基于知识转化理论域框架的脑卒中多学科自我管理模式应用及效果评价  

Application and effect evaluation of multidisciplinary self-management model for patients with stroke based on knowledge transformation theoretical domain framework

作　　者：张婷[1] 徐英[1] ZHANG Ting;XU Ying(Department of Cardiac Care Unit,West China Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院心脏CCU,四川成都610041

出　　处：《实用医院临床杂志》2024年第5期160-164,共5页Practical Journal of Clinical Medicine

基　　金：四川省科技厅自然科学基金资助项目(编号:122023NSFSC1649)。

摘　　要：目的构建基于知识转化理论域框架(TDF)的脑卒中多学科自我管理模式,并探讨其应用效果。方法2020年9月至2021年2月,采用便利抽样法选取在华西医院康复医学中心的150例脑卒中患者,按照随机数字表法分为试验组和对照组各75例。试验组采取基于TDF知识转化理论框架的脑卒中多学科自我管理模式的护理干预,对照组接受常规护理干预方案,比较两组自我管理行为量表得分、Barthel指数、患者自我感受负担得分。结果干预6个月后,试验组自我管理行为(181.20±9.88)分高于对照组(165.82±10.39)分,Barthel指数评分(85.21±3.21)分高于对照组(65.04±4.27)分,患者自我感受负担试验组(22.60±5.57)分低于对照组(29.77±6.52)分,差异有统计学意义(P<0.05);干预12个月后,两组自我管理行为得分差异无统计学意义(P>0.05),Barthel指数评分试验组(88.32±3.70)分高于对照组(65.26±2.05)分(P<0.05),患者自我感受负担试验组(25.01±6.75)分低于对照组(30.44±4.53)分(P<0.05)。结论基于TDF知识转化理论框架的脑卒中多学科自我管理模式能有效提高脑卒中患者自我管理行为和Barthel指数。但12个月后干预的效果有所减退,提示在后续的研究中有必要进行强化干预。Objective To construct a multidisciplinary self-management model for stroke based on knowledge transformation theoretical domain framework(TDF),and to explore its application effect.Methods From September 2020 to February 2021,convenience sampling method was used to select 150 stroke patients in the Rehabilitation Medical Center of our hospital.The patients were divided into a control group and an experimental group by using random number table method,75 in each group.The experimental group received nursing intervention based on the knowledge transformation TDF of multidisciplinary stroke self-management model.The control group received routine nursing intervention.The scores of Self-Management Behavior Scale(SMBs)and Barthel Index(BI)were compared between the two groups.Results After 6 months of intervention,the SMBs scores in the experimental group were(181.20±9.88)which were higher than(165.82±10.39)in the control group.The BI scores in the experimental group were(85.21±3.21)which were higher than(65.04±4.27)in the control group.The score of self-perceived burden in the experimental group were(22.60±5.57)which were lower than(29.77±6.52)in the control group.All differences were statistically significant(P<0.05).After 12 months of intervention,there was no statistically significant difference in the score of SMBs between the two groups(P>0.05).The BI score of the experimental group was(88.32±3.70)which was higher than(65.26±2.05)in the control group(P<0.05).The score of self-perceived burden in the experimental group was(25.01±6.75),which was lower than(30.44±4.53)in the control group(P<0.05).Conclusions The stroke multidisciplinary self-management model based on the knowledge transformation TDF can effectively improve the SMBs and BI of stroke patients.However,the effect of the intervention is diminished after 12 months.This suggests that intensive intervention is necessary in subsequent studies.

关 键 词：脑卒中 知识转化 自我管理 多学科团队 

分 类 号：R473.2[医药卫生—护理学]