健康赋权模式联合二元应对干预对老年脑卒中患者神经功能、应对方式及希望水平的影响  

Impacts of the Health Empowerment Model Combined with Binary Coping Intervention on Neurological Function,Coping Style,and Hope Level in Elderly Stroke Patients

作　　者：宣慧 胡芳 叶秋桠 吕学海[1] 张丽萍 李涵 王晓莹 刘艳维 Xuan Hui;Hu Fang;Ye Qiuya;Lv Xuehai;Zhang Liping;Li Han;Wang Xiaoying;Liu Yanwei(Handan Central Hospital,Handan 056000)

机构地区：[1]邯郸市中心医院,邯郸056000

出　　处：《国际老年医学杂志》2024年第3期303-307,共5页International Journal of Geriatrics

基　　金：邯郸市科学技术研究与发展计划项目(22422083027ZC)。

摘　　要：目的 探讨健康赋权模式联合二元应对干预对老年脑卒中患者神经功能、应对方式及希望水平的影响。方法 选取2020年10月-2022年10月邯郸市中心医院收治的144例老年脑卒中患者作为研究对象,按照随机数字表法分为观察组和对照组,各72例。对照组给予常规护理模式干预,观察组给予健康赋权模式联合二元应对干预,评估干预前后两组的神经功能[美国国立卫生研究院脑卒中量表(NIHSS)]、应对方式[简易应对方式问卷(SCSQ)]及希望水平[Herth希望量表(HHI)]。结果 干预前两组NIHSS、SCSQ及HHI评分比较,差异均无统计学意义(P>0.05);干预后,观察组NIHSS评分低于对照组(P<0.05),SCSQ的积极应对方式评分高于对照组(P<0.05),SCSQ的消极应对方式评分低于对照组(P<0.05),HHI中各维度评分均高于对照组(P<0.05)。结论 健康赋权模式联合二元应对干预能够显著改善老年脑卒中患者的神经功能,提高积极应对方式,有效增强患者的希望水平。Objective To explore the impacts of health empowerment model combined with binary coping intervention on neurological function,coping style,and hope level in elderly stroke patients.Methods A total of 144 elderly stroke patients admitted to Handan Central Hospital from October 2020 to October 2022 were selected as the research subjects,they were randomly separated into a reference group and an observation group,with 72 cases in each group.The reference group received routine nursing intervention,while observation group received health empowerment combined with binary coping intervention,The neurological function[National Institutes of Health Stroke Scale(NIHSS)],coping style[Simplified coping style questionnaire(SCSQ)],and hope level[Herth hope index(HHI)]of both groups were evaluated before and after intervention.Results There was no statistically significant difference in NIHSS scores,SCSQ scores,and HHI scores between the two groups before intervention(P>0.05).After intervention,the NIHSS scores of the observation group were lower than those in the control group(P<0.05),the positive coping style scores of SCSQ were higher than those in the control group(P<0.05),the negative coping style scores of SCSQ were lower than thos in the control group(P<0.05),and the scores of all dimensions in HHI were higher than those in the control group(P<0.05).Conclusion The combination of health empowerment model and binary coping intervention can obviously improve the neurological function of elderly stroke patients,enhance positive coping styles,and effectively enhance their hope level.

关 键 词：脑卒中 健康赋权 二元应对 神经功能 应对方式 希望水平 

分 类 号：R473.74[医药卫生—护理学]