跨理论模型分阶段护理对缺血性脑卒中的作用

Effect of staged nursing on ischemic stroke with cross theoretical model

目的探讨跨理论模型分阶段护理干预对缺血性脑卒中患者二级预防的作用。方法纳入2017年1月-2018年12月遵义医科大学第五附属(珠海)医院收治的162例缺血性脑卒中患者,根据随机数字表法分为对照组和观察组各81例。对照组给予常规预防模式干预,观察组在对照组基础上应用跨理论模型分阶段护理干预。观察和比较两组患者的生活方式,遵医行为改变情况以及生活质量变化。结果干预后,观察组的吸烟、酗酒比例明显低于对照组,而合理膳食和适度运动比例明显高于对照组,差异均有统计学意义(P<0.05)。观察组的坚持服药、坚持复诊、自我监测比例明显高于对照组,差异均有统计学意义(P<0.05)。观察组的躯体功能、心理功能、社会功能、生活状态评分和生活质量总分均明显高于干预前和对照组,差异均有统计学意义(P<0.05)。结论对于缺血性脑卒中的二级预防,跨理论模型分阶段护理干预可明显改善患者的生活习惯,提高患者的遵医行为和生活质量,值得临床推广应用。

Objective To explore the effect of staged nursing with cross theoretical model on secondary prevention of ischemic stroke patients. Methods One hundred and sixty-two patients with ischemic stroke admitted to the Fifth Affiliated(Zhuhai)Hospital of Zunyi Medical University from January 2017 to December 2018 were included and divided into control group and observation group with 81 cases in each group according to random number table method. The control group was given routine nursing mode intervention,while the observation group was given staged nursing with cross theoretical model on the basis of control group. The changes of lifestyle,obedience behavior and quality of life between the two groups were observed and compared. Results After intervention,the proportion of smoking and alcoholism in the observation group were significantly lower than those in the control group,while the proportion of reasonable diet and moderate exercise were significantly higher than those in the control group,and the differences were statistically significant(P <0.05). The proportion of persistent taking medicine,persistent revisit and self-monitoring in the observation group were significantly higher than those in the control group,and the differences were statistically significant(P <0.05). The scores of physical function,psychological function,social function,life state and total score of quality of life in the observation group were significantly higher than those before intervention and in the control group,and the differences were statistically significant(P <0.05). Conclusion For secondary prevention of ischemic stroke,the staged nursing with cross theoretical model could significantly improve patients living habits,improve patients’ compliance behavior and quality of life,which was worthy of clinical promotion and application.