卒中恢复期患者的自我管理干预
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女,本科,主任护师,护理部主任

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2016年福建省科学技术厅引导性项目(2016Y0047)


Effect of self-management intervention in patients in the convalescent stage of stroke
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    目的 探讨卒中恢复期患者自我管理干预的效果。方法 将福建省闽东、闽南、闽西、闽北、闽中6所三级甲等医院的160例卒 中恢复期患者按照随机数字表法分为观察组和对照组各80例。对照组按照卒中恢复期中医护理方案进行常规护理,观察组在此 基础上应用疾病自我管理模式进行干预。采用卒中自我管理行为评定量表、慢性病管理自我效能感量表和卒中患者生存质量量 表,对两组患者干预前、干预3个月、干预6个月后自我管理行为和生活质量改善情况进行评定。结果 干预后,观察组自我管理 水平、自我效能感和生存质量评分显著优于对照组(均P<0.01)。结论 卒中恢复期自我管理模式的应用,可提高患者的自我效 能,改善其生存质量。

    Abstract:

    Objective To explore the effect of self-management intervention in patients in the convalescent stage of stroke. Methods A total of 160 patients in the convalescent stage of stroke from 6 3A hospitals in east, south, west, north, and central Fujian province were randomized into a control group, who were subjected to routine TCM convalescent stroke care plan, and an observation group, who were additionally assigned to receive self-management intervention.The Self-management Behavior Assessment Scale, the Chronic Disease Management Self-efficacy Scale and the Stroke Patient′s Quality of Life Scale were used to evaluate self-management behaviors and quality of life of the two groups before, 3 months after, and 6 months after intervention. Results After intervention, self-management level, self-efficacy and quality of life of the observation group were significantly better than those of the control group (P<0.01 for all). Conclusion Self-management intervention can significantly improve self-efficacy and quality of life of patients in the convalescent stage of stroke.

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关风光,王玫,江月卿,林如,温清秀,何伟秀.卒中恢复期患者的自我管理干预[J].护理学杂志,2019,34(5):5-7+21

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  • 收稿日期:2018-10-10
  • 最后修改日期:2018-12-20
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  • 在线发布日期: 2022-08-09