KTH整合式护理干预对高血压脑出血术后患者自我效能及生活质量的影响

Effect of KTH integrated nursing intervention on self-efficacy and quality of life in patients with hypertensive intracerebral hemorrhage

目的探讨KTH整合式护理干预对高血压脑出血术后患者自我效能及生活质量的影响。方法将68例高血压脑出血手术患者按建档顺序分为研究组34例,对照组34例。术后对照组采取常规护理,研究组在对照组基础上采取KTH整合式护理干预,观察3个月。干预后采用自制遵医行为评估表评定患者的遵医行为,干预前后采用自我效能量表、自理能力量表及生活质量量表评定自我效能、自理能力和生活质量。干预后统计两组并发症发生率,并采用自制护理满意度问卷评定两组护理满意度。结果干预后研究组遵医行为率为94.12%,对照组为76.47%,研究组显著高于对照组(P<0.05)。干预前两组各量表评分比较差异无统计学意义(P>0.05);干预后两组自我效能量表、自理能力量表及生活质量量表评分显著高于干预前(P<0.01),研究组显著高于对照组(P<0.01)。干预后研究组并发症发生率显著低于对照组(P<0.05),护理满意率显著高于对照组(P<0.05)。结论对高血压脑出血术后患者采取KTH整合式护理干预,可有效提高其自我效能,改善患者的遵医行为、自理能力及生活质量,减少术后并发症的发生。

Objective To explore the effect of KTH integrated nursing intervention on self-efficacy and quality of life in patients with hypertensive intracerebral hemorrhage.Methods 68 patients with hypertensive intracerebral hemorrhage were selected and divided into study group(n=34)and control group(n=34)according to the order of establishment.The control group received routine nursing after the operation,and the study group received KTH integrated nursing intervention on the basis of the control group.Both groups were treated for 3 months.After the intervention,the self-made compliance behavior assessment form was used to assess the patient's compliance behavior.Before and after intervention,the self-efficacy scale,self-care ability scale and quality of life scale were used to assess self-efficacy,self-care ability and quality of life.After the intervention,the incidence of complications was statistically analyzed,and the satisfaction degree of the two groups was evaluated by the self-care satisfaction questionnaire.Results After the intervention,the compliance rate of the study group was 94.12%,and that of the control group was 76.47%.The study group was significantly higher than the control group(P<0.05).There was no significant difference in the scores between the two groups before the intervention(P>0.05).After intervention,the scores of self-efficacy,self-care ability and quality of life scales of the two groups were significantly higher than those before intervention(P<0.01),and the study group was significantly higher than the control group(P<0.01).The complication rate of the study group was significantly lower than that of the control group(P<0.05),and the nursing satisfaction rate was significantly higher than that of the control group(P<0.05).Conclusion KTH integrated nursing intervention for patients with hypertensive intracerebral hemorrhage can effectively improve their self-efficacy,improve patients' compliance behavior,self-care ability and quality of life,and reduce postoperative complications.