首页|基于Snyder希望理论的护理干预结合同伴教育对高血压脑出血后偏瘫患者康复锻炼积极性及肢体功能的影响

基于Snyder希望理论的护理干预结合同伴教育对高血压脑出血后偏瘫患者康复锻炼积极性及肢体功能的影响

Effects of nursing intervention based on Snyder hope theory combined with peer education on rehabilitation exercise enthusiasm and limb function of patients with hemiplegia after hypertensive cerebral hemorrhage

扫码查看
目的 探讨基于Snyder希望理论的护理干预结合同伴教育在高血压脑出血后偏瘫患者中的应用效果.方法 选择2021 年1 月至2022 年1月收治的 110 例高血压脑出血后偏瘫患者为研究对象,以随机数字表法将其分为对照组与观察组,各55例.对照组实施常规护理,观察组在对照组基础上实施基于Snyder希望理论的护理干预结合同伴教育.比较两组的干预效果.结果 干预后,观察组的积极举动、康复锻炼配合度评分高于对照组,放弃举动评分低于对照组(P<0.05).干预后,观察组的简式Fugl-Meyer运动功能量表(FMA)、Berg及Barthel指数(BI)评分均高于对照组(P<0.05).观察组出院6个月的再出血率及再入院率均低于对照组(P<0.05).结论 基于Snyder希望理论的护理干预结合同伴教育可提高高血压脑出血后偏瘫患者的康复锻炼积极性,有助于肢体功能与生活质量改善,也能降低再出血率与再入院率.
Objective To explore the application effect of nursing intervention based on Snyder hope theory combined with peer education in patients with hemiplegia after hypertensive cerebral hemorrhage.Methods A total of 110 patients with hemiplegia after hypertensive cerebral hemorrhage admitted from January 2021 to January 2022 were selected as the research objects,and the patients were divided into control group and observation group by random number table method,with 55 cases in each group.The control group was given routine nursing,and the observation group was given nursing intervention based on Snyder hope theory combined with peer education on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of active behavior and rehabilitation exercise cooperation in the observation group were higher than those in the control group,and the score of giving up behavior was lower than that in the control group(P<0.05).After intervention,the scores of Fugl-Meyer Motor Assessment(FMA),Berg and Barthel Index(BI)in the observation group were higher than those in the control group(P<0.05).The rebleeding rate and the readmission rate at 6 months after discharge in the observation group were lower than those in the control group(P<0.05).Conclusion Nursing intervention based on Snyder hope theory combined with peer education can improve the enthusiasm of rehabilitation exercise in patients with hemiplegia after hypertensive cerebral hemorrhage,which is helpful to improve limb function and quality of life,and can also reduce the rate of rebleeding and readmission.

Snyder hope theorypeer educationhypertensive cerebral hemorrhagehemiplegiaenthusiasm of rehabilitation exercise

任颖娟、蔺利珍、刘淑艳、马舒引、孙露露

展开 >

咸阳市第一人民医院,陕西 咸阳,712000

延安大学咸阳医院,陕西 咸阳,712000

Snyder希望理论 同伴教育 高血压脑出血 偏瘫 康复锻炼积极性

2020年度院内科学研究基金项目

2020ZX069

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(7)
  • 14