首页|自我效能护理干预对脑梗死患者康复结局的影响

自我效能护理干预对脑梗死患者康复结局的影响

扫码查看
目的 探讨自我效能护理干预对脑梗死患者康复结局的影响.方法 随机选择2021年6月—2022年7月中国人民解放军陆军第七十三集团军医院收治的120例脑梗死患者为研究对象,根据就诊顺序将受试者进行分组,各60例,对照组患者行常规护理干预,研究组患者则联合开展自我效能护理干预,对比两组患者的治疗依从性、康复自我效能评分变化及康复结局.结果 研究组治疗总依从性(96.67%)较对照组(80.00%)更高,差异有统计学意义(χ2=8.086,P<0.05);干预后,两组康复自我效能评分较干预前均明显升高,且研究组更高,差异有统计学意义(P均<0.05);干预后,两组患者神经功能缺损量表评分较干预前明显降低,Fugl-Meyer运动功能量表评分、功能性步行能力量表及Berg平衡量表评分较干预前明显升高,且研究组更优,差异有统计学意义(P均<0.05);干预后两组脑卒中专用生活质量量表总分较干预前均明显升高,且研究组更高,差异有统计学意义(P<0.05);研究组护理总满意度(95.00%)比对照组(83.33%)更高,差异有统计学意义(χ2=4.227,P<0.05).结论 自我效能护理干预可有效提高患者的治疗依从性及康复自我效能,对改善脑梗死患者康复结局及生活质量具有积极意义.
Effect of Self-efficacy Nursing Intervention on Rehabilitation Outcome of Cerebral Infarction Patients
Objective To explore the effect of self-efficacy nursing intervention on rehabilitation outcome of cerebral infarction patients.Methods A total of one hundred and twenty patients with cerebral infarction in the 73rd Group Military Hospital of the Chinese People's Liberation Army from June 2021 to July 2022 were randomly selected as the study objects,and the subjects were divided into sixty cases each according to the order of treatment.The control group received routine nursing intervention,while the study group combined with self-efficacy nursing intervention.The treatment compliance,rehabilitation self-efficacy score and rehabilitation outcome were compared between the two groups.Results The total treatment compliance of the study group(96.67%)was higher than that of the control group(80.00%),and the difference was statistically significant(χ2=8.086,P<0.05).After intervention,the scores of re-habilitation self-efficacy in both groups were significantly higher than before intervention,and the study group was higher,and the differences were statistically significant(both P<0.05).After intervention,the National Institute of Health Stroke Scale score of the two groups was significantly lower than that before intervention,and the Fugl-Meyer Assessment Scale,Functional Ambulation Category and Berg Balance Scale scores were significantly higher than those before intervention,and the study group was better,and the differences were statistically significant(all P<0.05).After intervention,the total Self-efficacy for Rehabilitation Outcome Scale score of the two groups was significantly higher than that before intervention,and the study group was higher,and the differences were statistically significant(both P<0.05).The total satisfaction of nursing in the study group(95.00%)was higher than that in the control group(83.33%),and the difference was statistically significant(χ2=4.227,P<0.05).Conclusion Self-efficacy nursing intervention can effectively improve the patients'treatment compliance and rehabilitation self-efficacy,and has positive significance in improving the rehabilitation outcome and quality of life of patients with cerebral infarction.

Self-efficacy nursing interventionCerebral infarctionRehabilitation self-efficacyRehabilitation outcomeQuality of life

吴葵仙、李津强

展开 >

中国人民解放军陆军第七十三集团军医院神经内科,福建厦门 361000

自我效能护理干预 脑梗死 康复自我效能 康复结局 生活质量

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(4)
  • 15