基于授权理论自我管理模式在脑卒中病人出院准备中的应用效果分析

Analysis of application effect of self management model based on empowerment theory in discharge preparation of patients with stroke

[目的]探讨基于授权理论的自我管理模式在脑卒中病人出院准备中的应用效果。[方法]选择某三级甲等医院脑卒中病人93例,随机分为两组,观察组(n=45)实施基于授权理论的自我管理出院准备服务模式护理,对照组(n=48)实施常规护理,比较两组病人自我效能、慢性病自我管理行为、生活自理能力、生活质量、抑郁评分情况。[结果]出院后3个月观察组自我效能、慢性病自理管理行为、生活自理能力、生活质量得分均高于对照组,差异均有统计学意义(P<0.05);抑郁评分低于对照组,差异有统计学意义(P<0.05)。[结论]基于授权理论的自我管理模式有利于脑卒中病人的出院准备以及延伸服务。

Objective： To probe into the application effect of self management model based on empowerment theory in discharge preparation of patients with stroke. Methods： A total of 93 cases of stroke patients in a third grade A Hospital were randomly divided into two groups, the patients in observation group（n = 45） received nursing with self - management discharge preparation service model based on empowerment theory,the patients in control group（n = 48） received routine care, and to compare the scores of patients＇ self efficacy, chronic disease self- management behavior, self - care ability, quality of life, depression between both groups. Results： 3 months after discharge, the scores of self efficacy, chronic disease self -management behavior, self -care ability and quality of life in observation group were higher than those in control group,the differences were statistically significant（P〈0. 05） Repression score was lower than that in control group,the difference was statistically sig-nificant （P 〈0. 05）. Conclusion： Self management model based on empowerment theory was beneficial to discharge preparation and extension service of patients with stroke.