自我干预对脑梗死患者自我效能感及血脂水平的影响

Effect of self -intervention on the self -efficacy and the level of blood lipid in patients with cerebral infarction

目的：探讨自我干预对脑梗死患者自我效能感和血脂水平的影响及临床意义。方法选择脑梗死患者300例，采用数字表法随机分为观察组（n ＝150）和对照组（n ＝150）。对照组按照常规的康复治疗手段进行康复护理，观察组采用自我管理方案进行护理干预，干预时间3个月。记录两组患者干预前后的自我效能感评分和血脂水平，测算患者的自我管理能力，对两组患者的自我管理能力和血脂水平进行 Pearson相关性分析。结果干预前，两组自我效能感评分差异无统计学意义（P ＞0．05）。干预后，观察组自我效能感评分为（29．85±5．34）分，对照组为（22．74±4．73）分，两组差异有统计学意义（t ＝12．207，P ＜0．001）；干预后观察组 TC、TG、LDL-C、HDL-C 分别为（4．06±0．58）mmol／L、（1．26±0．56）mmol／L、（2．27±0．49）mmol／L、（1．42±0.54）mmol／L，对照组分别为（4．86±1.05）mmol／L、（1．54±0．48）mmol／L、（3．15±0．29）mmol／L、（1．23±0.37）mmol／L，两组差异均有统计学意义（t ＝8．168、4．649、18．929、3．555，均 P ＜0．001）；Pearson 相关性分析显示，观察组患者自我管理能力与血脂改善呈正相关关系（P ＜0．05）。结论自我干预能提高脑梗死患者自我效能感，改善血脂水平，有利于患者康复。

Objective To analyze the clinical significance of patients self -intervention on self -efficacy and lipid levels in patients with cerebral infarction.Methods 300 patients with cerebral infarction in our hospital were selected from May 2014 to May 2015,and they were randomly divided into two groups by digital table method：the observation group（n =1 50）and the control group（n =1 50）,the two groups of patients had no significant differences in the general data.The observation group treated according to the conventional rehabilitation treatments for rehabilitation nursing,in view of the self -management group.After three months,the two groups of patients＇self -efficacy and lipid levels were recorded before and after the intervention and the patients＇self management abilities were measured. Comparisons between before and after the intervention of the indicators and between the different groups were analyzed,and the relationship of self -management ability and lipid levels of patients was analyzed by Pearson correlation analysis.Results Before the intervention,there was no difference between the two groups in the self -efficacy scale（P 〉0.05）.After the treatment,the self -efficacy scale of the observation group was （29.85 ±5.34）, which of the control group was （22.74 ±4.73）,the difference between the two groups was statistically significant（t =1 2.207,P 〈0.001 ）.For the lipid levels after treatment,the TC,TG,LDL -C,HDL -C in the observation group were （4.06 ±0.58）mmol/L,（1 .26 ±0.56）mmol/L,（2.27 ±0.49）mmol/L,（1 .42 ±0.54）mmol/L,which in the control group were （4.86 ±1 .05）mmol/L,（1 .54 ±0.48）mmol/L,（3.1 5 ±0.29）mmol/L,（1 .23 ±0.37）mmol/L, the differences between the two groups were statistically significant （t =8.1 68,4.649,1 8.929,3.555,all P 〈0.001 ）.The correlation analysis of self -management ability and the blood lipid improvement of the two groups showed that the observation group presented positive correlation.The patients＇self -management ability was stronger, its lipid improve ability was better.Conclusion From the self -efficacy and the blood lipid level analysis,cerebral infarction patients＇self -intervention can promote physical and mental health and improve the symptoms of cerebral infarction.In summary,it is helpful for recovery and has positive clinical effect on cerebral infarction.