家庭赋权护理对改善脑卒中患者护理质量、负性情绪及社会功能的影响-现代医学

家庭赋权护理对改善脑卒中患者护理质量、负性情绪及社会功能的影响

单位：海南省万宁市人民医院神经内科, 海南万宁 571500

分类号：R473.74

出版年·卷·期（页码）：2019·47·第六期（707-711）

摘要：

目的：探讨家庭赋权护理对改善脑卒中患者护理质量、负性情绪及社会功能的影响。方法：将120例脑卒中患者随机分为观察组60例和对照组60例，对照组采用常规护理方法，观察组在常规护理基础上结合家庭赋权理论设计护理方案。比较两组患者护理质量、负性情绪、社会功能、依从性和满意度。结果：护理3个月后观察组Barthel指数、肢体运动功能（FMA）评分明显高于对照组（P<0.05）；观察组在愤怒、情绪失控、无助、惰性和疲劳、淡漠、精神兴奋方面得分明显低于对照组（P<0.05）；观察组在规范用药、定期检查、合理饮食、情绪调节等依从性方面明显优于对照组（P<0.05）；观察组护理满意度为95.0%，对照组为80.0%，观察组护理满意度显著高于对照组，差异具有统计学意义（χ²=10.286，P=0.001）。结论：家庭赋权护理能够有效提高脑卒中患者护理质量，减轻负性情绪，改善社会功能，提高护理满意度，有利于患者康复。

Objective:To investigate the effects of family empowerment nursing on the quality of nursing and the improvement of negative emotion and social function of patients with stroke. Methods:120 patients with stroke were divided into observation group (60 cases) and control group (60 cases). The patients of control group were treated with conventional nursing. Based on control group, the patients of observation group were treated with care program which was based on family empowerment theory. The quality of nursing, improvement of negative emotions and social function enhancement, compliance and satisfaction of two groups were compared. Results:After 3 months of nursing, the Barthel index, FMA score in the observation group were significantly higher than those in the control group (P<0.05). The scores of angers, emotional out of control, helplessness, inertia and fatigue, apathy, and emotional excitement in the observation group were significantly lower than those in the control group (P<0.05). The compliance, including standardized medication, regular checkups, reasonable diet, mood regulation, etc. in the observation group were significantly better than those in the control group (P<0.05). The nursing satisfaction of the observation group was 95.0%, which was significantly higher than 80.0% of the control group (χ²=10.286, P=0.001). Conclusion:Family empowerment nursing can effectively improve the quality of nursing for stroke patients, reduce negative emotions, improve social function and nursing satisfaction, which is conducive to patients' prognosis.

参考文献：

[1] 娄荷清,董宗美,邵晓平,等.吸烟和糖尿病对脑卒中联合效应的研究[J].中华流行病学杂志,2017,38(9):1274-1277.
[2] 陶绪梅.护理干预对脑卒中合并糖尿病患者住院现状的影响[J].现代医学,2016,44(2):258-259.
[3] 宇传华,罗丽莎,李梅,等.从全球视角看中国脑卒中疾病负担的严峻性[J].公共卫生与预防医学,2016,27(1):1-5.
[4] 孙秋雪,李英丽,吕雨梅,等.脑卒中患者情绪障碍的流行状况及心理干预策略的研究进展[J].中国老年学杂志,2017,37(24):6259-6261.
[5] 陈凡,罗玉敏,吉训明,等.中国脑卒中大会2013转化医学论坛会议纪要[J].中国脑血管病杂志,2013,10(6):334-336.
[6] 李诺,杨静,冯学泉,等.中国脑卒中死亡风险30年研究概述[J].中华行为医学与脑科学杂志,2017,26(8):765-768.
[7] BANERJEE C, SNELLING B, HANFT S, et al.Bilateral cerebral infarction in the setting of pituitary apoplexy:a case presentation and literature review[J].Pituitary,2015,18(3):352-358.
[8] 潘庭荣,黄梅,潘丹丹,等.脑卒中患者Hcy、GFAP、BDNF和hs-CRP水平与血管性认知障碍相关性研究[J].东南大学学报(医学版),2018,37(4):648-652.
[9] ZOU Z, LIU C, SUN B,et al.Surgical treatment of pituitary apoplexy in association with hemispheric infarction[J]. J Clin Neurosci,2015, 22(10):1550-1554.
[10] CHEN Y K, XIAO W M, LI W Y,et al.Neuroimaging indicators of the performance of instrumental activities of daily living in Alzheimer's disease combined with cerebrovascular disease[J]. Geriatr Gerontol Int,2015,15(5):588-593.
[11] 李敏,徐光华,谢俊,等.脑卒中意念控制的主被动运动康复技术[J].机器人,2017,39(5):759-768.
[12] 汪文娟,周霞,孙中武,等.脑卒中前痴呆与脑卒中后认知损害对脑卒中患者3个月短期预后的影响[J].中国老年学杂志,2018,38(8):1799-1801.
[13] 许彬,杨阳,陈卫海,等.脑卒中远程康复与传统专业康复效果比较的循证分析[J].中国康复医学杂志,2017,32(12):1394-1398.
[14] 段永暖,魏忠梅,卢金菊,等.家庭赋权护理在神经外科危重症患者中应用的效果[J].中国医药导报,2015,12(36):148-151.

服务与反馈：

【文章下载】【发表评论】【查看评论】【加入收藏】

提示：您还未登录，请登录！点此登录