基于健康行为互动模式构建的系统干预措施在老年卒中后疲劳患者的应用效果  

Application effects of systemtic intervention measures based on health behavior interaction model in elderly patients with post-stroke fatigue

作　　者：胡建蓉[1] 周玥杉 刘江玲 周珊[1] Hu Jianrong;Zhou Yueshan;Liu Jiangling;Zhou Shan(Department of Nursing,People's Hospital of Jiangyou City,Jiangyou,Sichuan,621700,P.R.China)

机构地区：[1]江油市人民医院护理部,四川江油621700

出　　处：《老年医学与保健》2024年第3期706-710,729,共6页Geriatrics & Health Care

摘　　要：目的探讨基于健康行为互动模式在老年卒中后疲劳患者的应用效果。方法选取2021年10月—2023年7月于江油市人民医院诊治老年卒中后疲劳的124例患者,采用简单随机化法将患者分为观察组与对照组,每组62例。对照组接受常规措施干预,观察组在常规措施干预基础上加用基于健康行为互动模式构建的系统干预措施。分别采用脑卒中疲劳严重程度量表(FSS)、康复自我效能量表(SSEQ)、脑卒中专用生活质量量表(SS-QOL)评估并比较2组患者疲劳严重程度、自我效能和生活质量水平。结果干预前,2组患者FSS、SSEQ及SS-QOL评分差异均无统计学意义(P>005)。干预后,观察组FSS评分低于对照组,而观察组SSEQ评分、SS-QOL评分高于对照组,差异均有统计学意义(P<0.05)。结论基于健康行为互动模式构建的系统干预措施可能有效地降低老年卒中患者卒中后疲劳严重程度,提高患者自我管理主动性、自我效能和生活质量。Objective To explore the application effects of systemtic intervention measures based on health behavior interaction model in elderly patients with post-stroke fatigue.Methods 124 elderly patients with post-stroke fatigue treated in People's Hospital of Jiangyou City from October 2021 to July 2023 were selected.They were divided into observation group and control group by simple randomization method,with 62 cases in each group.The control group received routine intervention,while the observation group received a systemtic intervention measures based on health behavior interaction model in addition to routine intervention.The Stroke Fatigue Severity Scale(FSS),Rehabilitation Self-Efficacy Scale(SSEQ),and Stroke Specific Quality of Life Scale(SS-QOL)were used to evaluate and compare the fatigue severity,self-efficacy,and quality of life levels of two groups.Results Before intervention,there were no significant differences in the scores of SSEQ,FSS and SS-QOL between the two groups.After the intervention,the FSS score of the observation group was lower than that of the control group,and the SSEQ score and SS-QOL score were higher than those of the control group,with statistical significance(P<0.05).Conclusion The systemtic intervention measures based on health behavior interaction model may effectively reduce the severity of post-stroke fatigue in elderly stroke patients,improve their self-management initiative,self-efficacy and quality of life.

关 键 词：老年 脑卒中 脑卒中后疲劳 健康行为互动模式 生活质量 

分 类 号：R743.3[医药卫生—神经病学与精神病学]