基于潮汐理论模型的干预对缺血性脑卒中患者焦虑抑郁、自我效能及生活质量的影响

Effects of Intervention Based on Tidal Theory Model on Anxiety, Depression, Self-efficacy and Quality of Life in Patients with Ischemic Stroke

目的:探讨基于潮汐理论模型的干预对缺血性脑卒中(IS)患者焦虑抑郁、自我效能及生活质量的影响。方法:选取2020年12月—2022年12月泉州医学高等专科学校附属人民医院神经内科收治的80例IS患者。根据干预方式的不同将其分为对照组和观察组,各40例。对照组给予常规干预,观察组在对照组基础上给予基于潮汐理论模型的干预。比较两组干预前后负性情绪、自我效能、生活质量。结果:干预后,两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分均降低,观察组SAS评分、SDS评分均低于对照组,差异有统计学意义(P<0.05)。干预后,两组自我管理效能、生活活动效能评分均升高,观察组自我管理效能、生活活动效能评分均高于对照组,差异有统计学意义(P<0.05)。干预后,两组躯体功能、社会功能、物质生活、情感职能评分均高于干预前,观察组躯体功能、社会功能、物质生活、情感职能评分均高于对照组,差异有统计学意义(P<0.05)。结论:基于潮汐理论模型的干预能够改善IS患者的焦虑抑郁,有利于自我效能及生活质量的提高。

Objective:To explore the effects of intervention based on tidal theory model on anxiety,depression,self-efficacy and quality of life in patients with ischemic stroke(IS).Method:A total of 80 IS patients admitted to the Department of Neurology of the People's Hospital Affiliated to Quanzhou Medical College from December 2020 to December 2022 were selected.According to the different intervention methods,they were divided into control group and observation group,40 cases in each group.The control group was given routine intervention,and the observation group was given intervention based on tidal theory model.Negative emotions,self-efficacy and quality of life were compared between the two groups before and after intervention.Result:After intervention,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were decreased in both groups,and the scores of SAS and SDS in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After intervention,the scores of self-management efficacy and life-activity efficacy of both groups were increased,and the scores of self-management efficacy and life-activity efficacy of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).After intervention,the scores of physical function,social function,material life and emotional function of the two groups were higher than those before intervention,and the scores of physical function,social function,material life and emotional function of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion:The intervention based on tidal theory model can improve the anxiety and depression of IS patients,which is conducive to the improvement of self-efficacy and quality of life.