基于自我效能理论的康复护理在缺血性脑卒中偏瘫患者中的应用研究

Application of Rehabilitation Nursing Based on Self-efficacy Theory in Hemiplegic Patients with Cerebral Ischemic Stroke

目的 探讨缺血性脑卒中(cerebral ischemic stroke,CIS)偏瘫患者采用基于自我效能理论的康复护理取得的效果。方法 方便选取2022年8月—2023年7月山东省立医院菏泽医院收治的92例CIS偏瘫患者作为研究对象,根据不同护理方案分为两组,各46例。对照组行常规护理,研究组在对照组基础上联合实施基于自我效能理论的康复护理。分析两组患者的康复行为依从性、简易应对方式问卷(Simplified Coping Style Questionnaire,SCSQ)、自我效能感量表(General Self Efficacy Scale,GSES)、Fugl-Meyer运动功能评定量表(Fugl-Meyer Assessment Scale,FMA)评分结果。结果 研究组的康复行为总依从率为97.83%(45/46),高于对照组的82.61%(38/46),差异有统计学意义(χ^(2)=4.434,P<0.05)。护理前,两组患者的SCSQ评分、GSES评分与FMA评分结果相近,差异均无统计学意义(P均<0.05)。护理后,两组患者的SCSQ评分中的积极应对分值高于护理前,消极应对分值低于护理前,且研究组积极应对分值高于对照组,消极应对分值低于对照组,差异均有统计学意义(P均<0.05)。护理后,两组患者的GSES、FMA分值均高于护理前,且研究组的GSES、FMA分值均高于对照组,差异均有统计学意义(P均<0.05)。结论 CIS偏瘫患者采用基于自我效能理论的康复护理能够有效保障康复行为依从性,改善疾病应对方式与自我效能感,促进肢体功能康复。

Objective To explore the effect of rehabilitation nursing based on self-efficacy theory in hemiplegic patients with cerebral ischemic stroke(CIS).Methods Ninety-two hemiplegic patients with CIS admitted to Heze Hospital of Shandong Provincial Hospital from August 2022 to July 2023 were conveniently selected as study objects and divided into two groups according to different nursing schemes,with 46 cases in each group.The control group received routine nursing,and the study group implemented rehabilitation nursing based on self-efficacy theory on the basis of the control group.The rehabilitation behavior compliance,Simplified Coping Style Questionnaire(SCSQ),General Self Efficacy Scale(GSES),and Fugl-Meyer Assessment Scale(FMA) scores of the two groups were analyzed.Results The compliance rate of rehabilitation behavior in the study group was 97.83%(45/46),which was higher than 82.61%(38/46) in the control group,and the difference was statistically significant(χ^(2)=4.434,P<0.05).Before nursing,the SCSQ scores,GSES scores and FMA scores of the two groups were similar,and the differences were not statistically significant(all P>0.05).After nursing,the positive coping scores in the SCSQ scores of the two groups were higher than those before nursing,and the negative coping scores were lower than those before nursing,the positive coping score of the study group was higher than that of the control group,and the negative coping score was lower than that of the control group,and the differences were statistically significant(all P<0.05).After nursing,the GSES and FMA scores of the two groups were higher than those before nursing,and the GSES and FMA scores of the study group were higher than those of the control group,and the differences were statistically significant(all P<0.05).Conclusion Rehabilitation nursing based on self-efficacy theory for hemiplegic patients with CIS can effectively ensure compliance of rehabilitation behavior,improve disease coping style and self-efficacy,and promote limb function rehabilitation.