卒中恢复期患者的自我管理干预

Effect of self-management intervention in patients in the convalescent stage of stroke

目的探讨卒中恢复期患者自我管理干预的效果。方法将福建省闽东、闽南、闽西、闽北、闽中6所三级甲等医院的160例卒中恢复期患者按照随机数字表法分为观察组和对照组各80例。对照组按照卒中恢复期中医护理方案进行常规护理,观察组在此基础上应用疾病自我管理模式进行干预。采用卒中自我管理行为评定量表、慢性病管理自我效能感量表和卒中患者生存质量量表,对两组患者干预前、干预3个月、干预6个月后自我管理行为和生活质量改善情况进行评定。结果干预后,观察组自我管理水平、自我效能感和生存质量评分显著优于对照组(均P <0. 01)。结论卒中恢复期自我管理模式的应用,可提高患者的自我效能,改善其生存质量。

Objective To explore the effect of self-management intervention in patients in the convalescent stage of stroke. Methods A total of 160 patients in the convalescent stage of stroke from 6 3 A hospitals in east,south,west,north,and central Fujian province were randomized into a control group,who were subjected to routine TCM convalescent stroke care plan,and an observation group,who were additionally assigned to receive self-management intervention. The Self-management Behavior Assessment Scale,the Chronic Disease Management Self-efficacy Scale and the Stroke Patient’s Quality of Life Scale were used to evaluate self-management behaviors and quality of life of the two groups before,3 months after,and 6 months after intervention. Results After intervention,self-management level,self-efficacy and quality of life of the observation group were significantly better than those of the control group( P < 0. 01 for all). Conclusion Self-management intervention can significantly improve self-efficacy and quality of life of patients in the convalescent stage of stroke.