脑卒中患者自我效能与其康复护理进度的关系分析

Correlation between self-efficacy and rehabilitation nursing progress in patients with cerebral apoplexy

目的探讨脑卒中患者自我效能与其康复护理进度的关系。方法回顾性分析2012年9月至2015年12月于本院康复科确诊治疗的脑卒中患者150例，依据自我效能情况分为优良组（62例）和一般组（88例），所有患者均给予常规康复护理干预，采用一般自我效能量表（GSES）评估自我效能，采用Fugl—Meyer运动功能评分法（FMA）评定运动功能，采用日常生活能力量表（ADL）评估生活质量，采用Pearson分析法分析GSES得分与FMA评分、ADL得分的相关性，统计分析所有患者自我效能和康复护理进度情况。结果两组干预前FMA评分、ADL得分基本相同，差异无统计学意义（P〉0．05）；两组干预后FMA评分、ADL得分明显高于干预前，优良组干预后FMA评分、ADL得分明显优于一般组，差异有统计学意义（P〈0．05）；Pearson分析法结果显示，GSES得分与FMA评分、ADL得分呈正相关关系（r1=0．723，P〈0．05；r2=0．645，P〈0．05）。结论康复护理干预可有效改善脑卒中患者运动功能和生活质量，其中自我效能优良者的干预效果更好，提示良好的自我效能对其康复护理进度具有良好的促进作用，值得临床作进一步推广。

Objective To explore the correlation between self-efficacy and rehabilitation nursing progress in patients with cerebral apoplexy. Methods 150 patients with cerebral apoplexy treated at the department of rehabilitation at our hospital from September, 2012 to December, 2015 were retrospectively analyzed. According to self-efficacy, the patients were divided into an excellent group （62 cases） and a general group （88 cases）. All the patients were given routine rehabilitation nursing intervention. General self-efficacy scale （GSES） was used to assess self-efficacy, Fugl-Meyer motor function evaluation method （FMA） motor function, and daily life ability scale （ADL） quality of life. Pearson analysis was used to analyze the correlation of GSES scores with FMA scores and ADL scores. The patients＇ self-efficacy and rehabilitation nursing progress were analyzed. Results There were no statistical differences in FMA scores and ADL scores between these two groups before the intervention （P〈0.05）; after the intervention, the FMA scores and ADL scores were significantly higher than those before intervention in both group and were better in the excellent group than in the general group, with statistical differences （P〈0.05）. Pearson analysis results showed that, GSES scores positively correlated with FMA scores and ADL scores （r~=0.723, P〈0.05; r2=0.645, P〈0.05）. Conclusions Rehabilitation nursing intervention can effectively improve the motor function and quality of life in patients with cerebral apoplexy. It is more effective in the patients with excellent self-efficacy, indicating that good self-efficacy can promote rehabilitation nursing progress, so it is worth bieng clinically generalized.