Study on the Effect of Programmed Nursing Based on Roy Adaptation Model in Self-Management and Negative Emotion of Stroke Patients with Hemiplegia
Objective To explore the effect of programmed nursing based on Roy adaptation model in self-management and negative emotion of stroke patients with hemiplegia.Methods In this prospective study,90 stroke patients with hemiplegia were consecutively enrolled from June 2020 to July 2022 in Beijing Tiantan Hospital,Capital Medical University,and were divided into a control group(June 2020-December 2021)and an observation group(January—July 2022)according to the different admission times.The control group received routine nursing.The observation group received programmed nursing based on Roy adaptation model.The total duration of the intervention was 3 months in both groups.Patients were assessed before and after the intervention using the stroke self-efficacy questionnaire(SSEQ),the self-management behavior rating scale and the symptom checklist 90(SCL-90).Results A total of 90 stroke patients with hemiplegia were included in this study,48 of whom were male,aged 45-82 years,with a mean age of(67.66±6.53)years.Both the observation and control groups consisted of 45 patients.There was no significant difference in SSEQ score between the two groups before intervention.After intervention,the SSEQ score in the observation group was significantly higher than that in the control group[(95.32±11.60)points vs.(79.54±8.79)points,P=0.001].There was no statistically significant difference in the score of the self-management behavior rating scale before intervention between the two groups.After intervention,the self-management behavior rating scale score of the observation group was significantly higher than that of the control group[(182.13±14.09)points vs.(157.05±1 1.75)points,P＜0.001].There was no statistically significant difference in SCL-90 score between the two groups before intervention.After intervention,the SCL-90 score of the observation group was significantly lower than that of the control group[(111.89±4.51)points vs.(174.58±7.49)points,P＜0.001].Conclusions The programmed nursing guided by Roy adaptation model for stroke patients with hemiplegia can effectively stimulate the patients'self-efficacy of rehabilitation,improve their self-management ability,overcome negative emotions,and actively participate in rehabilitation.
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维普
