自我效能干预对颅脑创伤恢复期患者康复训练效果的研究

Study of the Effect of Self-efficiency Interposition on Rehabilitation Training of Patients with Craniocerebral Trauma During Convalescence

目的:探讨自我效能干预对颅脑创伤恢复期患者康复训练的临床效果,寻求最有效的护理模式。方法:采用等组实验法将符合纳入、排除标准的108例患者,分为试验组和对照组,各54例。对照组予常规护理和康复训练,试验组增加自我效能的护理干预方法。干预前和干预3个月后分别对2组患者进行Karnofsky预后、基本生活活动能力(BADL)和辅助生活活动能力(IADL)评定。结果采用SPSS 17.0软件处理。结果:干预前2组患者Karnofsky预后、BADL和IADL评分比较差异均无统计学意义(P>0.05),干预3个月后试验组患者的Karnofsky预后、BADL和IADL评分差异均有统计学意义(P<0.01)。结论:自我效能干预能提高颅脑创伤患者治病信心,增强对康复锻炼的坚持,改善肢体运动功能和日常生活能力。

Objective： To study clinical influence of self-efficiency interposition on the rehabilitation training of craniocerebral trauma patients and find out the most effective nursing model. Methods： Comparision experimental method was used in this study. A total of 108 patients who were in accord with inclusive and exclusive criteria were devided into two groups,experimental group and control group. Moreover,there were 54 patients in each group. Usual care and rehabilitaton training were provided for control group,but self-efficiency interposition nursing was provided for to experimental group. There were two assessments,before interposition and after the three-month interpostion which included Karnofsky prognosis,basis activity of daily living（ BADL） and instrumental activity of daily living（ IADL）. The results were made by SPSS 17. 0 software. Results： It showed that the evalution of Karnofsky prognosis,BADL and IADL before interposition had no statistical significance for two groups（ P〈0. 05）. However,the assessing differences of Karnofsky prognosis,BADL and IADL in two groups were significant（ P〈0. 01）. Conclusion： Self-efficiency interposition can promote the confidence of craniocerebral trauma trainning,improve the insistence rehabilitation training,and change the body movement function and daily living ability.