摘要
目的探讨赋能理论指导下的自我管理干预联合认知行为护理在颅脑损伤患者中的应用效果。方法选取2021年3月—2023年5月济南市济阳区人民医院收治的84例颅脑损伤患者为研究对象,按随机数字表法分为对照组及观察组,每组42例。对照组采用认知行为护理,观察组在此基础上采用赋能理论指导下的自我管理干预。比较两组患者的自我效能感、认知功能、自我管理能力及生存质量。结果干预后,观察组的一般自我效能感量表、蒙特利尔认知功能评估量表评分分别为(32.23±2.87)分、(23.40±2.55)分,均高于对照组的(27.02±2.65)分、(16.91±3.37)分,组间差异有统计学意义(P<0.05)。干预后,观察组的自我管理能力测定量表中自我概念、健康认知、自我责任感、自我护理技能评分均高于对照组,组间差异有统计学意义(P<0.05)。干预后,观察组的生活质量综合评定问卷中心理、躯体、社会功能及物质生活状态评分均高于对照组,组间差异有统计学意义(P<0.05)。结论赋能理论指导下的自我管理干预联合认知行为护理可减轻颅脑损伤术后患者的认知障碍,提高其自我管理能力与效能感,改善患者生活质量。
Objective To explore the effect of self-management intervention under the guidance of empowerment theory combined with cognitive behavioral nursing in patients with craniocerebral injury.Methods 84 patients with craniocerebral injury admitted to Jiyang District People's Hospital of Jinan City from March 2021 to May 2023 were selected as the study objects and were divided into a control group and an observation group according to random number table method,with 42 cases in each group.The control group received cognitive behavioral nursing,and the observation group received selfmanagement intervention under the guidance of empowerment theory on this basis.The self-efficacy,cognitive function,selfmanagement ability and quality of life of the two groups were compared.Results After intervention,the scores of the General Self-Efficacy Scale and the Montreal Cognitive Assessment in the observation group were(32.23±2.87)points and(23.40±2.55)points,respectively,which were higher than(27.02±2.65)points and(16.91±3.37)points in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the scores of self-concept,health cognition,self-responsibility and self-care skills in the Exercise of Self-Care Agency scale of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the scores of psychological,physical,social functioning and material life status in the Generic Quality of Life Inventory-74 of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Self-Management intervention under the guidance of empowerment theory combined with cognitive behavioral nursing can reduce the cognitive impairment of patients after craniocerebral injury surgery,improve their self-management ability and efficacy,and improve the quality of life of patients.
作者
王小曼
刘莹
孙双
陈秀倩
WANG Xiaoman;LIU Ying;SUN Shuang;CHEN Xiuqian(Department of Neurosurgery,Jiyang District People's Hospital,Jinan City,Jinan Shandong,251400,China;Department of Nursing,Jiyang District People's Hospital,Jinan City,Jinan Shandong,251400,China)
出处
《反射疗法与康复医学》
2023年第23期137-140,共4页
Reflexology And Rehabilitation Medicine
关键词
颅脑损伤
赋能理论
自我管理干预
认知行为护理
自我效能感
认知功能
Craniocerebral injury
Empowerment theory
Self-Management intervention
Cognitive behavioral nursing
Self-Efficacy
Cognitive function
