首页|基于循证医学的预见性护理干预对脑卒中患者心理状态及自我效能的影响

基于循证医学的预见性护理干预对脑卒中患者心理状态及自我效能的影响

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目的 探讨基于循证医学的预见性护理干预对脑卒中患者心理状态及自我效能的影响。方法 选取2021年3月至2022年10月我院收治的88例脑卒中患者为研究对象,采用随机数字表法将其分为对照组与试验组,各 44 例。对照组行常规护理干预,试验组在对照组基础上行基于循证医学的预见性护理干预,两组均持续干预4周。比较两组的干预效果。结果 试验组的吞咽功能改善有效率为59。09%(26/44),高于对照组的25。00%(11/44)(P=0。001)。干预后,试验组的血红蛋白(HB)、总蛋白(TP)及白蛋白(ALB)水平高于对照组(P<0。05)。干预后,试验组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组(P<0。05)。干预后,试验组的自我效能感量表(GSES)、自我护理能力测量量表(ESCA)评分高于对照组(P<0。05)。干预后,试验组的脑卒中专用生活质量量表(SS-QOL)、Barthel指数(BI)评分高于对照组(P<0。05)。结论 基于循证医学的预见性护理干预可改善脑卒中患者的吞咽功能、营养及心理状况,提高自我效能感、自护能力及生活质量。
Effects of predictive nursing intervention based on evidence-based medicine on psychological state and self-efficacy of stroke patients
Objective To explore the effects of predictive nursing intervention based on evidence-based medicine on psychological state and self-efficacy of stroke patients.Methods A total of 88 stroke patients admitted in our hospital from March 2021 to October 2022 were selected as the research objects and divided into control group and experimental group by random number table method,with 44 cases in each group.The control group received routine nursing intervention,the experimental group received predictive nursing intervention based on evidence-based medicine on the basis of the control group,and both groups continued to intervene for 4 weeks.The intervention effects of the two groups were compared.Results The effective rate of swallowing function improvement in the experimental group was 59.09%(26/44),which was higher than 25.00%(11/44)in the control group(P=0.001).After intervention,the levels of hemoglobin(HB),total protein(TP)and albumin(ALB)in the experimental group were higher than those in the control group(P<0.05).After intervention,the scores of Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)in the experimental group were lower than those in the control group(P<0.05).After intervention,the scores of General Self-Efficacy Scale(GSES)and Exercise of Self-Care Agency Scency Scale(ESCA)in the experimental group were higher than those in the control group(P<0.05).After intervention,the scores of Stroke Specific Quality of Life Scale(SS-QOL)and Barthel Index(BI)in the experimental group were higher than those in the control group(P<0.05).Conclusion Predictive nursing intervention based on evidence-based medicine can improve the swallowing function,nutrition and psychological status of stroke patients,and elevate self-efficacy,self-care ability and quality of life.

evidence-based medicinepredictive nursingstrokepsychological stateself-efficacy

刘双丹

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河南宏力医院神经内科,河南 长垣,453400

循证医学 预见性护理 脑卒中 心理状况 自我效能

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(23)