| Objective To construct an intervention program for limb exercise in stroke patients based on the Extended Theory of Planned Behavior incorporating implementation intention strategy,aimed to explore the feasibility of the intervention program and to validate its clinical effect,and to provide a reference for improving the limb function,daily activities and quality of life of stroke patients in clinical practice,and to better return to family and social life.Methods1.Construction of intervention program of limb function exercise for stroke patients:Using the Extended Theory of Planned Behavior as framework,on the basis of literature review and preliminary research of research group,the first draft of the intervention program was constructed.Two rounds of the Delphi method were conducted among 15 experts,followed by a preliminary experiment to revise the intervention program,and finally formed the final version of intervention program of limb function exercise for stroke patients.2.Application of of intervention program of limb function exercise for stroke patients:a total of 76 stroke patients hospitalized in the neurology department of a tertiary class A hospital in Qingdao from October 2020 to May 2021 in ward A and ward B were selected as the research objects,with 38 patients in each group.Patients in ward A were recruited in the control group and received 12 weeks of regular neurological care and limb functional exercise instruction.Patients in ward B were recruited in the intervention group,which received 12 weeks intervention program of limb function exercise based on the Extended Theory of Planned Behavior.The data were collected respectively in 1 month after intervention,3 months after intervention and intervention before using the Stroke Self-Efficacy Questionnaire,Questionnaire of Exercise Adherence,Barthel Index,Stroke Scale Quality of Life and Motor Assessment Scale.SPSS 26.0 software was used to statistically analyze the data and compare two groups of patients exercise self-efficacy,exercise compliance,motor function,activity of daily living and quality of life.Results1.Construction of intervention program of limb function exercise for stroke patients:A total of 9 articles were included after the systematic literature retrieval,and 14 pieces of evidence were obtained from 6 aspects including organization management,exercise plan,exercise time,exercise intensity,exercise strategy and health education.The positive coefficients of the two rounds of Delphi expert consultation were both 100%;the authority coefficient was 0.81,and Kendall coordination coefficient were 0.341 and 0.501,respectively,and P<0.05,indicating that the opinions of the experts tended to be consistent;preliminary experiment adjust the program content and finally formed the final version of intervention program.2.Application of of intervention program of limb function exercise for stroke patients:76 patients were recruited in this study,and 6 cases patients were lost to follow-up during the intervention,4 cases(11%)in the intervention group and 2 cases(5%)in the control group were missed during the follow-up.Baseline data of patients between the two groups were balanced.(1)Exercise self-efficacy: The exercise self-efficacy scores at one and three months after intervention in the intervention group was higher than that in the control group,and the difference was statistically significant(P<0.05).(2)Exercise adherence: The difference in exercise adherence scores between the two groups was not statistically significant at 1 month after the intervention(P>0.05),and statistically significant at 3 months after the intervention(P<0.05).(3)Daily living ability: The differences in daily activities scores between the two groups at 1 and 3 months after the intervention were statistically significant(P<0.05),with the intervention group scoring significantly higher than the control group.(4)Quality of life: The differences in quality-of-life scores between the two groups at 1 and 3 months after the intervention were statistically significant(P<0.05),with the intervention group scoring significantly higher than the control group.(5)Motor function: The differences in motor function scores between the two groups at 1 and 3 months after the intervention were statistically significant(P<0.05),with the intervention group scoring significantly higher than the control group.Conclusions1.The intervention program of limb function exercise for stroke patients based on the Extended Theory of Planned Behavior incorporating implementation intention has a reliable evidence base,a high degree of expert enthusiasm and authority,a convergence of expert opinions,and a significant pre-experimental.It is a scientific and feasible intervention program.2.The intervention program guided by the Extended Theory of Planned Behavior incorporating implementation intention could effectively promote exercise self-efficacy and compliance,motor function,and ultimately improve activity of daily living andquality of life for stroke patients. |
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