摘要
目的:观察协同干预模式(CCM)在改善急性缺血性脑卒中(AIS)患者负性情绪、自我感受负担与生活质量中的效果。方法:将医院2016年12月至2018年12月年收治的86例AIS患者纳为研究对象,随机将其分为观察组(n=43)与对照组(n=43),观察两组干预后患者负性情绪、自我感受负担、日常生活能力及生活质量。结果:出院时,观察组患者SAS量表得分显著低于对照组(t=-2.42,P<0.05),两组SDS量表得分无显著性差异(P>0.05),随访半年发现,观察组患者SAS及SDS量表得分均较出院时显著下降(t=10.85,13.77;P<0.05),对照组SAS及SDS量表得分与出院时无显著差异(P>0.05),且观察组出院半年后两量表得分均显著低于对照组(t=-7.94,-7.12;P<0.05);出院时,两组患者身体负担、经济负担得分均无显著性差异(P>0.05),观察组患者情感负担及SPBS量表总得分显著低于对照组(t=-3.24,-2.41;P<0.05),随访半年发现,观察组患者身体、情感负担及SPBS量表总得分均较出院时显著下降(t=8.75,11.20,15.31;P<0.05),经济负担显著上升(t=-3.57,P<0.05),对照组身体、情感负担及SPBS量表总得分均较出院时显著下降(t=6.55,12.06,11.11;P<0.05),经济负担显著上升(t=-2.89,P<0.05),且观察组患者出院半年后,身体、情感及SPBS总得分均显著低于对照组(t=-3.67,-4.86,-5.88;P<0.05);出院时,两组日常生活能力无显著性差异(P>0.05),随访半年发现,观察组日常生活能力较出院时得以显著改善(P<0.05),对照组日常生活能力与出院时无显著性改善(P>0.05),且观察组出院半年后日常生活能力优于对照组,但组间差异不显著(P>0.05);观察组患者主要照护者饮食(t=4.69,P<0.05)、康复训练(t=5.48,P<0.05)、心理干预(t=4.10,P<0.05)、药物干预(t=3.91,P<0.05)及疾病干预能力总得分(t=9.62,P<0.05)均显著高于对照组;随访半年发现,观察组患者SF-36量表中身体功能、生理职能、躯体疼痛、总体健康、活力、社会健康、情感�
Objective:To observe the effects of collaborative care model(CCM)on improving negative emotions,self-perceived burden and quality of life in patients with acute ischemic stroke(AIS).Methods:A total of 86 patients with AIS admitted to the hospital from December 2016 to December 2018 were enrolled in the study and were randomly divided into observation group(CCM,n=43)and control group(conventional nursing,n=43).The negative emotions,self-perceived burden,daily living ability and quality of life were observed in the two groups after intervention.Results:At discharge,the score of SAS scale in observation group was significantly lower than that in controlgroup(t=-2.42,P<0.05),and there was no significant difference in the SDS score between two groups(P>0.05),and the half-year follow-up found that the scores of SAS and SDS scales in observation group were significantly decreased compared with those at discharge(t=10.85,13.77;P<0.05),and the scores of SAS scale and SDS scale in control group were not significantly different from those at discharge(P>0.05),and the scores of two scales in observation group after half a year of discharge were significantly lower than those in control group(t=-7.94,-7.12;P<0.05).At discharge,there were no significant differences in the scores of physical burden and economic burden between the two groups(P>0.05),and the emotional burden score and total score of SPBS scale in observation group were significantly lower than those in control group(t=-3.24,-2.41;P<0.05),and half-year follow-up found that the scores of physical burden and emotional burden and the total score of SPBS scale in observation group were significantly decreased compared with those at discharge(t=8.75,11.20,15.31;P<0.05)while the score of economic burden was increased significantly(t=-3.57,P<0.05),and the scores of physical burden and emotional burden and the total score of SPBS scale in control group were significantly decreased compared with those at discharge(t=6.55,12.06,11.11;P<0.05)while the score of economic burde
作者
吕红叶
付梦丽
赵贺
LV Hongye;FU Mengli;ZHAO He(Neurological Intervention Department,Nanyang Central Hospital,Nanyang473000,China)
出处
《中国健康心理学杂志》
2020年第4期515-520,共6页
China Journal of Health Psychology
基金
河南省医学科技攻关计划资助项目(编号:2017T02033).
