基于健康赋权理论的护理干预在卒中后疲劳患者中的应用  

The effects of an interventional program based on health empowerment theory on fatigue of post-stroke patients

作　　者：舒美春[1] 杨碎丽[1] 鲍少蕊 林碎丽[1] 俞月婷[1] 洪显钗[1] SHU Mei-chun;YANG Sui-li;BAO Shao-rui;LIN Sui-li;YU Yue-ting;HONG Xian-chai

机构地区：[1]温州医科大学附属第一医院,温州市325002

出　　处：《中华护理教育》2022年第3期236-241,共6页Chinese Journal of Nursing Education

基　　金：温州市科技局科技计划项目(Y20180375)。

摘　　要：目的 探讨基于健康赋权理论的护理干预在卒中后疲劳患者护理中的应用效果。方法 2019年10月-2020年9月,将我院收治的202例卒中后疲劳患者按抽签的方式随机分为对照组(n=101)和试验组(n=101)。对照组实施常规护理,试验组在常规护理基础上进行基于健康赋权理论的护理干预,从信念和态度、知识和能力、行动和表现、支持和资源4个方面进行干预。比较干预2个月后、干预6个月后两组赋能护理水平,比较干预6个月后两组的疲劳严重程度,并记录1年内患者脑卒中的复发率。结果 两组赋能护理水平评分组间与时间存在交互效应(F=61.335,P<0.001),简单效应分析显示,干预2个月后、干预6个月后,试验组得分高于对照组(t=2.957、3.061,P<0.05);干预6个月后试验组疲劳严重程度低于对照组P<0.05),随访1年试验组疾病复发率(4.00%)低于对照组(11.88%),试验组生存曲线优于对照组,差异均有统计学意义(P<0.05)。结论 在常规护理的基础上增加基于健康赋权理论的护理干预可有效提高卒中后疲劳患者赋能护理水平,降低疲劳的严重程度,提高患者的自护能力,从而促进疾病康复,降低疾病复发率。Objective To explore the effects of an interventional program based on health empowerment theory on fatigue of post-stroke patients.Methods From October 2019 to September 2020,a total of 202 post-stroke patients with fatigue were randomly divided into the control group and the experimental group with 101 cases in each group.Patients in the control group received routine care and patients in the experimental group received the intervention based on health empowerment theory besides routine care.Regarding the interventional program,four aspects were involved including belief and attitude,knowledge and ability,action and performance,and support and resources.After 2 months and 6 months of intervention,the level of empowering nursing between the two groups were compared.After 6 months of intervention,the severity of fatigue was compared.The recurrence rate of stroke one year after the intervention was recorded.Results There was an interaction effect in score of empowering nursing between groups and time(F=61.335,P<0.001).A simple effect analysis showed that the score of the experimental group was higher than that of the control group(t=2.957,3.061;P<0.05).Six months after the intervention,the severity of fatigue in the experimental group was lower than that of the control group(P<0.05).The recurrence rate of stroke in the experimental group(4.00%)was lower than that of the control group(11.88%)1 year after the intervention.The survival curve of the experimental group was better than that of the control group(P<0.05).Conclusion Intervention based on the theory of health empowerment besides routine care can effectively improve the level of emprowing nursing,reduce the severity of fatigue,and improve patient's self-care ability.Accordingly,patients'disease recovery can be improved and rate of disease recurrence can be decreased.

关 键 词：卒中 疲劳 复发 健康赋权 

分 类 号：R473.74[医药卫生—护理学]