基于领导生命周期理论的神经外科卧床患者肺康复干预方案构建与实践

Construction and application of pulmonary rehabilitation intervention programme for bedridden neurosurgical patients based on SLT theory

目的探讨基于领导生命周期理论(situational leadership theory,SLT)的神经外科卧床患者肺康复干预方案的制订与实施效果,评价神经外科卧床患者肺康复干预方案的实用性。方法选取暨南大学附属第五医院2022年1月—2023年3月100例神经外科卧床患者为研究对象,按照组间资料均衡且具有可比性的原则,将研究对象分为对照组和观察组,各50例。对照组实施常规肺康复方案,观察组在对照组基础上实施基于SLT理论制订的肺康复干预方案,首先组建研究小组,构建基于SLT理论的肺康复干预方案并实施,连续干预4周。干预后比较两组患者用力肺活量(forced vital capacity,FVC)、第1秒用力呼气容积(forced expiratory volume in the first second,FEV_(1))水平、康复依从性、生活质量和护理满意程度的差异性。结果观察组干预后的FVC、FEV_(1)指标均优于对照组,差异有统计学意义(P<0.05)。观察组干预后的康复依从性高于对照组,差异有统计学意义(P<0.05)。观察组干预后各项生活质量评分中的生理、心理、躯体疼痛、社会功能评分均高于对照组,差异有统计学意义(P<0.05)。观察组护理满意程度高于对照组,差异有统计学意义(P<0.05)。结论基于SLT理论制定肺康复干预计划符合神经外科卧床患者需求,该模式能够促进患者肺康复和生活质量的提升,患者康复依从性良好,有利于提高护理满意程度,是一种可行、可借鉴的康复护理模式。

Objective To explore the development and implementation effects of the pulmonary rehabilitation intervention programme for bedridden neurosurgical patients based on situational leadership theory(SLT),and to evaluate the practicality of the pulmonary rehabilitation intervention programme for bedridden neurosurgical patients.Methods 100 neurosurgical bedridden patients in the Fifth Affiliated Hospital of Jinan University from January 2022 to March 2023 were selected as the study subjects,according to the principle of balanced and comparable data between groups,the study subjects were divided into the control group and the observation group,with 50 cases in each group.The control group implemented the conventional pulmonary rehabilitation programme,and the observation group implemented the pulmonary rehabilitation intervention programme based on the SLT theory on the basis of the control group,firstly,the research team was formed,and the pulmonary rehabilitation intervention programme based on the SLT theory was constructed and implemented,and the intervention was carried out for 4 consecutive weeks.After the intervention,the differences in the levels of forced vital capacity(FVC),forced expiratory volume in the first second(FEV_(1)),adherence to rehabilitation,quality of life,and satisfaction were compared between the two groups.Results The FVC and FEV_(1) indexes of the observation group were better than those of the control group after the intervention,and the difference was statistically significant(P<0.05).The rehabilitation compliance of the observation group after intervention was higher than that of the control group,and the difference was statistically significant(P<0.05).Physical,psychological,somatic pain,and social function in all quality of life score scores after intervention in the observation group were higher than that in the control group,and the difference was statistically significant(P<0.05).The degree of nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The development of pulmonary rehabilitation intervention plan based on SLT theory met the needs of neurosurgical bedridden patients,and this model could promote the improvement of pulmonary rehabilitation and quality of life of the patients,and the patients'good compliance with rehabilitation is conducive to improving the degree of satisfaction with nursing care,which is a feasible model of rehabilitation nursing care.