基于达标理论的延续护理对脑卒中患者自我健康管理能力及生活质量的影响

Effects of continuous nursing care based on theory of goal attainment on self-health management ability and quality of life in patients with stroke

目的探讨基于达标理论的延续护理对脑卒中患者自我健康管理能力及生活质量的影响.方法采用方便抽样法,选取2017年12月—2018年12月就诊于安徽省某三甲医院的脑卒中患者126例为研究对象,按照随机数字表法将其分为试验组(n=64)和对照组(n=62).对照组采用常规护理,试验组采用基于达标理论的延续护理.干预前后采用慢性病患者自我健康管理能力评估量表和生活质量量表(QLI)评估干预的效果.结果干预1个月、3个月、6个月后试验组患者健康管理能力总分、生活质量总分均高于对照组,差异有统计学意义(P<0.05).结论基于达标理论的延续护理干预,可以提高脑卒中患者的自我健康管理能力,有效改善其生活质量.

Objective To explore the effects of continuous nursing care based on theory of goal attainment on self-health management ability and quality of life in patients with stroke. Methods Totally 126 patients with stroke treated in a ClassⅢ Grade A hospital in Anhui Province from December 2017 to December 2018 were selected using convenient sampling and stratified into treatment (n=64) and control (n=62) groups. Patients in the control group received conventional nursing care, while patients in the treatment group received continuous care based on the theory of goal attainment. Self-Health Management Scale for Patients with Chronic Diseases (SHMSPCD) and Quality of Life Inventory (QLI) were used to assess the effects before and after intervention. Results Both the total self-health management ability and quality of life scores of the treatment group were higher than those of the control group 1, 3 and 6 month after intervention, and there were statistically significant differences between the two groups (P<0.05). Conclusions Continuous nursing care based on the theory of goal attainment can improve the self-health management ability and quality of life of the patients with stroke.