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罗伊适应模式护理对脑卒中偏瘫患者的影响

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目的:研究罗伊适应模式护理对脑卒中偏瘫患者的影响。方法:选取 2021 年 5 月—2022 年 5 月厦门弘爱康复医院收治的 60 例脑卒中偏瘫患者。根据随机数表法将其分为对照组(n=30)和观察组(n=30)。对照组给予常规护理,观察组在对照组基础上给予罗伊适应模式护理。比较两组护理前后自我感受负担、应对方式、自护能力、自我效能感及并发症。结果:护理后,两组自我感受负担量表(SPBS)评分均降低,观察组SPBS评分低于对照组,差异有统计学意义(P<0。05)。护理后,两组积极应对评分升高,消极应对评分降低,观察组积极应对评分高于对照组,消极应对评分低于对照组,差异有统计学意义(P<0。05)。护理后,两组一般自我效能感量表(GSES)评分、自我护理能力测定量表(ESCA)评分均提高,观察组GSES评分、ESCA评分均高于对照组,差异有统计学意义(P<0。05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0。05)。结论:罗伊适应模式护理可以有效提高脑卒中偏瘫患者的自护能力和自我效能感水平,减轻患者的自我感受负担,使患者积极应对康复治疗,降低患者并发症的发生率。
Effects of Roy Adaptation Model Nursing on Stroke Patients with Hemiplegia
Objective:To study the effects of roy adaptation model nursing on stroke patients with hemiplegia.Method:A total of 60 patients with stroke hemiplegia admitted to Xiamen Hong'ai Rehabilitation Hospital from May 2021 to May 2022 were selected.They were divided into control group(n=30)and observation group(n=30)according to random number table method.The control group was given routine nursing,and the observation group was given Roy adaptation model nursing based on the control group.The self-perceived burden,coping style,self-care ability,self-efficacy before and after nursing and complications were compared between the two groups.Result:After nursing,the self-perceived burden scale(SPBS)score of both groups decreased,and the SPBS score of the observation group was lower than that of the control group,the differences were statistically significant(P<0.05).After nursing,the positive coping score increased and the negative coping score decreased in the two groups,the positive coping score in the observation group was higher than that in the control group,and the negative coping score was lower than that in the control group,the differences were statistically significant(P<0.05).After nursing,the scores of general self-efficacy scale(GSES)and self-care ability scale(ESCA)were improved in both groups,and the GSES and ESCA scores in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Roy adaptation mode nursing can effectively improve the self-care ability and self-efficacy level of stroke patients with hemiplegia,reduce the burden of self-perception,enable patients to actively cope with rehabilitation treatment,and reduce the incidence of complications.

Roy adaptation modelHemiplegia after strokeSelf-care abilityCoping styleComplications

张洋洋

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厦门弘爱康复医院 福建 厦门 361000

罗伊适应模式 脑卒中偏瘫 自护能力 应对方式 并发症

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(3)
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