首页|以问题为导向的系统化互动达标理论干预对缺血性脑卒中患者的影响

以问题为导向的系统化互动达标理论干预对缺血性脑卒中患者的影响

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目的 探讨以问题为导向的系统化互动达标理论干预在缺血性脑卒中(IS)患者中的应用效果。方法 选择2021年1月至2022年12月郑州大学第一附属医院收治的IS患者98例,依据随机数字表法分为对照组和研究组,各49例。对照组接受院内常规护理,研究组在院内常规护理基础上接受以问题为导向的系统化互动达标理论干预。比较两组的肢体运动功能、日常生活自理能力、负面情绪、伤残接受度、生活质量。结果 干预后,两组的焦虑自评量表评分、抑郁自评量表评分均低于干预前,且研究组低于对照组(P<0。05)。干预后,两组的Fugl-Meyer运动功能评分量表评分(FMA)、巴氏指数评分、伤残接受度量表评分、脑卒中专用生活质量量表评分均高于干预前,且研究组高于对照组(P<0。05)。结论 以问题为导向的系统化互动达标理论干预能提高IS患者的肢体运动功能、日常生活自理能力、伤残接受度、生活质量,且利于缓解其负性情绪。
Effect of Problem-Oriented Systematic Interactive Reaching Theoretical Intervention on Patients with Ischemic Stroke
Objective To explore the application effect of problem-oriented systematic interactive reaching theory intervention in patients with ischemic stroke(IS).Methods A total of 98 cases of IS patients admitted to the First Affiliated Hospital of Zhengzhou University from January 2021 to December 2022 were selected and divided into control group and study group according to random number table method,49 cases in each group.The control group received routine nursing in hospital,and the study group received problem-oriented systematic interactive theoretical intervention on the basis of routine nursing in hospital.The physical motor function,self-care ability,negative emotion,disability acceptance and quality of life of the two groups were compared.Results After intervention,the scores of self-rating anxiety scale and self-rating depression scale in two groups were lower than before intervention,and the study group was lower than the control group(P<0.05).After intervention,the scores of Fugl-Meyer assessment(FMA),Barthel index,disability acceptance scale and stroke specific quality of life scale in both groups were higher than before intervention,and those in the study group were higher than those in the control group(P<0.05).Conclusion Problem-oriented systematic interactive theoretical intervention can improve the physical motor function,self-care ability of daily life,disability acceptance and quality of life of IS patients,and alleviate their negative emotions.

ischemic strokeproblem-orientedsystematic interactive standard theorytreatment compliancenegative emotion

付晓燕、张钦、李爱丽

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郑州大学第一附属医院神经内科,河南郑州 450000

缺血性脑卒中 问题导向 系统化互动达标理论 治疗依从性 负面情绪

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(24)