Pender健康促进理论在急性脑梗死恢复期患者中的应用

Effects of Pender health promotion theory in patients with acute cerebral infarction during recovery period

目的:探讨Pender健康促进理论在急性脑梗死(ACI)恢复期患者临床护理中的应用。方法:采用便利抽样法,选取2021年1—12月江汉大学附属湖北省第三人民医院收治的200例ACI恢复期患者为研究对象,按照入院顺序分为对照组和观察组,各100例。对照组给予常规护理干预,观察组在对照组基础上给予Pender健康促进理论指导下的护理干预,比较两组患者心理弹性量表(CD-RISC)评分、简易应对方式问卷(SCSQ)评分、自护能力量表(ESCA)评分、神经功能缺失量表(NIHSS)评分、Fugl-Meyer运动功能评估量表(FMA)评分、生活质量评价量表(SF-36)评分及护理满意度。结果:干预后,观察组CD-RISC、SCSQ积极应对、ESCA、FMA、SF-36评分、护理满意度均高于对照组,NIHSS、SCSQ消极应对评分低于对照组,以上差异均有统计学意义(P<0.05)。结论:Pender健康促进理论可减轻ACI恢复期患者神经功能缺损程度,改善应对方式,提高患者心理弹性、自护能力、运动功能、生活质量和患者满意度,值得临床应用。

Objective To explore the effect of Pender health promotion theory in the clinical nursing of patients with acute cerebral infarction(ACI)in the recovery period.Methods From January to December 2021,convenience sampling was used to select 200 ACI patients in the recovery period admitted to the Third People's Hospital of Hubei Province affiliated to Jianghan University as the research subject.According to the order of admission,the patients were divided into the control group and the observation group,with 100 cases in each.The control group was given routine nursing,and the observation group was given nursing under the guidance of Pender health promotion theory on the basis of the control group.We compared the scores of Connor-Davidson Resilience Scale(CD-RISC),Simplified Coping Style Questionnaire(SCSQ),Self-care Ability Scale(ESCA),NIH Stroke Scale(NIHSS),Fugl-Meyer Assessment Scale(FMA),Short Form-36 Questionnaire(SF-36)and nursing satisfaction between the two groups.Results After intervention,the scores of CD-RISC and SCSQ positive coping,ESCA,FMA,SF-36 scores and nursing satisfaction of the observation group were higher than those of the control group,while the NIHSS and SCSQ negative coping scores were lower than those of the control group,and the above differences were statistically significant(P<0.05).Conclusions Pender health promotion theory can reduce the neurological deficits in patients with ACI in the recovery period,improve coping styles,patients'resilience,self-care ability,motor function,quality of life,and patient satisfaction,which is worthy of clinical application.