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自护理论联合医护协同护理模式对脑梗死出院病人健康行为及自我护理能力的影响
引用本文:蔡艳玲,秦素萍.自护理论联合医护协同护理模式对脑梗死出院病人健康行为及自我护理能力的影响[J].蚌埠医学院学报,2019,44(12):1705-1709.
作者姓名:蔡艳玲  秦素萍
作者单位:江苏省南京市第一医院 神经内科,210000;江苏省南京市第一医院 护理部,210000
基金项目:江苏省南京市科技发展计划项目201727004
摘    要:目的探究自护理论联合医护协同护理模式对脑梗死(CI)出院病人健康行为及自我护理能力的影响。方法选取200例CI出院病人,依据出院时间顺序分为观察组和对照组,各100例。对照组予以常规护理,观察组于常规护理基础上予以自护理论+医护协同护理模式,连续干预6个月。统计2组治疗依从性,对比干预前、干预6个月后健康行为、自我护理能力、生活质量、护理满意度。结果观察组饮食控制、运动、药物治疗依从率高于对照组(P < 0.05);干预6个月后观察组压力应对、运动锻炼、健康责任、自我实现评分高于对照组(P < 0.01);干预6个月后观察组自我责任感、自我概念、健康知识水平、自我护理技能评分高于对照组(P < 0.01);干预6个月后观察组日常生活活动、移动能力、记忆与思维、情绪评分高于对照组(P < 0.01);干预6个月后,观察组护理工作满意度高于对照组(P < 0.05)。结论自护理论联合医护协同护理模式应用于CI出院病人,有助于提高治疗依从性,建立健康行为,增强自我护理能力,改善生活质量,提高护理工作满意度。

关 键 词:脑梗死  医护协同护理模式  自护理论  健康行为评分  自我护理能力评分  生活质量评分
收稿时间:2019-06-30

Effect of self-care theory combined with collaborative care model on health behavior and self-care agency of discharged patients with cerebral infarction
Affiliation:1.Department of Nursing, Nanjing First Hospital, Nanjing Jiangsu 210000, China2.Department of Nursing, Nanjing First Hospital, Nanjing Jiangsu 210000, China
Abstract:ObjectiveTo explore the effect of self-care theory combined with collaborative care model on the health behavior and self-care agency of discharged patients with cerebral infarction (CI).MethodsA total of 200 discharged CI patients from October 2016 to September 2018 were selected, and divided into observation group and control group according to the time of discharge(100 cases in each group).The control group was treated with routine nursing, and the observation group was treated self-care theory combined with collaborative care model on the basis of control group for 6 months.The treatment compliance was recorded, and the health behavior, self-care agency and nursing satisfaction were compared before intervention and after 6 months of intervention in two groups.ResultsThe compliance rate of diet control, exercise and drug treatment in observation group was higher than that in control group(P < 0.05).After 6 months of intervention, the scores of stress response, exercise, health responsibility and self-achievement in observation group were higher than those in control group (P < 0.01);the scores of self-responsibility, self-concept, health knowledge level and self-care skill were higher than those in control group (P < 0.01);the scores of activity of daily living, mobility, memory and thinking, and emotion in observation group were higher than those in control group (P < 0.01);and the satisfaction of nursing work in observation group was higher than that in control group (P < 0.05).ConclusionsThe application of self-care theory combined with collaborative care model in discharged CI patients is helpful to improve treatment compliance, establish health behavior, enhance self-care agency, improve quality of life, and increase satisfaction of nursing work.
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