跨理论模型护理方案对老年癫痫病人疲劳感和心理健康的干预效果  

Effect of trans-theoretical model on fatigue and psychological health in elderly patients with epilepsy

作　　者：唐玥 朱建英[1] 刘卫国[1] 向阳[1] 李雪芬[1] TANG Yue;ZHU Jianying;LIU Weiguo;XIANG Yang;LI Xuefen(Department of Neurology,Brain Hospital Affiliated to Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学附属脑科医院神经内科,江苏省南京市210029

出　　处：《实用老年医学》2024年第5期533-536,共4页Practical Geriatrics

基　　金：江苏省南京市卫生科技发展专项资金资助项目(YKK18113);江苏省重点研发计划专项资金(BE2019611)。

摘　　要：目的探讨跨理论模型(行为分阶段转换理论)(TTM)护理干预对老年癫痫病人疲劳感和负性情绪的影响。方法选择2022年1月至2023年3月住院治疗的老年癫痫病人95例,采用TTM进行护理干预。比较干预前后病人焦虑自评量表(SAS)、抑郁自评量表(SDS)、疲乏修订量表(RPFS)评分以及TTM阶段期变化、TTM阶段期改变跨度、病人对癫痫药物的了解程度和发作自救掌握程度等评估结果。结果经过3个月的行为干预护理,病人SAS、SDS、RPFS得分,TTM行为阶段改变期和改变期跨度,自评项目和药物知识掌握度等均明显优于干预前,差异具有统计学意义(P<0.05)。结论运用TTM对老年癫痫病人进行护理干预,不仅改善了病人的健康行为,提高了病人对疾病知识的掌握程度,同时也降低了病人的焦虑、抑郁情绪和疲劳感。Objective To explore the influences of nursing intervention by a trans-theoretical model(TTM)on the psychological health and fatigue status in the elderly patients with epilepsy.Methods A total of 95 elderly inpatients with epilepsy were enrolled from January 2021 to March 2023.Personalized TTM care was performed on all subjects for 3 months.Before and after the intervention,the self-rating anxiety scale(SAS),self-rating depression scale(SDS),revised piper fatigue scale(RPFS),the stage variation and span of TTM,the knowledge of antiepilepsy drugs and the mastery of self-rescue were evaluated and compared.Results After 3 months of behavioral nursing intervention,the scores of SAS,SDS,RPFS,and the stage variation,span of TTM and the mastery of self-rescue in the elderly patients with epilepsy were significantly improved(P<0.05).Conclusions The nursing intervention based on TTM can effectively improve the behavior of the elderly patients with epilepsy,alleviate their anxiety and depression,and relieve fatigue.

关 键 词：跨理论模型 老年人 癫痫 心理健康 疲劳感 

分 类 号：R473.74[医药卫生—护理学]