卒中后疲劳患者基于多理论模型的行为改变干预  

Behavior changes intervention based on the Multi-Theory Model for patients with post-stroke fatigue

作　　者：张赛赛 高彩云[2] 王永清[2] 马小花 张娜丽 石钰峰 裴欢欣 董新寨[3] Zhang Saisai;Gao Caiyun;Wang Yongqing;Ma Xiaohua;Zhang Nali;Shi Yufeng;Pei Huanxin;Dong Xinzhai(School of Nursing,Shanxi Medical University,Tai yuan 030001,China)

机构地区：[1]山西医科大学护理学院,山西太原030001 [2]山西医科大学第二医院神经内科 [3]山西医科大学第二医院护理部

出　　处：《护理学杂志》2024年第15期6-10,共5页Journal of Nursing Science

摘　　要：目的探讨基于多理论模型的行为改变干预对卒中后疲劳患者的影响。方法将神经内科74例住院卒中后疲劳患者按照住院时间分为对照组和试验组各37例。对照组接受常规护理,试验组在对照组基础上实施基于多理论模型的行为改变方案3个月。于干预前及干预1个月、干预3个月评估两组疲劳严重程度、自我效能、生活质量。结果两组各36例患者完成研究及随访。两组疲劳严重程度、自我效能、生活质量的时间效应、组间效应及交互效应显著(均P<0.05),干预1个月、干预3个月试验组各指标显著优于对照组(均P<0.05)。结论基于多理论模型的卒中后疲劳行为改变干预可有效改善患者的疲劳严重程度,提高患者自我效能及生活质量。Objective To explore the effects of behavior changes intervention based on the Multi-Theory Model(MTM)for patients with post-stroke fatigue.Methods A total of 74 inpatients with post-stroke fatigue in neurology department were divided into a control group and an experimental group chronologically,with 37 patients in each group.The control group received routine care,while the experimental group additionally received behavior changes intervention based on the MTM for 3 months.The Fatigue Severity Scale(FSS),the Stroke Self-efficacy Questionnaire(SSEQ)and the Stroke-Specific Quality of Life Scale(SS-QOL)were used to evaluate the two groups before the intervention,1 month and 3 months after the intervention.Results Totally 36 patients in each group completed the study and follow-up.The time effect,group effect and group by time effect between the two groups in the scores of FSS,SSEQ and SS-QOL were statistically significant(all P<0.05).One month and 3 months after the intervention,all the indexes in the experimental group were significantly better than those of the control group(all P<0.05).Conclusion The behavior changes intervention based on the MTM can effectively alleviate patients′fatigue severity,and improve their self-efficacy and quality of life.

关 键 词：脑卒中 卒中后疲劳 多理论模型 行为改变 行为维持 自我管理 自我效能 生活质量 

分 类 号：R473.74[医药卫生—护理学]