目标策略模式下知信行干预对脑出血患者心理状态及生活质量的影响  

Effect of knowledge,belief and action therapy under the target strategy model on the mental state and quality of life of patients with cerebral hemorrhage

作　　者：张凌[1] 卢燕华[1] 胡庭香[1] 郭峰 黄玉菁[1] ZHANG Ling;LU Yanhua;HU Tingxiang;GUO Feng;HUANG Yujing(Department of Nursing,Ganzhou People's Hospital,Jiangxi Prvince,Ganzhou341000,China)

机构地区：[1]江西省赣州市人民医院护理部,江西赣州341000

出　　处：《中国当代医药》2023年第31期184-188,共5页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(SKJP220228276);江西省赣州市科技计划项目(20222ZDX7569)。

摘　　要：目的探讨目标策略模式下知信行干预对脑出血患者心理状态及生活质量的影响。方法选择2021年1月至12月在赣州市人民医院神经科接受救治的66例脑出血患者为研究对象,依据随机数字表法将其分为对照组和观察组,每组各33例。对照组实施常规干预和护理,观察组在此基础上采用基于目标策略模式下知信行干预。比较两组患者的住院时间,干预前后的焦虑抑郁、独立生活能力及生活质量。结果干预前,两组患者的焦虑、抑郁评分比较,差异无统计学意义(P>0.05);干预后,两组患者的焦虑、抑郁评分低于干预前,且观察组焦虑、抑郁评分低于对照组,差异有统计学意义(P<0.05)。观察组的住院时间短于对照组,差异有统计学意义(P<0.05)。干预前,两组患者的独立生活能力各维度评分比较,差异无统计学意义(P>0.05);干预后,两组患者的独立生活能力各维度评分高于干预前,且观察组评分高于对照组,差异有统计学意义(P<0.05)。干预前,两组患者的生活质量各维度评分比较,差异无统计学意义(P>0.05);干预后,两组患者的生活质量各维度评分高于干预前,且观察组评分高于对照组,差异有统计学意义(P<0.05)。结论基于目标策略模式下知信行干预应用于脑出血患者中,可有效缓解患者的焦虑抑郁,缩短住院时间,改善独立生活能力,提高生活质量。Objective To investigate the effect of knowledge,belief and action therapy under the target strategy model on the mental state and quality of life of patients with cerebral hemorrhage.Methods A total of 66 patients with cerebral hemorrhage who received treatment in the Department of Neurology of Ganzhou People's Hospital from January to December 2021 were selected as the study objects,and were divided into control group and observation group according to random number table method,with 33 cases in each group.The control group was treated with routine intervention and nursing,and the observation group was treated with goal-based strategy based intervention.The length of hospital stay,anxiety and depression,independent living ability and quality of life before and after intervention were compared between the two groups.Results Before intervention,there were no significant differences in anxiety and depression scores between the two groups(P>0.05).After intervention,the scores of anxiety and depression in the two groups were lower than before intervention,and the scores of anxiety and depression in the observation group were lower than those in the control group,with statistical significance(P<0.05).The duration of hospitalization in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).Before intervention,there were no significant differences in scores of independent living ability between the two groups(P>0.05).After intervention,the scores of all dimensions of independent living ability in the two groups were higher than before intervention,and the scores in the observation group were higher than those in the control group,with statistical significance(P<0.05).Before intervention,there were no significant differences in quality of life scores between the two groups(P>0.05).After intervention,the scores of all dimensions of quality of life in the two groups were higher than before intervention,and the scores in the observation group were higher th

关 键 词：目标策略模式 知信行 脑出血 心理状态 生活质量 

分 类 号：R473.74[医药卫生—护理学]