心理弹性支持及动机行为转化理论护理在脑卒中介入溶栓术后患者中的应用效果评价

Evaluation of the effect of psychological resilience support and motivational behavior transformationtheory-based nursing in patients after interventional thrombolysis for stroke

目的 探讨在脑卒中介入溶栓术后患者中应用心理弹性支持及动机行为转化理论护理效果。方法 选取2022年1月至2023年9月该院收治的脑卒中介入溶栓术后患者80例为研究对象,采用随机数字表法将其分为2组。对照组40例患者采取心理弹性支持护理,观察组40例患者在心理弹性支持护理基础上实施动机行为转化理论护理,均持续护理干预30 d。比较2组患者运动功能、认知功能恢复情况,生活质量及护理满意度。结果 观察组患者护理30 d后Fugel-Meyer功能评定量表评分、简易精神状态检查量表评分、健康调查简表评分及护理总满意度均高于对照组,差异均有统计学意义(P<0.05)。结论 心理弹性支持及动机行为转化理论护理可改善脑卒中介入溶栓术后患者肢体运动功能和认知功能,促进其生活质量提升,增加其对护理效果的满意度。

Objective To explore the effect of psychological resilience support combined with motivational behavior transformation theory-based nursing in patients after interventional thrombolysis for stroke.Methods A total of 80 patients who underwent interventional thrombolysis for stroke in this hospital from January 2022 to September 2023 were selected as the study subjects and randomly divided into two groups using a random number table.The control group(n=40)received psychological resilience support nursing,while the observation group(n=40)received motivational behavior transformation theory-based nursing on top of psychological resilience support nursing.Both groups received continuous nursing intervention for 30 days.The motor function,cognitive function recovery,quality of life,and nursing satisfaction were compared between the two groups.Results After 30 days of nursing,the Fugl-Meyer Assessment Scale score,Mini-Mental State Examination score,Short Form-36 Health Survey score,and nursing satisfaction in the observation group were all higher than those in the control group,with statistically significant differences(P<0.05).Conclusion Psychological resilience support combined with motivational behavior transformation theory-based nursing can improve the limb motor function and cognitive function of patients after interventional thrombolysis for stroke,promote their quality of life,and increase their satisfaction with nursing outcomes.