马斯洛需求层次理论下的个性化护理在卒中恢复期患者中的应用效果

Application effects of personalized nursing based on Maslow’s hierarchy of needs theory in patients with stroke in recovery period

目的:观察马斯洛需求层次理论下的个性化护理在卒中恢复期患者中的应用效果。方法:选取2020年1月至2022年2月该院收治的92例卒中恢复期患者进行前瞻性研究,按照随机数字表法将其分为对照组和研究组各46例。对照组给予常规护理,研究组在对照组基础上实施马斯洛需求层次理论下的个性化护理,比较两组护理前后肢体功能[Fugl-Meyer运动功能测评法(FMA)]评分、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分、吞咽功能[标准吞咽功能评价量表(SSA)]评分、日常生活能力[日常生活能力量表(ADL)]评分、生命质量[脑卒中影响量表(SIS)]评分。结果:护理后,两组上肢运动、下肢运动评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05);两组SAS、SDS评分均低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05);两组SIS评分均高于护理前,且研究组高于对照组,两组SSA、ADL评分均低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05)。结论:马斯洛需求层次理论下的个性化护理应用于卒中恢复期患者,可提高患者肢体功能、日常生活能力及生命质量,减轻患者负性情绪和吞咽障碍,其效果优于常规护理。

Objective:To observe application effects of personalized nursing based on Maslow’s hierarchy of needs theory in patients with stroke in recovery period.Methods:A prospective study was conducted on 92 patients with stroke in recovery period who were admitted to the hospital from January 2020 to February 2022.According to the random number table method,they were divided into control group and study group,46 cases in each group.The control group was given routine nursing,while the study group was given the individualized nursing based on Maslow’s hierarchy of needs theory on the basis of that of the control group.The scores of limb function[Fugl-Meyer motor function assessment(FMA)],negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],swallowing function[standard swallowing assessment(SSA)],daily living ability[activities of daily living(ADL)]and quality of life[stroke impact scale(SIS)]were compared between the two groups before and after the nursing.Results:After the nursing,the scores of upper limb movement and lower limb movement in the two groups were higher than those before the nursing,those in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).The SAS and SDS scores of the two groups were lower than those before the nursing,those in the study group were lower than those in the control group,and the difference was statistically significant(P<0.05).Further,the SIS scores of the two groups were higher than those before the nursing,and that in the study group was higher than that in the control group;the SSA and ADL scores of the two groups were lower than those before the nursing,and those in the study group were lower than those in the control group;and the differences were statistically significant(P<0.05).Conclusions:The personalized nursing based on Maslow’s hierarchy of needs theory in the patients with stroke in the recovery period can improve the limb function,the activities of daily living and the quality of life,and reduce the negative emotions and dysphagia.Moreover,it is superior to the routine nursing.