摘要
目的探究与分析基于积极心理学理论构建家庭干预小组在中风康复期的应用效果。方法采取随机数字表法对辽宁中医药大学附属医院2018年5月至2020年5月收治的处于康复期的中风患者120例进行分组,每组各60例。对照组实施常规院内干预,在对照组基础上,观察组基于积极心理学理论构建家庭干预小组并于住院期间实施直至出院后3个月。比较两组体重指数(BMI)及简式Fugl-Meyer运动功能量表(FMA)评分、对中风相关知识的掌握情况、自我管理行为及总体幸福感。结果干预后,两组BMI及FMA评分高于干预前,观察组FMA评分高于对照组,差异有统计学意义(P<0.05)。干预后,两组诱发原因掌握比例高于干预前;观察组治疗方法、康复干预方案、并发症防治、营养饮食方案、运动锻炼方法的掌握比例高于干预前,差异有统计学意义(P<0.05)。干预后,观察组诱发原因、治疗方法、康复干预方案、并发症防治、营养饮食方案、运动锻炼方法掌握比例高于对照组,差异有统计学意义(P<0.05)。两组治疗管理、饮食运动管理、生活习惯管理评分高于较干预前,观察组危险因素管理评分高于干预前,差异有统计学意义(P<0.05);观察组治疗管理、饮食运动管理、生活习惯管理及危险因素管理评分高于对照组,差异有统计学意义(P<0.05)。干预后,观察组总体幸福感评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论基于积极心理学理论构建家庭干预小组应用于中风患者中可促进改善运动功能,促进患者更好得掌握与中风相关的知识,提升其自我管理行为以及总体幸福感。
Objective To explore and analyze the application effect of constructing a family intervention group based on positive psychology theory in the rehabilitation period of stroke.Methods A total of 120 patients with stroke who were in rehabilitation from May 2018 to May 2020 in the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine by random number table method,with 60 cases in each group.The control group was implemented routine in-hospital intervention.On the basis of the control group,the observation group was constructed a family intervention group based on positive psychology theory and implemented it during the hospital stay until three months after discharge.The body mass index(BMI)and short-form Fugl-Meyer motor function scale(FMA)scores,mastery of knowledge about stroke,self-management behavior and overall well-being were compared between the two groups.Results After the intervention,the BMI and FMA scores of the two groups were higher than those before the intervention,and the FMA scores of the observation group was higher than that of the control group,and the differences were statistically significant(P<0.05).After the intervention,the proportion of inducing causes of the two groups were higher than those before the intervention;the ratio of mastery of treatment methods,rehabilitation intervention programs,prevention of complications,nutritional diet programs,and exercise methods of the observation group were higher than those before the intervention,and the differences were statistically significant(P<0.05).After the intervention,proportion of inducing causes,treatment methods,rehabilitation intervention programs,prevention and treatment of complications,nutritional diet programs,and exercise methods of observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The treatment management,diet exercise management,and lifestyle management scores of the two groups were higher than those before the intervention,and the risk factor management scores of the observation group were higher than those before the intervention,and the differences were statistically significant(P<0.05);the scores of treatment management,diet and exercise management,lifestyle management and risk factor management of observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After the intervention,the overall well-being score of the observation group was higher than that before the intervention,while the observation group was higher than the control group,and the differences were statistically significant(P<0.05).Conclusion The construction of family intervention groups based on positive psychology theory and application to stroke patients can promote the improvement of motor function,promote the patients to better grasp the knowledge related to stroke,and improve their self-management behavior and overall happiness.
作者
贾晓鑫
海英
JIA Xiaoxin;HAI Ying(Department of Brain Disease,Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Liaoning Province,Shenyang 110032,China)
出处
《中国医药导报》
2021年第24期145-149,共5页
China Medical Herald
基金
国家重点研发计划“中医药现代化研究”专项(SQ2018YFC170470)。
关键词
积极心理学理论
家庭干预小组
脑中风病
运动功能
自我管理
幸福感
Theory of positive psychology
Family intervention group
Stroke
Motor function
Self-management
happiness
