自我效能指导下分阶段干预对高血压脑出血患者开颅术后恢复的影响

Effects of staged intervention guided by self-efficacy on recovery aftercraniotomy in patients with hypertensive intracerebral hemorrhage

目的观察自我效能指导下分阶段干预对高血压脑出血患者开颅术后恢复的影响.方法以2019年9月-2021年9月间在广州市番禺区妇幼保健院行开颅手术的60例高血压脑出血患者为研究对象,随机分组为观察组(n=30)和对照组(n=30),给予对照组患者常规干预,给予观察组患者自我效能指导下分阶段干预,评估两组患者干预前后的汉密尔顿抑郁量表(HAMD)、一般自我效能评分表(GSES)、家庭支持量表、美国国立卫生研究院卒中量表(NIHSS)、Barthel指数日常生活活动能力量表(ADL)、世界卫生组织生活质量量表简表(WHOQOL-BREF)得分.结果干预后,两组患者HAMD、NIHSS得分均较干预前下降且观察组得分低于对照组,两组患者GSES、家庭支持量表得分、ADL、WHOQOL-BREF均较干预前上升且观察组得分高于对照组,差异有统计学意义(P<0.05).结论对行开颅手术治疗的高血压脑出血患者采取自我效能指导下的分阶段干预能缓解其负性情绪、增强其家庭支持与自我效能,促进神经功能恢复、提高日常生活能力进而改善生活质量.

Objective To observe the effect of staged intervention guided by self-feifcacy on the recovery of patients with hypertensiv e intracerebral hemorrhage after craniotomy.Methods A total of 60 patients with hypertensive intracerebral hemorrhage who underwent craniotomy in our hospital from September 2019 to September 2021 were randomly divided into observation group(n=30)and control group(n=30).Routine intervention was given to the control group,and intervention was conducted by stages under the guidance of self-efficacy.The Hamilton Depression Scale(HAMD),General Self-efficacy Scale(SGES),Family Support Scale(FSS),National Institutes of Health tSroke Scale(NIHSS),Barthel Index Activity of Daily Living Scale(ADL)and World Health Organization Quality of Life Scale(WHOQOL-BRE)were evaluated before and after intervention F)scoreR.esults After intervention,the scores of HAMD and NIHSS in 2 groups cdreeased compared with before intervention,and the score of observationg roup was lower than that of control group.GSES,family Supports cale score,ADL and WHOQOL-BREF in 2 groups increased compared with ebfore intervention,and the score of observation group was highre than that of control group,the difference was statistically sniigficant(P<0.05).Conclusion The staged intervention under the guidance o f self-efficacy for hypertensive intracerebral hemorrhage patienst undergoing craniotomy can alleviate their negative emotions,e nhance their family support and self-efficacy,promote the recovery of neuroglical function,improve the ability of daily living and impro vtehe quality of life.