脑卒中恢复期患者的个性化自我管理干预  

Individualized self-management intervention for convalescent stroke survivors

作　　者：杜静[1] 翁雪云[1] 余红[1] 刘永锋[1] 欧子杨 Du Jing;Weng Xueyun;Yu Hong;Liu Yongfeng;Ou Ziyang(Department of Acupuncture and Moxibustion,Shenzhen Traditional Chinese Medicine Hospital,Shenzhen 518033,China)

机构地区：[1]深圳市中医院针灸科,广东深圳518033

出　　处：《护理学杂志》2020年第22期28-31,共4页Journal of Nursing Science

基　　金：2018年广东省中医药局科研项目(20181226)。

摘　　要：目的探讨个性化自我管理干预在脑卒中恢复期患者中的应用效果。方法将80例脑卒中恢复期患者采用随机数字表法分为观察组(n=40)与对照组(n=40),对照组实施脑卒中常规护理及健康教育,观察组在对照组基础上采用个性化自我管理干预。比较两组干预前、干预后20 d、3个月及6个月脑卒中防治知识水平,康复自我效能感及自我管理行为。结果干预后20 d、3个月及6个月,两组脑卒中防治知识水平、康复自我效能感、自我管理行为评分比较,干预效应、时间效应、交互效应均P<0.01;且观察组各项指标优于对照组。结论采用个性化自我管理干预可明显提升脑卒中患者脑卒中防治知识水平,提高患者康复自我效能感,改善患者自我管理行为。Objective To explore the clinical effect of individualized self-management intervention for convalescent stroke survivors.Methods Totally,80 stroke patients at recovery stage were recruited and randomly divided into an intervention group(n=40)and a control group(n=40)by using random number table method.The control group was given conventional nursing care and health education,while the intervention group additionally received individualized self-management intervention.The stroke prevention related knowledge level,rehabilitation self-efficacy and self-management behavior scores were measured 20 days,3 months,and 6 months after the intervention.Results The group effect,time effect and group by time effect were significant for stroke prevention related knowledge level,rehabilitation self-efficacy and self-management behavior scores between the 2 groups(P<0.01 for all),and the outcomes in the intervention group were better than the controls.Conclusion Individualized self-management intervention can significantly improve stroke prevention related knowledge level,rehabilitation self-efficacy and the self-management behaviors of stroke survivors.

关 键 词：脑卒中 恢复期 知识 康复自我效能 自我管理行为 个性化护理 

分 类 号：R473.5[医药卫生—护理学]