摘要
目的 探讨Snyder希望理论在脑卒中早期康复护理中的作用.方法 选择2016年1-8月于河南省中医院神经内科住院的76例首发急性脑卒中患者,入院时按随机数字表法分入神经内科I区和神经内科Ⅱ区各38例,神经内科I区脑卒中患者设为试验组,实施Snyder希望理论指导下的康复护理;神经内科Ⅱ区脑卒中患者设为对照组,实施常规护理;2组各脱落2例.在康复护理实施前及实施4周后对2组患者应用Herth希望量表（HHI）、美国国立卫生院神经系统功能缺损评分量表（NIHSS）和日常生活活动能力量表-巴氏指数（BI）、功能锻炼依从性评分进行测评,比较2组患者康复效果.结果 干预前和干预4周后,试验组的希望水平评分为（31.61±1.95）、（40.67±4.01）分,NIHSS评分为（18.27±5.31）、（10.41±4.21）分,BI评分为（37.19±3.31）、（46.12±3.51）分,功能锻炼依从性评分为（0.97±0.31）、（2.81±0.52）分,差异均有统计学意义（t=17.765~52.571,均P〈0.01）;对照组患者除功能锻炼依从性评分自身比较差异无统计学意义外（t=1.220,P=0.231）,其希望水平评分、NIHSS评分和BI评分自身比较差异也均有统计学意义（t=5.435、4.929、11.067,均P〈0.01）,但变化幅度不及干预组.2组干预后HHI评分、NIHSS评分、BI评分、功能锻炼依从性评分比较差异均有统计学意义（t=6.030~10.690,均P〈0.01）.结论 运用Snyder希望理论对脑卒中患者进行早期康复训练指导及护理能够促进患者早期康复目标的实现,提高患者功能锻炼的依从性,具有一定的临床意义.
Objective To study the effects of early rehabilitation with stroke patients by applying Snyder hope theory in clinical nursing. Methods A total of 76 acute stroke patients from Henan Province Hospital of Traditional Chinese Medicine were divided into two groups by random digits table method：experimental group and control group, 38 cases in each group. The final effective cases were 72 and 36 cases in each. The control group received routine care, while those in the experimental group accepted nursing intervention with Snyder hope theory based on routine puncture care for 4 weeks. Herth Hope Index（HHI）, National Institute of Health Stroke Scale（NIHSS）, Barthel Index（BI） and adherence score before and after 4 weeks were evaluated and compared between 2 groups. Results Before intervention and 4 weeks after intervention, the experimental group of patients with hope level score respectively （31.61 ± 1.95）, （40.67 ± 4.01） points, NIHSS scores respectively （18.27 ± 5.31）, （10.41 ± 4.21） points, BI scores respectively （37.19 ± 3.31）, （46.12 ± 3.51） points, and adherence of functional exercise scores （0.97 ± 0.31）, （2.81 ± 0.52） points. The differences were statistically significant （t=17.765-52.571, all P〈0.01）. There were statistically significant differences with hope level, NIHSS score, BI score before intervention and 4 weeks after intervention in the control group （t=5.435, 4.929, 11.067, all P〈0.01）, except for adherence of functional exercise scores （t=1.220, P=0.231） in the control group, but the change not as the experimental group. Compared with the control group, there were statistically significant in the score of hope level, NIHSS score, BI score and adherence of functional exercise with the experimental group after intervention （ t=6.030-10.690, all P〈0.01）. Conclusions The nursing with Snyder hope theory can promote the progress of early rehabilitation of acute stroke patients as well as the patients′exercise adherence.
出处
《中国实用护理杂志》
2017年第12期890-894,共5页
Chinese Journal of Practical Nursing
关键词
卒中
康复护理
希望理论
依从性
Stroke
Rehabilitation nursing
Hope theory
Adherence
