自我管理培训课程对脑梗死偏瘫患者自我感受负担的影响

The effect of self-management training course on self-perceived-burden of cerebral infarction patients with hemiplegia

目的 探讨自我管理培训课程对脑梗死偏瘫患者自我感受负担的影响.方法 2012年3月至2013年12月将180例初发脑梗死偏瘫患者随机分为对照组与干预组各90例,对照组接受常规的住院期间和出院前的健康教育,干预组接受规范的自我管理课程培训,调查两组患者的自我感受负担.结果 两组患者在分组前的自我感受负担得分差异无统计学意义（P＞0.05）,而干预组在出院前和出院后六个月自我感受负担得分显著低于对照组（P＜0.05）.结论 开展规范的自我管理培训课程可降低脑梗死偏瘫患者的自我感受负担.

Objective To study the effect of self-management training course on self-perceivedburden in patients with cerebral infarction and hemiplegia.Methods 180 patients with cerebral infarction and hemiplegia from Mar.2012 to Dec.2013 were randomly divided into control group and intervention group,90 cases in each group.Control group underwent regular healthy education,while intervention group underwent formal self-management training course.Compared self-perceived-burden of two groups.Results There was no statistically significant difference in self-perceived-burden score between two groups before nursing intervention （P〉0.05）,self-perceived-burden scores of intervention group before discharge and 6 months after discharge were significantly lower than those of control group （P〈0.05）.Conclusion Formal self-management training course can obviously decrease self-perceived-burden in patients with cerebral infarction and hemiplegia.