首页|基于目标策略的健康干预在改善短暂性脑缺血疾病认知及不良情绪中的应用

基于目标策略的健康干预在改善短暂性脑缺血疾病认知及不良情绪中的应用

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目的:观察基于目标策略的健康干预在短暂性脑缺血发作(TIA)中的应用效果及对患者疾病认知、不良情绪的影响.方法:选取2020年6月—2022年10月驻马店市中心医院收治的120例TIA患者作为研究对象,应用抽签法对患者进行随机分组,分别列为试验组和对照组,每组各60例.对照组仅实施常规护理干预,试验组实施基于目标策略的健康干预,比较两组患者干预前后的疾病认知情况、心理状态,并对所有患者开展为期6个月的短期随访,比较两组患者出院后1个月、3个月、6个月时的自我护理能力及随访期间不良事件发生情况.结果:干预后,试验组疾病认知量表各维度评分均高于对照组,差异有统计学意义(t=3.482、2.920、3.700,P<0.05);干预后,试验组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组,差异有统计学意义(t=2.980、2.949,P<0.05);随访期间,试验组干预后1个月、3个月、6个月时的自我护理能力评分(ESCA)高于对照组,差异有统计学意义(t=2.477、3.641、2.617,P<0.05),随访期间,试验组的不良事件发生率低于对照组,差异有统计学意义(χ2=5.556,P<0.05).结论:基于目标策略的健康干预在TIA患者的临床护理中具有较高应用价值,可有效改善患者的疾病认知及心理不良情绪,对改善患者远期自我护理能力并降低不良事件发生风险、改善患者预后均有积极意义.
Effect of Health Intervention Based on Goal Strategy on Improving Cognition and Bad Mood of Transient Ischemic Disease
Objective:To observe the effect of health intervention based on goal strategy in TIA and its influence on patients'disease cognition and bad mood.Methods:Taking 120 patients with TIA admitted to the hospital from June 2020 to October 2022 as the research object,the patients were randomly divided into test group and control group,with 60 patients in each group.Control group only implemented routine nursing intervention.Test group implemented health intervention based on goal strategy.Disease cognition and psychological state of the two groups before and after intervention were compared,and short-term follow-up for all patients for 6 months was conducted.The self-care ability 1,3 and 6 months after discharge and the incidence of adverse events during follow-up were compared.Results:After intervention,the scores of each dimension of disease cognition in the test group were higher than those in the control group(t=3.482,2.920,3.700;P<0.05);while SAS and SDS scores were lower than those in the control group(t=2.980,2.949;P<0.05).During the follow-up period,ESCA 1,3 and 6 months after intervention in the test group was higher than that in control group(t=2.477,3.641,2.617;P<0.05),and the incidence of adverse events during the follow-up period was lower than that in control group(χ2=5.556,P<0.05).Conclusion:The health intervention based on goal strategy has high application value in the clinical nursing of TIA patients.It can effectively improve the patients'disease cognition and psychological bad mood,improve the patients'long-term self-care ability,reduce the risk of adverse events,and improve the prognosis of patients.

Transient ischemic attackTarget strategyHealth interventionDisease cognitionBad mood

宋真真、王一村

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驻马店市中心医院全科医学科,河南 驻马店 463000

短暂性脑缺血发作 目标策略 健康干预 疾病认知 不良情绪

河南省医学教育研究项目

Wjlx20210123

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(17)