基于赋能理论的延续性干预对脑梗死患者应对情况及心理状态的影响
Effect of continuous nursing intervention on coping style and psychological state of patients with cerebral infarction:Based on empowerment theory
张冰倩 1宋晓彤 2王帅 3冯俊艳 3张秋爽 4刘新卫 3毕娟 3何文英5
作者信息
- 1. 050000 石家庄市,河北医科大学第二医院心身医学科
- 2. 050000 石家庄市,河北医科大学第二医院神经外科
- 3. 050000 石家庄市,河北医科大学第二医院神经内科
- 4. 河北省人民医院神经内科
- 5. 050000 石家庄市,河北医科大学第二医院消化内科
- 折叠
摘要
目的 探讨基于赋能理论的延续性干预对脑梗死患者应对情况及心理状态的影响.方法 采用随机数字表法,将 2021 年 7 月至 2022 年 3 月在河北医科大学第二医院接受治疗的脑梗死患者 112 例分为对照组和观察组,每组 56 例.对照组给予常规护理,观察组在对照组的基础上,采用基于赋能理论的延续性干预,2 组均干预 6 个月.比较 2 组干预后的治疗依从性及满意度,干预前后的医学应对方式问卷(MCMQ)、神经功能缺损量表(NIHSS)、日常生活活动能力(ADL)、脑卒中残损评定法量表(SIAS)、生活质量评分、心理状况[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、心理弹性量表(CD-RISC)].结果 2 组回避、屈服、NIHSS、HAMA、HAMD评分干预后较干预前降低,且观察组低于对照组(P<0.05);面对、ADL、SIAS、CD-RISC、生活质量各项评分升高,且观察组高于对照组(P<0.05);观察组的治疗总依从性高于对照组(P<0.05),观察组总满意度高于对照组(P<0.05).结论 基于赋能理论的延续性干预应用于脑梗死患者中,能够帮助调节患者的负性情绪,改善其神经功能,促进其身体功能恢复,提升生活质量、心理弹性恢复能力以及生活的自理能力,患者对其有较高的满意度,且能够提高患者面对疾病的信心,使其更加配合治疗.
Abstract
Objective To explore the effects of empowerment theory-based continuous nursing intervention on coping style and psychological state of patients with cerebral infarction.Methods From August 2021 to January 2022,totally 112 patients with cerebral infarction treated in the Second Hospital of Hebei Medical University were randomly assigned into the control group(n=56)and the observation group(n=56).All patients were managed by routine nursing intervention,and patients in the study group additionally received empowerment theory-based continuous nursing intervention.The intervention was performed for six months,aiming to compare treatment compliance and satisfaction,the scores of medical coping modes questionnaire(MCMQ),the National Institutes of Health stroke scale(NIHSS),activities of daily living scale(ADL),stroke impairment assessment Set(SIAS),quality of life(QoL)and psychological status before and after intervention.Results After intervention,patients in the both groups presented significantly lower the scores of fear-avoidance,yield,NIHSS,Hamilton anxiety rating/Hamilton depression rating(HAMA/HAMD)scale than those before intervention,and which in the observation group were more pronounced(P<0.05).Patients in the both groups showed significantly higher scores of facing,ADL,SIAS,Connor-Davidson Resilience Scale(CD-RISC),and QoL than those before intervention,and which in the observation group were more pronounced(P<0.05).The total treatment compliance and total satisfaction in the observation group were improved than those in the control group(both P<0.05).Conclusion For patients with cerebral infarction,empowerment theory-based continuous nursing intervention can help regulate the negative emotions of the patients,improve their neurological function,promote their physical functional recovery,improve the scores of QoL and CD-RISC,increase their satisfaction.It can also improve patients'confidence in facing the disease and make them more compliant with treatment.
关键词
脑梗死/延续性干预/赋能理论/应对情况/心理状态Key words
cerebral infarction/continuing nursing interventions/empowerment theory/coping style/psychological state引用本文复制引用
基金项目
河北省重点科技研究计划(20170631)
出版年
2024
NETL
NSTL
万方数据