摘要
目的探讨基于自我效能理论的护理干预联合早期精细化护理在急性脑梗死介入术后患者中的应用价值。方法采用便利抽样法选取2021年7月至2023年7月在本院收治的92例急性脑梗死介入术后患者,依据对应随机数字将患者分配至对照组(n=46)和观察组(n=46)。对照组采用精细化护理,观察组在对照组的基础上增加基于自我效能理论的护理干预。分别于干预前、干预后1个月、干预后3个月统计两组抑郁情况、神经功能、生活质量。结果干预前两组抑郁情况比较差异不显著(P>0.05),干预后1个月、干预后3个月,观察组抑郁情况无抑郁占比更高,肯定有抑郁、严重抑郁症占比均明显低于对照组(P<0.05);干预前两组NIHSS评分比较差异不显著(P>0.05),干预后1个月、干预后3个月,观察组NIHSS评分均明显低于对照组(P<0.05);干预前两组生活质量评分各个维度及总分比较差异不显著(P>0.05),干预后1个月、干预后3个月,观察组生活质量评分各个维度及总分均高于对照组(P<0.05)。结论基于自我效能理论的护理干预联合早期精细化护理在急性脑梗死介入术后患者中的应用价值显著,能够有效改善患者抑郁情况、神经功能和生活质量,具有一定的临床推广和应用价值。
Objective To explore the application value of nursing intervention based on self-efficacy theory combined with early refined nursing in patients with acute cerebral infarction after interventional surgery.Methods 92 patients with acute cerebral infarction treated in our hospital after interventional intervention from July 2021 to July 2023 were selected by convenience sampling method,and assigned to control group(n=46)and observation group(n=46)according to corresponding random numbers.The control group received refined nursing,and the observation group added nursing intervention based on self-efficacy theory on the basis of the control group.Depression,neurological function and quality of life of the two groups were measured before intervention,1 month after intervention and 3 months after intervention.Results There was no significant difference in depression between the two groups before intervention(P>0.05).One month after intervention and three months after intervention,the proportion of depression without depression was higher in the observation group,and the proportion of definite depression and severe depression was significantly lower than that in the control group(P<0.05).There was no significant difference in NIHSS score between the two groups before intervention(P>0.05).NIHSS score of the observation group was significantly lower than that of the control group one month after intervention and three months after intervention(P<0.05).There were no significant differences in all dimensions and total scores of QOL between the two groups before intervention(P>0.05).One month after intervention and three months after intervention,all dimensions and total scores of QOL in the observation group were higher than those in the control group(P<0.05).Conclusion Nursing intervention based on self-efficacy theory combined with early refined nursing has significant application value in patients with acute cerebral infarction after interventional surgery,which can effectively improve patients'depression,neurological function and quality of life,and has certain clinical promotion and application value.
作者
李霞
常文广
赵保艳
LI Xia;CHANG Wen-guang;ZHAO Bao-yan(Neurology Department of Xinxiang Central Hospital,Xinxiang 453000,Henan Province,China)
出处
《罕少疾病杂志》
2024年第7期147-150,共4页
Journal of Rare and Uncommon Diseases
基金
河南省医学科技攻关计划项目(LHGJ20220991)。
关键词
急性脑梗死
自我效能
精细化护理
生活质量
神经功能
Acute Cerebral Infarction
Self-efficacy
Fine Care
Quality of Life
Neural Function
