基于授权理论的自我管理对脑肿瘤患者应对方式、自护能力及术后肢体功能康复的影响  

Effect of Self-management Based on Empowerment Theory on Coping Style,Self-care Ability and Postoperative Limb Function Rehabilitation ofBrain Tumor Patients

作　　者：徐畅 潘圆圆 王慧仙 XU Chang;PAN Yuanyuan;WANG Huixian(Department of Neurosurgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院神经外科,河南郑州450000

出　　处：《河南医学研究》2024年第24期4561-4565,共5页Henan Medical Research

摘　　要：目的 探究基于授权理论的自我管理在脑肿瘤患者中的应用效果。方法 选取2022年1月至2023年6月郑州大学第一附属医院收治的92例脑肿瘤患者,按随机数表法分为两组,各46例,对照组接受常规护理,观察组于此基础上接受基于授权理论的自我管理。观察两组干预前后应对方式(MCMQ)、自护能力(ESCA)、希望水平(HHI)及Fugl-Meyer上肢运动功能(FMA)、改良Barthel指数(BI)。结果 干预后观察组屈服、回避评分低于对照组,面对、ESCA、HHI、FMA、BI评分高于对照组(P<0.05)。结论 在脑肿瘤患者护理工作中,基于授权理论的自我管理有助于改变患者应对方式,提升自理水平,增强自护能力,促进肢体功能及日常生活能力的恢复。Objective To explore the application effect of self-management based on empowerment theory in patients with brain tumor.Methods A total of 92 patients with brain tumor admitted to the First Affiliated Hospital of Zhengzhou University from January 2022 to June 2023 were selected and divided into control group and observation group by random number table method,with 46 cases in each group.The control group received routine nursing,and the observation group received self-management based on empowerment theory.The medical coping modes questionnaire(MCMQ),exercise of self-care agency scale(ESCA),Herth hope index(HHI),Fugl-Meyer assessment scale(FMA)and modified Barthel index(BI)were observed before and after the intervention.Results After the intervention,the observation group had lower yielding and avoidance scores than the control group,and had higher facing,ESCA,HHI,FMA,and BI scores than the control group(P<0.05).Conclusion In the nursing work of brain tumor patients,self-management based on empowerment theory can help to change the coping style of patients,improve the level of hope,enhance self-care ability,and promote the recovery of limb function and daily living ability.

关 键 词：脑肿瘤 应对方式 自护能力 授权理论 希望水平 

分 类 号：R473.73[医药卫生—护理学]