| 张丹,王毓,王茹,等.创伤性脑病病人参与运动康复的障碍及促进因素分析[J].安徽医药,2025,29(9):1767-1772. |
| 创伤性脑病病人参与运动康复的障碍及促进因素分析 |
| Analysis on the characteristics of obstacles and promoting factors of participation in sports rehabilitation of patients with traumatic encephalopathy |
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| DOI：10.3969/j.issn.1009-6469.2025.09.014 |
| 中文关键词: 慢性创伤性脑病 障碍因素 促进因素 量性研究 质性研究 |
| 英文关键词: Chronic traumatic encephalopathy Obstacle factor Stimulative factor Quantitative research Qualitative research |
| 基金项目:国家自然科学基金资助项目( 82171363) |
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| 摘要点击次数: 783 |
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| 中文摘要: |
| 目的探讨慢性创伤性脑病( CTE)病人在运动康复参与情况中遇到的障碍及促进因素，分析其相关因素特征，为运动康复实施针对性训练提供参考。方法选择 2021年 9月至 2023年 11月于空军军医大学第一附属医院接受治疗的 188例 CTE病人作为研究对象，将每月参与运动康复 <5次的病人纳入不参与运动康复组，其余能按照运动康复方案规律参与运动康复的 CTE病人纳入参与运动康复组。采用运动康复障碍量表、运动自我效能感量表、锻炼动机量表评估病人参与运动康复的障碍和促进情况，按照量性研究的分组情况分层抽样不参与运动康复组和参与运动康复组各 12例 CTE病人进行半结构访谈，运用内容分析法分析、提炼影响病人参与运动康复情况的主题。结果 188例 CTE病人中共 134例( 134/188，71.28%)病人参与运动康复纳入参与运动康复组，其余 54例( 54/188，28.72%)病人纳入不运动康复组，量性研究显示，参与运动康复组和不参与运动康复组病人的运动康复障碍得分［( 45.31±7.22)分比( 50.48±8.49)分］、运动自我效能得分［( 65.15±8.43)分比( 54.17±7.62)分］和锻炼动机得分［(59.44±6.87)分比( 48.26±5.37)分］比较，差异有统计学意义( P<0.05)。质性研究提炼出 4个运动康复障碍及促进因素的主题:外部因素、内部因素、个体特征、运动康复计划。结论 CTE病人的运动康复参与情况受外部因素、内部因素、个体特征、运动康复计划四个方面的影响，医护人员应综合考虑病人的自身情况，科学、全面评估运动康复过程中的障碍和促进因素，并为其制订针对性、全方位、多角度的运动康复方案，有助于改善病人的运动康复参与情况。 |
| 英文摘要: |
| Objective To discuss the obstacles and promoting factors encountered by patients with chronic traumatic encephalopathy(CTE) in participating in sports rehabilitation, and analyze the characteristics of related factors, so as to provide reference for imple-menting targeted training in sports rehabilitation.Methods One hundred and eighty-eight patients with CTE who were treated in theFirst Affiliated Hospital of Air Force Medical University from September, 2021 to November, 2023 were selected as the research object.Patients who participated in exercise rehabilitation less than 5 times a month were included in the non-exercise rehabilitation group,and the remaining patients who met the rules of the exercise rehabilitation program and could participate in exercise rehabilitation wereincluded in the exercise rehabilitation group. The impairment scale, self-efficacy scale and motivation scale of sports rehabilitationwere used to evaluate the obstacles and promotion of patients' participation in sports rehabilitation. According to the classification ofquantitative research, semi-structured hierarchical interviews were conducted on 12 CTE patients in the non-exercise rehabilitation group and 12 CTE patients in the exercise rehabilitation group, and the topics affecting patients' participation in exercise rehabilitationwere analyzed and detailed through content analysis.Results Among 188 patients with traumatic encephalopathy, 134 patients (134/188, 71.28%) participated in exercise rehabilitation and were included in the exercise rehabilitation group, while the remaining 54 pa-tients (54/188, 28.72%) were included in the non-exercise rehabilitation group. The quantitative study showed that there were signifi-cant differences in the scores of exercise rehabilitation disorder [(45.31±7.22) vs. (50.48±8.49)], exercise self-efficacy [(65.15±8.43) vs. (54.17±7.62)] and exercise motivation [(59.44±6.87) vs. (48.26±5.37)] between the exercise rehabilitation group and the non-exercise rehabilitation group (P<0.05). Qualitative research extracted four themes of sports rehabilitation obstacles and promoting factors includ-ing external factors, internal factors, individual characteristics and sports rehabilitation plans.Conclusions The participation of CTEpatients in exercise rehabilitation is affected by four aspects: external factors, internal factors, individual characteristics and exercise re-habilitation plan. Medical personnel should comprehensively consider the patient's own situation, scientifically and comprehensivelyevaluate the obstacles and promoting factors in the process of exercise rehabilitation, and formulate targeted, all-round and multi-angle exercise rehabilitation plans for them. It is helpful to improve patients' participation in sports rehabilitation. |
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