基于应激系统理论的阶梯式干预在脑梗死恢复期患者中的应用
Application of Stepwise Intervention Based on Stress System Theory in Patients with Cerebral Infarction in the Recovery Period
李卉 1陈阿丽1
作者信息
- 1. 汝南县人民医院内科,驻马店 463300
- 折叠
摘要
目的:探讨基于应激系统理论的阶梯式干预对脑梗死恢复期患者创伤后康复情况的影响.方法:选取2022 年 1 月至 2023 年 9 月本院收治的 92 例脑梗死恢复期患者为研究对象.采用随机数字表法将其分为观察组(n=46,给予基于应激系统理论的阶梯式干预)和对照组(n=46,给予常规护理).比较两组患者干预前、干预 3个月时创伤后成长评定量表(PTGI)评分、简易应对方式问卷评分、运动功能评定量表(FMA)评分及日常生活能力指数量表(ADL)评分.结果:干预 3 个月时,两组患者PTGI评分、正面应对评分均升高,且观察组高于对照组,差异均有统计学意义(P＜0.05).干预后,观察组患者负面应对评分低于干预前,且低于对照组,差异均有统计学意义(P＜0.05).两组患者 FMA 评分、ADL 评分均升高,且观察组高于对照组,差异有统计学意义(P＜0.05).结论:基于应激系统理论的阶梯式干预能够促进脑梗死恢复期患者创伤后成长,使患者以积极的方式面对疾病,并有效改善患者肢体功能及日常生活能力.
Abstract
Objective:To analyze the impact of stepwise intervention based on stress system theory on the post-traumatic rehabilitation of patients with cerebral infarction in the recovery period.Methods:A total of 92 patients with cerebral infarction in the recovery period in our hospital from January 2022 to September 2023 were included as the study subjects.They were randomly divided into observation group(n=46,received a stepwise intervention based on stress system theory on the basis of routine care)and control group(n=46,received routine care only)using a random number table method.The post-traumatic growth rating scale(PTGI)scores,simplified coping style questionnaire scores,Fugl-Meyer motor function assessment(FMA)scores,and activities of daily living assessment scale(ADL)scores between the two groups of patients were compared before and at 3 months of intervention.Results:After 3 months of intervention,the PTGI score and positive coping score of both groups increased,and observation group was higher than control group,and the differences were statistically significant(P＜0.05).The negative coping score of observation group was lower than before intervention and lower than that of control group,and the differences were statistically significant(P＜0.05).The FMA score and ADL score of both groups increased,and observation group was higher than control group,and the differences were statistically significant(P＜0.05).Conclusion:Stepwise intervention based on stress system theory can promote post-traumatic growth in patients with cerebral infarction during recovery,enabling them to face the disease in a positive manner and effectively improve their limb function and daily living abilities.
关键词
应激系统理论/阶梯式干预/脑梗死/恢复期/创伤后成长/日常生活能力Key words
Stress system theory/Stepwise intervention/Cerebral infarction/Recovery period/Post-traumatic growth/Daily living ability引用本文复制引用
出版年
2024
NETL
NSTL
万方数据