摘要
目的探讨基于时机理论的家庭干预模式对脑梗死患者自护能力及应对方式的影响。方法将120例脑梗死患者按入院时间顺序分为研究组与对照组,各60例。两组均给予常规干预,研究组在此基础上给予基于时机理论的家庭干预模式,观察6个月。干预后采用医院自编遵医行为调查表评定两组遵医行为,采用自我护理能力测定量表评定两组自护能力,采用医学应对方式问卷评定两组应对方式,采用焦虑自评量表及抑郁自评量表评定两组焦虑抑郁情绪,干预后采用纽卡斯尔护理服务满意度量表评定两组护理满意度。结果干预后研究组遵医行为率及护理总满意率显著高于对照组(P<0.05或0.01)。干预后两组自我护理能力测定量表评分均较干预前显著提高(P<0.01),研究组显著高于对照组(P<0.01);两组医学应对方式问卷面对维度评分较干预前显著升高(P<0.05或0.01),屈服、回避维度评分较干预前显著下降(P<0.01),研究组较对照组变化更显著(P<0.01);两组焦虑自评量表及抑郁自评量表评分均较干预前显著下降(P<0.01),研究组显著低于对照组(P<0.01)。结论基于时机理论的家庭干预模式能显著提升脑梗死患者的遵医行为、自护能力及应对方式,缓解不良情绪,提高护理满意度。
Objective To explore the effect of family intervention model based on timing theory on the self-care ability and coping style of patients with cerebral infarction.Methods A total of 120 elderly patients with cerebral infarction were divided into the experimental group and the control group according to the order of admission,60 cases each.The control group received routine intervention.The experimental group adopted a family intervention model based on timing theory on the basis of routine intervention.Both groups were observed for 6 months.After the intervention,the hospital self-compiled compliance behavior questionnaire was used to assess the compliance behavior of the two groups,and the exercise of self-care agency scale(ESCA)was used to assess the self-care ability of the two groups.The medical coping modes questionnaire(MCMQ)was used to evaluate the coping styles of the two groups,the self-rating anxiety scale(SAS)and the self-rating depression scale(SDS)were used to evaluate the anxiety and depression of the two groups,and the Newcastle nursing service satisfaction scale(NSNS)was used to evaluate the nursing satisfaction of the two groups after the intervention.Results After the intervention,the compliance behavior rate and nursing satisfaction rate of the study group were significantly higher than those of the control group(P<0.05 or 0.01).After the intervention,the ESCA scores of the two groups were significantly higher than those before the intervention(P<0.01),and the study group was significantly higher than the control group(P<0.01).The face dimension scores of the two groups of MCMQ were significantly higher than before the intervention(P<0.05 or 0.01),and the yield and avoidance dimension scores were lower than before the intervention(P<0.01).The study group changed more significantlythan the control group(P<0.01),the SAS and SDS scores of the two groups were significantly lower than before the intervention(P<0.01),and the study group was significantly lower than the control group(P<0.01).Conclusio
作者
宋小燕
张璐阳
Song Xiaoyan;Zhang Luyang(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,China)
出处
《临床心身疾病杂志》
CAS
2021年第1期62-66,105,共6页
Journal of Clinical Psychosomatic Diseases
关键词
脑梗死
时机理论
家庭干预模式
自护能力
应对方式
焦虑
抑郁
cerebral infarction
timing theory
family intervention model
self-care ability
coping style
anxiety
depression
