摘要
目的:探究多维度自我效能训练对脊髓损伤患者自我效能、自护能力、功能康复及生活质量的影响。方法:选取2019年6月—2020年6月河南科技大学第一附属医院收治的88例脊髓损伤患者作为研究对象,采用随机数表法分为对照组和观察组,每组各44例。对照组实施常规护理干预,观察组在对照组基础上实施多维度自我效能训练干预。比较两组患者干预前及干预3个月后自我效能[自我效能量表(GSES)评分]、自护能力[自我护理能力量表(ESCA)评分]、功能康复状态[改良Fugl-Meyer上下肢体综合功能评分表(FAM)评分、功能独立性评定量表(FIM)评分]、生活质量[生活质量综合评定问卷(GQOLI-74)评分]变化情况。结果:干预前,两组患者GSES、ESCA、FAM、FIM、GQOLI-74评分比较,差异无统计学意义(t=0.289、0.276、0.514、0.259、0.191、0.713、1.169、0.106、0.625、0.226、0.399、0.904、0.331,P>0.05);干预3个月后,两组患者GSES、ESCA、FAM、FIM、GQOLI-74评分均较干预前显著升高,且观察组显著高于对照组,差异有统计学意义(t=4.809、4.915、8.350、3.167、4.600、2.592、3.490、3.563、4.763、3.618、2.941、3.229、3.292,P<0.05)。结论:多维度自我效能训练可有效提高脊髓损伤患者自我效能、自护能力,亦可改善其功能康复状态及生活质量,具有较高临床应用价值。
Objective:To explore the effects of multi-dimensional self-efficacy training on self-efficacy,self-care ability,func⁃tional rehabilitation and quality of life in patients with spinal cord injury.Methods:A total of 88 patients with spinal cord injury who were admitted to the hospital from June 2019 to June 2020 were selected as the research objects,and divided into the control group and the observation group by random number table method,with 44 cases in each group.The control group was given routine nursing intervention,and the observation group was given multi-dimension self-efficacy training intervention on the basis of rou⁃tine nursing intervention.The changes of self-efficacy(GSES),self-care ability(ESCA),functional rehabilitation status(Fam),func⁃tional independence rating scale(Fim)and quality of life(GQOLI-74)before and after 3 months of intervention were compared be⁃tween the two groups.Results:Before intervention,there was no statistically significant difference in GSES,ESCA,FAM,FIM,GQOLI-74 scores between the two groups(t=0.289,0.276,0.514,0.259,0.191,0.713,1.169,0.106,0.625,0.226,0.399,0.904,0.331,P>0.05).After 3 months of intervention,the GSES,ESCA,FAM,FIM,and GQOLI-74 scores of the two groups were signifi⁃cantly higher than those before the intervention,and the observation group was significantly higher than the control group,and the difference was statistically significant(t=4.809,4.915,8.350,3.167,4.600,2.592,3.490,3.563,4.763,3.618,2.941,3.229,3.292,P<0.05).Conclusion:Multi-dimensional self-efficacy training can effectively improve the self-efficacy and self-care ability of pa⁃tients with spinal cord injury,as well as their functional rehabilitation status and quality of life,and has high clinical application value.
作者
王昭君
WANG Zhao-jun(Department of Orthopedic Surgery,The First Affiliated Hospital of Henan University of Science and Technology,Luoyang,Henan,471000,China)
出处
《黑龙江医学》
2022年第14期1765-1768,共4页
Heilongjiang Medical Journal
关键词
多维度自我效能训练
脊髓损伤
自我效能
自护能力
功能康复
Multi-dimensional self-efficacy training
Spinal cord injury
Self-efficacy
Self-care ability
Functional rehabilita⁃tion
