卒中恢复期患者的自我管理干预
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摘要
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。
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 3 A 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.
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 3 A 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.
引文
[1]王陇德,王金环,彭斌,等.《中国中风防治报告2016》概要[J].中国脑血管病杂志,2017,14(4):217-224.
[2]励建安.康复医学[M].北京:人民卫生出版社,2014:216-217.
[3]张炎文,曹凤,冯嘉依,等.基于自我效能理论的康复护理方案在脑卒中恢复期患者上肢功能康复中的应用[J].解放军护理杂志,2017,34(24):72-76.
[4]丁岚,马尔哈巴·吾买尔.网络健康管理平台对中风患者自我效能及康复效果的影响[J].护理学报,2015,22(1):69-71.
[5]徐江华,胡慧,王宁.中风患者自我效能感的研究进展[J].中华护理杂志,2014,49(1):87-90.
[6]穆欣,李娟,刘瑞荣,等.首发中风患者自我管理行为及影响因素的研究[J].中华护理杂志,2016,51(3):289-293.
[7]孔丽仪,何桂英,黄丽婵,等.自我管理教育改善社区老年2型糖尿病患者血糖水平和自我效能的价值[J].护理实践与研究,2017,14(5):140-141.
[8]Anne R,Ivaylo V,Maria J,et al.Meso level influences on long term condition self-management:stakeholder accounts of commonalities and differences across six European countries[J].BMC Public Health,2015,15(1):622-633.
[9]顾爱芳,练学淦,刘猛,等.脑卒中患者对H型高血压的认识与自我管理的相关性研究[J].中国实用神经疾病杂志,2018,21(6):1-3.
[10]王艳桥.中风自我管理项目的构建与应用研究[D].成都:成都中医药大学,2012.
[11]中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国急性缺血性中风诊治指南2014[J].中华神经科杂志,2015,48(4):246-253.
[12]国家中医药管理局医政司.中风等13个病种中医护理方案(试行)的通知[S].北京:国家中医药管理局,2013,13-25.
[13]关风光.中风患者自我管理手册[M].北京:科学出版社,2017:5.
[14]Lorig K,Stewart A,Ritter P,et al.Outcome measures for health education and other health care interventions[M].Thousand Osks,CA:Sage,1996:41-44.
[15]胡学军,张伯礼,蔡光先.中风病患者生存质量量表的研制与考评(续)---附中风病患者生存质量量表[J].中华中医药学刊,2007,25(2):270-272.
[16]赵月元,张爱华.冠心病介入治疗患者自我管理行为与焦虑抑郁及生存质量的相关性[J].护理学杂志,2016,31(5):8-11.
[17]Guan F G,Wang M,Lian X Q.The status quo and influence of self-management behaviors in convalescent stroke patients[J].Frontiers of Nursing,2018,5(2):119-125.
[18]Chrzan R,GleńA,Urbanik A.How to avoid false positive hyperdense middle cerebral artery sign detection in ischemic stroke[J].Neurol Neurochir Pol,2017,51(5):395-402.
[19]孙佳艺,巢宝华,徐新娟,等.中国三甲医院高血压患者中风十年发病风险的流行病学研究[J].中华高血压杂志,2014,22(10):964-968.
[20]龙淼.早期康复操对中风偏瘫患者Barthel指数和FuelMeyer运动功能及生存质量影响[J].中国全科医学,2017,20(2):322-324.
[21]冯艳平,王延新,支会建.基于时机理论的健康管理对首发脑卒中患者自我管理能力及生活质量的影响[J].齐鲁护理杂志,2018,24(1):120-122.
[22]蒋运兰,王艳桥,冯玉,等.脑卒中恢复期患者自我管理项目的构建与评价[J].护理学杂志,2014,29(1):4-7.
[2]励建安.康复医学[M].北京:人民卫生出版社,2014:216-217.
[3]张炎文,曹凤,冯嘉依,等.基于自我效能理论的康复护理方案在脑卒中恢复期患者上肢功能康复中的应用[J].解放军护理杂志,2017,34(24):72-76.
[4]丁岚,马尔哈巴·吾买尔.网络健康管理平台对中风患者自我效能及康复效果的影响[J].护理学报,2015,22(1):69-71.
[5]徐江华,胡慧,王宁.中风患者自我效能感的研究进展[J].中华护理杂志,2014,49(1):87-90.
[6]穆欣,李娟,刘瑞荣,等.首发中风患者自我管理行为及影响因素的研究[J].中华护理杂志,2016,51(3):289-293.
[7]孔丽仪,何桂英,黄丽婵,等.自我管理教育改善社区老年2型糖尿病患者血糖水平和自我效能的价值[J].护理实践与研究,2017,14(5):140-141.
[8]Anne R,Ivaylo V,Maria J,et al.Meso level influences on long term condition self-management:stakeholder accounts of commonalities and differences across six European countries[J].BMC Public Health,2015,15(1):622-633.
[9]顾爱芳,练学淦,刘猛,等.脑卒中患者对H型高血压的认识与自我管理的相关性研究[J].中国实用神经疾病杂志,2018,21(6):1-3.
[10]王艳桥.中风自我管理项目的构建与应用研究[D].成都:成都中医药大学,2012.
[11]中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国急性缺血性中风诊治指南2014[J].中华神经科杂志,2015,48(4):246-253.
[12]国家中医药管理局医政司.中风等13个病种中医护理方案(试行)的通知[S].北京:国家中医药管理局,2013,13-25.
[13]关风光.中风患者自我管理手册[M].北京:科学出版社,2017:5.
[14]Lorig K,Stewart A,Ritter P,et al.Outcome measures for health education and other health care interventions[M].Thousand Osks,CA:Sage,1996:41-44.
[15]胡学军,张伯礼,蔡光先.中风病患者生存质量量表的研制与考评(续)---附中风病患者生存质量量表[J].中华中医药学刊,2007,25(2):270-272.
[16]赵月元,张爱华.冠心病介入治疗患者自我管理行为与焦虑抑郁及生存质量的相关性[J].护理学杂志,2016,31(5):8-11.
[17]Guan F G,Wang M,Lian X Q.The status quo and influence of self-management behaviors in convalescent stroke patients[J].Frontiers of Nursing,2018,5(2):119-125.
[18]Chrzan R,GleńA,Urbanik A.How to avoid false positive hyperdense middle cerebral artery sign detection in ischemic stroke[J].Neurol Neurochir Pol,2017,51(5):395-402.
[19]孙佳艺,巢宝华,徐新娟,等.中国三甲医院高血压患者中风十年发病风险的流行病学研究[J].中华高血压杂志,2014,22(10):964-968.
[20]龙淼.早期康复操对中风偏瘫患者Barthel指数和FuelMeyer运动功能及生存质量影响[J].中国全科医学,2017,20(2):322-324.
[21]冯艳平,王延新,支会建.基于时机理论的健康管理对首发脑卒中患者自我管理能力及生活质量的影响[J].齐鲁护理杂志,2018,24(1):120-122.
[22]蒋运兰,王艳桥,冯玉,等.脑卒中恢复期患者自我管理项目的构建与评价[J].护理学杂志,2014,29(1):4-7.