首页|小组工作提升手功能障碍患者自我效能感的干预研究

小组工作提升手功能障碍患者自我效能感的干预研究

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卒中后手功能障碍是一种常见的神经系统损伤,手功能障碍患者在进行手术、物理治疗、康复训练和社会支持等综合治疗过程中,往往因自我效能感低而难以积极应对康复挑战。医务小组工作关注患者的生理、心理及社会需求,代表了医学范式从传统生物医学向现代"生物—心理—社会"医学的转变,对手功能障碍患者康复和自我效能感提升的干预具有先天契合性。文章以正强化理论为理论基础,采用多科协作模式对X市中心医院康复医学科10 名手功能障碍患者进行小组工作干预。通过观察、访谈和量化分析等方法,跟踪小组成员的康复过程,并运用自我效能感问卷和手功能障碍严重程度评估工具,评估小组成员的康复进展和自我效能感变化情况。分析结果表明:经过小组工作干预,小组成员的自我效能感显著增强,同时手功能障碍严重程度有所减轻,这表明小组工作干预在提升手功能障碍患者的自我效能感和康复效果方面具有积极作用。
Group Work Intervention in Enhancing Self-efficacy of Patients with Hand Dysfunction
Hand dysfunction after stroke is a common neurological injury,and patients with hand dysfunction often find it difficult to cope with the challenges of rehabilitation due to low self-efficacy in the course of comprehensive treatment,including surgery,physical therapy,rehabilitation training and social support.Medical group work focuses on the physiological,psychological and social needs of patients,representing a shift in medical paradigm from traditional"biomedical"medicine to modern"biopsychosocial"medicine,which is inherently suitable for interventions on rehabilitation and self-efficacy enhancement of patients with hand dysfunction.The present study utilizes positive reinforcement theory as the theoretical basis for this study.In this study,based on the theory of positive reinforcement,a multidisciplinary collaborative model was used to conduct group work intervention for 10 patients with hand dysfunction in the Department of Rehabilitation Medicine of X Central Hospital.The rehabilitation process of the group members was tracked through observation,interview and quantitative analysis,and the self-efficacy questionnaire and hand dysfunction severity assessment tool were used to assess the rehabilitation progress and self-efficacy changes of the group members.The analysis results showed that after the group work intervention,the self-efficacy of the group members was significantly increased,while the severity of hand dysfunction was reduced,which indicated that the group work intervention had a positive effect in enhancing the self-efficacy and rehabilitation effects of patients with hand dysfunction.

hand dysfunctionself-efficacypositive reinforcement theorygroup work interventions

何晓红、贾娟娟

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湖北文理学院 政法学院,湖北 襄阳 441053

手功能障碍 自我效能感 正强化理论 小组工作干预

湖北文理学院校级研究生质量工程项目(2021)

YZ1202103

2024

湖北文理学院学报
湖北文理学院

湖北文理学院学报

CHSSCD
影响因子:0.164
ISSN:2095-4476
年,卷(期):2024.45(3)
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