摘要
目的探讨基于认知评价理论的家庭沟通模式在青年脑卒中患者随访管理中的应用及效果。方法选择2016年6月-2017年6月温州医科大学附属第二医院收治的青年首发脑卒中患者88例，采用历史对照研究方法，将患者分为对照组（n=44）和干预组（n=44），对照组出院后实施常规随访，干预组以家庭沟通模式为基础，从自主需求、能力需求、归属需求3个方面实施随访管理。采用青年脑卒中患者自我管理行为量表和照顾者负荷量表调查干预前后两组患者自我管理行为和照顾者负担。结果出院后6个月，干预组患者自我管理行为（73．69±11．65）分，对照组（66．37±16．78）分，差异有统计学意义（t=2．377，P〈0．05）；且干预组患者的照顾者负担得分（35．97±7．49）分，低于对照组，差异有统计学意义（t=3．866，P〈0．01）。结论基于认知评价理论的家庭沟通模式随访管理能够有效提高青年脑卒中患者的心理一致感水平，降低照护者负担。
Objective To explore the application and effects of the cognitive evaluation theory- based family communication pattern in follow-up management in young stroke patients. Methods Totally 88 young patients with initial stroke admitted in the 2rid Affiliated Hospital of Wenzhou Medical University between June 2016 and June 2017 were selected, divided into the control group （n=44） and the intervention group （n=44） by governor-controlled study. Patients in the control group received conventional follow-up after discharge, while patients in the intervention group received follow-up management from the aspects of self- actualization needs, ability needs and helongingness needs based on the family communication pattern. The Self-management Behavior Scale for young stroke patients and Caregiver Burden Inventory （CBI） were used to compare the self-management behavior and caregiver burden between the two groups before and after the intervention. Results Six months after discharge, the intervention group＇s self-management behavior score was （73.69±11.65）, while that of the control group was （66.37 ± 16.78）, the difference was statistically significant （t=2.377, P 〈 0.05）. The caregiver burden score of the intervention group was （35.97 ± 7.49）, lower than that of the control group, the difference was statistically significant （t=3.866, P 〈 0.01）. Conclusions The cognitive evaluation theory-based family communication pattern can effectively enhance the sense of coherence and reduce the caregiver burden in young stroke patients.
作者
张建玮
梁建丽
余建眉
Zhang Jianwei;Liang Jianli;Yu Jianmei(Adult Emergency Department,the 2nd Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,Chin;Children＇s Infusion Room,the 2nd Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China;Department of General Orthopedics,the 2nd Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China)
出处
《中华现代护理杂志》
2018年第29期3531-3535,共5页
Chinese Journal of Modern Nursing
基金
浙江省医药卫生科技计划项目（2013RCA036）
关键词
卒中
认知评价
家庭沟通模式
自我管理
Stroke
Cognitive evaluation
Family communication pattern
Self-management
