exercise in the two groups varied with time,that is,there was time effect(F=70.849,P<0.001).After the nursing intervention of IMB model,the compliance of functional exercise was different in the two groups of stroke patients,that is,there was grouping effect(F=10.012,P<0.05)..3.Motor function scores of stroke patients in the two groups had no statistical significance before and 1 week after intervention(P>0.05).The difference was statistically significant 1 month after intervention(P<0.001).The total motor function scores of the two groups changed with time,that is,there was a time effect(F=496.831,P<0.001).After nursing intervention by IMB model,motor function scores of stroke patients in the two groups were different,that is,there was grouping effect(F=27.03,P<0.05).The time effect interacted with the grouping effect(F=32.29,P<0.001).4.There was no statistical significance in the scores of self-care ability of stroke patients before and 1 week after intervention(P>0.05).The difference was statistically significant 1 month after intervention(P<0.001).The total score of self-care ability in the two groups changed with time,that is,there was a time effect(F=100.459,P<0.001).After the nursing intervention of IMB model,the total score of self-care ability of stroke patients in the two groups was different,that is,there was grouping effect(F=8.929,P<0.05).There was interaction between time effect and grouping effect(F=12.874,P<0.05).5.There was no statistical significance in quality of life scores of stroke patients before and 1 week after intervention(P>0.05).The difference was statistically significant 1 month after intervention(P<0.001).The total score of quality of life in the two groups changed with time,that is,there was a time effect(F=18.362,P<0.001).After the nursing intervention of IMB model,the total score of quality of life of stroke patients in the two groups was different,that is,there was grouping effect(F=5.603,P<0.05).ConclusionsThe nursing intervention of IMB model can improve the compliance of early limb function exercise of patients with first stroke,improve their ability of daily living activities,and significantly improve their quality of life.