基于计划行为理论的干预措施对脑梗死患者自我效能依从性及功能恢复的影响

目的 探讨基于计划行为理论的干预措施对脑梗死患者自我效能、依从性及功能恢复的影响.方法 将100例首发脑梗死患者按照住院顺序奇偶数法分为研究组与对照组,各50例.两组出院前均给予常规干预,研究组在此基础上给予基于计划行为理论的干预措施.干预前及干预3个月末采用脑卒中防治知识问卷评定患者脑卒中防治认知水平,采用一般自我效...

The influence of intervention measures based on the theory of planned behavior on the self-efficacy,compliance and functional recovery of patients with cerebral infarction

Objective To observe the influence of intervention measures based on the theory of planned behavior on the self-efficacy,compliance and functional recovery of patients with cerebral infarction.Methods A total of 100 patients with primary cerebral infarction were divided into observation group and control group according to the odevity of hospitalization sequence,with 50 cases in each group.Both groups were given routine intervention before discharge,and the research group was given intervention based on the theory of planned behavior on this basis.Before the intervention and at the end of the intervention 3 months,stroke-prevention knowledge questionnaire(SPK)was used to evaluate patients'cognitive level of stroke prevention,general self-efficacy scale(GSES)was used to evaluate patients'self-efficacy,and stroke behavior change inventory(SBCI)volume was used to evaluate patients compliance.At the end of 3 months of intervention,the two groups were tested for blood glucose,blood pressure,blood lipids,coagulation function,and homocysteine levels,compare the control compliance rate of each index.The patients were followed up for 1 year,and the modified Rankin score and Barthel index were used to evaluate the recovery of the patients'neurological function and daily activities at the end of 6 months and 1 year respectively.Results After the intervention,the SPK and GSES scores of the two groups were significantly higher than those before the intervention(P<0.01),and the increase in the study group was more significant than that of the control group(P<0.01).At the end of the intervention for 3 months,the SPK lifestyle compliance and medication compliance scores of the two groups were significantly higher than before the intervention(P<0.01),and the increase in the study group was more significant than that of the control group(P<0.05 or 0.01).The range of behavior change was significantly greater than that of the control group(P<0.01).At the end of the intervention for 3 months,the study group's blood glucose,blood pressure,blood lipid,and homocysteine control compliance rates were significantly higher than those of the control group(P<0.05 or 0.01).The modified Rankin score of the study group was significantly lower than the control group(P<0.05 or 0.01)at the end of follow-up for 6 months and 1 year,and the Barthel index score was significantly higher than that of the control group(P<0.05 or 0.01).Conclusions Intervention measures based on the theory of planned behavior are beneficial to improve the cognitive level,self-efficacy and compliance of patients with cerebral infarction,help patients control and promote functional recovery,it is worthy of clinical application.