基于COM-B模型护理干预在脑卒中患者家庭支持/照护依赖方面的影响
The impact of COM-B model-based nursing intervention on family support/care dependence in young and middle-aged stroke patients
李娜 1代凤 1辛玲1
作者信息
- 1. 蚌埠医科大学第二附属医院 安徽蚌埠 233000
- 折叠
摘要
目的:探讨基于COM-B模型的护理干预在中青年脑卒中患者家庭支持、照护依赖方面的影响.方法:研究纳入在医院治疗的80例中青年脑卒中患者作为研究对象,按随机数表法分为观察组(COM-B模型的护理干预)及对照组(常规护理干预),每组40例患者.分析两组患者家庭支持(PSS-Fa)、照护依赖(CDS-R)、焦虑状态(SAS)和抑郁状态(SDS)及肢体功能情况.结果:观察组患者PSS-Fa、CDS-R水平较对照组高(P＜0.05);干预后,两组患者SAS、SDS评分均有所下降,且观察组患者SAS、SDS评分下降幅度高于对照组(P＜0.05);干预后,观察组患者上、下肢评分优于对照组(P＜0.05).结论:将COM-B模型护理干预应用于中青年脑卒中患者家庭支持、照护依赖中,可有效提高脑卒中患者家庭照顾者的照顾能力,减轻抑郁、焦虑症状,改善肢体功能.
Abstract
Objective:To explore the effects of COM-B model-based nursing intervention on family support and care dependence of middle-aged and young stroke patients.Methods:This study included 80 middle-aged and young stroke patients treated in hospital.They were divided into observation group(COM-B model nursing intervention)and control group(routine nursing intervention)according to random number table method,with 40 cases in each group.Family support(PSS-Fa),care-dependent(CDS-R),anxiety state(SAS),depression state(SDS)and limb function were analyzed.Results:The levels of PSS-Fa and CDS-R in observation group were higher than those in control group(P＜0.05).After intervention,SAS and SDS scores of both groups decreased,and the decrease of SAS and SDS scores in observation group was higher than that in control group(P＜0.05).After intervention,the scores of upper and lower limbs in the observation group were better than those in the control group(P＜0.05).Conclusion:The application of COM-B model nursing intervention in family support and nursing dependence of middle-aged and young stroke patients can effectively improve the caring ability of family caregivers of stroke patients,reduce symptoms of depression and anxiety,and improve limb function.
关键词
中青年/脑卒中/COM-B模型/家庭支持/照护依赖Key words
young and middle-aged/stroke/COM-B model/family support/care-dependent引用本文复制引用
基金项目
2023年度蚌埠医科大学科技项目人文社科类(2023byzdl60sk)
出版年
2024
NETL
NSTL
万方数据