| 徐佩,刘薇群,王春燕,葛津津,顾艳玫,汤培凤.心理授权在脑卒中患者早期康复护理中的应用研究[J].上海护理,2021,21(11): |
| 心理授权在脑卒中患者早期康复护理中的应用研究 |
| Application of psychological empowerment in early rehabilitation nursing of stroke patients |
| DOI： |
| 中文关键词: 心理授权 脑卒中 早期康复 康复护理 |
| 英文关键词:Psychological empowerment Stroke Early rehabilitation Eehabilitation nursing |
| 基金项目:上海市护理学会面上项目(2019MS-B05)；上海市浦东新区科委面上项目(PKJ2020-Y104) |
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| 中文摘要: |
| 目的 研究心理授权在脑卒中患者早期康复护理中的应用效果。方法 采用非同期对照方法，选取2020年3月-2020年5月在某三级综合性医院神经内科住院的47名符合纳入排除标准的脑卒中患者作为对照组，2020年7月-2020年9月的47名符合纳入排除标准的脑卒中患者作为观察组；对照组患者住院期间实施常规早期康复护理方案，观察组住院期间实施基于心理授权理论形成的早期康复护理方案。评价不同护理方案下两组患者在住院期间康复护理训练项目完成率、自我护理能力（ESCA）评分、生活自理能力（ADL）评分、肌力分级、跌倒发生率、压力性损伤发生率和肩关节脱位发生率。结果 观察组患者康复护理训练项目完成率较对照组明显提高，差异有统计学意义（P<0.05）；出院时自我护理ESCA评分、ADL评分、肌力分级均明显优于对照组，差异有统计学意义（P均<0.05）；两组患者住院期间跌倒发生率、压力性损伤发生率及肩关节脱位发生率无统计学差异（P>0.05）。结论 采用心理授权方式可提高脑卒中早期康复患者住院期间康复训练项目完成的依从性并帮助患者改善肌力，提高自护能力及自理能力。 |
| 英文摘要: |
| Objectives：To study the application effect of psychological empowerment in early rehabilitation nursing of stroke patients. Methods：Using the non synchronous control method, 47 stroke patients who meeting the inclusion and exclusion criteria in the Department of Neurology of a tertiary hospital in Shanghai from March 2020 to may 2020 were selected as the control group, and 47 stroke patients who meeting the inclusion and exclusion criteria from July 2020 to September 2020 were selected as the observation group. The patients in the control group were given routine nursing scheme during hospitalization, and the observation group were given nursing program which constructed by psychological empowerment theory during hospitalization.. At the time of discharge, the completion rate of rehabilitation nursing training,the incidence of falls, stress injury, shoulder dislocation, score of exercise?of?self-care?agency (ESCA), activities?of?daily?living (ADL) score, muscle strength grade were evaluated.Results：The completion rate of rehabilitation nursing training items in the observation group was significantly higher than that in the control group (P<0.05).The scores of ESCA, ADL and muscle strength in the observation group were significantly better than those in the control group (P<0.05).There was no significant difference in the occurrence of pressure injury, shoulder dislocation and the incidence of falls during hospitalization(P>0.05).Conclusions：Psychological empowerment can improve the compliance of rehabilitation training program of stroke patients during hospitalization, and help them in improving muscle strength, exercise?of?self-care and activities ?of?daily?living. |
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