首页|针对性护理联合自我效能理论对脑卒中患者的应用效果

针对性护理联合自我效能理论对脑卒中患者的应用效果

Effect of Targeted Nursing Combined with Self-efficacy Theory in Stroke Patients

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目的:探讨针对性护理联合自我效能理论干预对脑卒中患者的应用效果及对远期神经功能的影响.方法:选取2020年4月至2023年4月于驻马店市中医院接受治疗的80例脑卒中患者作为研究对象,所有患者均处于恢复期,根据随机抽签法将患者分为对照组和观察组,每组40例.对照组接受常规护理,观察组接受针对性护理联合自我效能理论干预.比较两组患者焦虑、抑郁情况、日常生活自理能力和自我效能感、远期神经功能.结果:干预后,两组患者汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分低于干预前,且观察组低于对照组,差异具有统计学意义(P<0.05).干预后,两组患者改良Barthel指数、一般自我效能感量表(GSES)评分高于干预前,且观察组高于对照组,差异具有统计学意义(P<0.05).干预后,两组患者美国国立卫生研究院脑卒中量表(NIHSS)评分低于干预前,且观察组低于对照组,差异具有统计学意义(P<0.05).结论:脑卒中患者接受针对性护理联合自我效能理论干预,患者焦虑、抑郁情绪明显减轻,日常生活自理能力和自我效能感水平明显提高,神经功能有效恢复.
Objective To explore the effect of targeted nursing combined with self-efficacy theory intervention on stroke patients and its influence on long-term neurological function.Methods A total of 80 stroke patients treated in Zhumadian Traditional Chinese Medicine Hospital from April 2020 to April 2023 were selected as the study objects,all of whom were in the recovery stage.The patients were divided into a control group and an observation group according to random drawing method,with 40 cases in each group.The control group received routine nursing,and the observation group received targeted nursing combined with self-efficacy theory intervention.Anxiety,depression,daily self-care ability,self-efficacy and long-term neurological function were compared between the two groups.Results After intervention,the scores of Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)in the two groups were lower than those before intervention,and the scores of HAMA and HAMD in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After intervention,the modified Barthel index and general self-efficacy scale(GSES)scores in the two groups were higher than those before intervention,and the modified Barthel index and GSES scores in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).After intervention,the National Institutes of Health stroke scale(NIHSS)score of the two groups was lower than that before intervention,and the score of NIHSS in the observation group was lower than that in the control group,the differences were statistically significant(P<0.05).Conclusion When patients with stroke receive targeted nursing combined with self-efficacy theory nursing intervention,their anxiety and depression are significantly reduced,their daily self-care ability and self-efficacy are significantly improved,and their neurological function is effectively restored.

StrokeConvalescence periodTargeted nursingSelf-efficacy theory

姚明松、谭秋荣、白静

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驻马店市中医院,河南驻马店 463000

驻马店市第一人民医院,河南驻马店 463000

脑卒中 恢复期 针对性护理 自我效能理论

河南省中医药科学研究专项

20-21ZY2286

2024

深圳中西医结合杂志
深圳市中西医结合临床研究所

深圳中西医结合杂志

影响因子:0.692
ISSN:1007-0893
年,卷(期):2024.34(4)
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