半结构化访谈联合赋能教育对脑梗死后偏瘫患者康复效果的影响

Effect of semi-structured interview combined with empowerment education on rehabilitation training for hemiplegia patients after cerebral infarction

目的探讨半结构化访谈联合赋能教育对脑梗死后偏瘫患者康复效果的影响。方法将92例脑梗死后偏瘫患者按照随机数字表法分为研究组与对照组,各46例。两组均给予常规依从式教育,研究组在此基础上给予半结构化访谈联合赋能教育,观察6个月。比较两组康复训练依从性,干预前及干预6个月末采用一般自我效能感量表评定两组自我效能感,日常生活活动能力量表评定两组日常生活能力,Fugl-Meyer评测法评定两组肢体运动功能,比较两组护理服务满意度。结果研究组康复训练总依从率显著高于对照组(P<0.05)。干预6个月末两组一般自我效能感量表、Fugl-Meyer评测法、日常生活活动能力量表评分均较干预前显著升高(P<0.01),研究组显著高于对照组(P<0.01)。研究组护理服务总满意率显著高于对照组(P<0.01)。结论半结构化访谈联合赋能教育有助于提高脑梗死后偏瘫患者康复训练依从性,改善其自我效能感及肢体运动功能,提高日常生活能力及对护理工作的满意度。

Objective To analyze the effect of semi-structured interview combined with empowerment education on rehabilitation training for hemiplegia patients after cerebral infarction.Methods A total of 92 patients with hemiplegia after cerebral infarction were divided into study group and control group according to random number table method,with 46 cases in each group.Both groups were given routine compliance education,and the study group was given semi-structured interviews and empowerment education on this basis,and observed for 6 months.The compliance of rehabilitation training was compared between the two groups.Before intervention and at the end of 6 months of intervention,the general self-efficacy scale(GSES)was used to evaluate the self-efficacy of the two groups,the activity of daily living(ADL)was used to evaluate the daily living ability of the two groups,and the Fugl-Meyer assessment of motor function(FMA)was used to evaluate the limb motor function of the two groups.The nursing service satisfaction of the two groups was compared.Results The total compliance rate of rehabilitation training in study group was significantly higher than that in control group(P<0.05).At the end of 6 months after intervention,GSES,FMA and ADL scores in both groups were significantly higher than those before intervention(P<0.01),and those in the study group were significantly higher than those in the control group(P<0.01).The total satisfaction rate of nursing service in the study group was significantly higher than that in the control group(P<0.01).Conclusions Semi-structured interview combined with empowerment education for hemiplegic patients after cerebral infarction can improve their compliance with rehabilitation training,self-efficacy and limb motor function,and improve their ability of daily living and satisfaction with nursing work.