基于跨理论模型的时效性分析模式在颅内大动脉闭塞桥接治疗后患者护理中的应用  

Application of a cross theoretical model based timeliness analysis model in patient care after bridging treatment for intracranial large artery occlusion

作　　者：国玲 韩萌 王玉 孙婧 贾亚男 GUO Ling;HAN Meng;WANG Yu;SUN Jing;JIA Yanan(Department of Internal Medicine,the Third Hospital of Xingtai,Hebei Province,Xingtai054000,China;Department of Neurology,the Third Hospital of Xingtai,Hebei Province,Xingtai054000,China)

机构地区：[1]河北省邢台市第三医院内科,河北邢台054000 [2]河北省邢台市第三医院神经内科,河北邢台054000

出　　处：《中国医药导报》2024年第4期178-182,共5页China Medical Herald

基　　金：河北省邢台市科技计划项目(2019ZC268)。

摘　　要：目的 探讨基于跨理论模型的时效性分析模式在颅内大动脉闭塞桥接治疗后患者护理中的应用效果。方法 选择2019年11月至2021年11月河北省邢台市第三医院110例颅内大动脉闭塞桥接治疗后的患者为研究对象,按照随机数字表法将其分为对照组和干预组,各55例。对照组给予常规护理,干预组采取基于跨理论模型的时效性分析模式护理,比较两组干预前后Fugl-Meyer运动量表(FMA)评分、改良Barthel指数(MBI)评分及中文版心理弹性量表(CD-RISC)评分。结果 两组FMA各维度评分组间、时间点及交互作用比较差异均有统计学意义(P<0.05);两组组内各时间点FMA维度评分比较,差异有统计学意义(P<0.05),干预组干预3、6个月后FMA各维度评分均高于对照组,差异有统计学意义(P<0.05)。两组MBI评分组间、时间点及交互作用比较差异均有统计学意义(P<0.05),两组组内各时间点MBI评分比较,差异有统计学意义(P<0.05),干预组干预3、6个月MBI评分高于对照组,差异有统计学意义(P<0.05);两组CD-RISC评分组间、时间点及交互作用比较差异均有统计学意义(P<0.05),两组组内各时间点CD-RISC评分比较,差异有统计学意义(P<0.05),干预组干预3、6个月CD-RISC评分高于对照组,差异有统计学意义(P<0.05)。结论 基于跨理论模型的时效性分析模式在颅内大动脉闭塞桥接治疗后患者护理中有良好的应用效果,可有效改善患者肢体功能,提高心理弹性,改善日常生活活动能力。Objective To explore the application effect of a cross theoretical model based timeliness analysis model in patient care after bridging treatment for intracranial large artery occlusion.Methods From November 2019 to November2021,a total of 110 patients with intracranial large artery occlusion after bridge treatment in Xingtai Third Hospital were selected as the research objects.They were divided into intervention group and control group according to random number table method,with 55 patients in each group.The control group was given routine nursing,and the intervention group was given timeliness analysis mode nursing based on transtheoretical model.The Fugl-Meyer exercise scale(FMA) score,modified Barthel index(MBI) score,and Chinese version of psychological resilience scale(CD-RISC) score were compared between the two groups before and after intervention.Results There were statistically significant differences between groups,time points and interaction of FMA in the two groups(P<0.05).Comparison of FMA scores at various time points in the two groups,the differences were statistically significant(P<0.05),FMA scores in the intervention group were higher than those in the control group after three months and six months of intervention,the differences were statistically significant(P<0.05).There were statistically significant differences in MBI scores between groups,time points and interaction between the two groups(P<0.05).Comparison of MBI scores at various time points between the two groups,the differences were statistically significant(P<0.05),MBI scores in the intervention group at three and six months of intervention were higher than those in the control group,the differences were statistically significant(P<0.05).There were statistically significant differences in CD-RISC scores between groups,time points and interaction between the two groups,the differences were statistically significant(P<0.05),and CD-RISC scores at various time points between the two groups,the differences were statistically significant(

关 键 词：颅内大动脉闭塞 桥接治疗 跨理论模型 时效性分析模式 

分 类 号：R473[医药卫生—护理学]