|
|
Application effect of constructing a family intervention group based on the theory of positive psychology in the rehabilitation period of stroke |
JIA Xiaoxin HAI Ying▲ |
Department of Brain Disease, Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Liaoning Province, Shenyang 110032, China |
|
|
Abstract 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.
|
|
|
|
|
[1] 王卫香,冯英璞,关珂,等.多维度健康教育对提高缺血性卒中患者健康知识知晓率的影响[J].中国初级卫生保健,2019,33(10):60-61.
[2] W?覿stfelt M,Yang C,Str?觟m JO. Predictors of post-stroke fever and infections:a systematic review and meta-analysis [J]. Bmc Neurology,2018,18(1):49-50.
[3] 中华中医药学会,脑病分会,广东省中医药学会脑病专业委员会,等.中西医结合脑卒中循证实践指南(2019)[J].中国循证医学杂志,2020,20(8):901-902.
[4] 中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国急性缺血性脑卒中诊治指南2018[J].中华神经科杂志,2018,51(9):666-682.
[5] Williams B,Mancia G,Spiering W,et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension [J]. Eur Heart J,2018,39(33):3021-3104.
[6] 聂鹏坤,杨华,赵晓峰,等.中风患者Fugl-Meyer运动功能量表评价一致性检验[J].辽宁中医杂志,2009,36(11):1827-1829.
[7] 高春霓,陈彤,王爱祯,等.脑卒中患者总体幸福感影响因素分析及心理干预疗效的1年随访[J].中国组织工程研究,2005,9(41):1-3.
[8] 吴惠萍.家庭医生组合签约对脑卒中患者家庭照护的干预效果——以上海某社区为例[J].医学与社会,2020,33(5):68-71.
[9] 胡瑞,徐久云,桂韦韦.积极心理学临床护理应用现状[J].中国实用护理杂志,2017,33(s1):99-100.
[10] 刘蕾.家庭尊严干预对老年脑卒中患者心理状态、应对方式的影响[J].中国保健营养,2019,29(31):139-140.
[11] 陈黎黎,陈晨,王淑红,等.积极心理干预对中青年心肌梗死患者心理成长及生活质量的影响[J].中华现代护理杂志,2017,23(9):1193-1197.
[12] 朱婷,黄雅莲,方艳春,等.基于PERMA模式的积极心理干预对脑卒中病人伤残接受度及自理能力的影响[J].护理研究,2020,34(6):965-970.
[13] Lee E. Self-care behavior and related factors in older patients with uncontrolled hypertension [J]. Contemp Nurse,2017,53(6):607-621.
[14] 韩丹,李玙,刘娜,等.积极心理干预对维持性血液透析患者心理健康的影响[J].中国健康心理学杂志,2018, 26(8):1143-1146.
[15] 李艳,王永琼,杨志仙,等.脑卒中患者家庭照顾者干预的系统评价[J].现代临床护理,2019,18(2):25-31.
[16] 张红倩,冯静,臧传艳,等.国内脑卒中康复医联体发展中的挑战与思考[J].现代医院,2021,21(1):12-14,24.
[17] 向宪文,朱家莹,孙远标,等.脑机接口康复训练系统治疗缺血性脑卒中恢复期上肢功能障碍的临床研究[J].中国医学创新,2020,17(20):154-158.
[18] 陈丹,宁晓东,潘慧,等.家庭尊严干预在老年轻度认知障碍患者主要照顾者中的应用[J].中华护理杂志,2019, 54(4):543-548.
[19] 何敏兰,陈银娟,杨红玉,等.家庭签约服务对社区康复期脑卒中患者自我感受负担及家庭功能的影响[J].中国健康教育,2019,35(10):935-936.
[20] 江伟豪,陈霄云,樊留博,等.下肢康复机器人辅助康复训练对脑卒中后偏瘫患者下肢功能的影响[J].中国现代医生,2021,59(5):20-23.
[21] 王萍,王思杰,常海霞,等.缺血性脑卒中康复护理中临床护理路径的应用效果[J].中国医药导报,2020,17(10):177-180.
[22] 张诗毅,陈伟菊.积极心理学在脑卒中病人护理中的应用研究[J].护理研究,2018,32(13):2023-2026.
[23] 王建晖.综合康复训练联合经皮神经电刺激疗法对脑卒中偏瘫后患者肩痛的疗效观察[J].国际医药卫生导报,2016,22(10):1401-1403.
[24] 石向东,朱鼎成,卢新刚.朱氏一指禅推拿结合桑枝棒防治中风先兆临床研究[J].按摩与康复医学,2018(1):39-40.
[25] 舒美春,洪显钗,徐洁,等.家庭功能对脑卒中患者自我管理行为及复发的影响[J].护理学杂志,2019,34(2):75-78.
[26] 盖玉滨,盖玉兵,毛晶萨.萨提亚模式家庭干预对中老年抑郁症患者自信心及人际交往能力的影响[J].国际老年医学杂志,2020,41(2):111-113.
[27] 宋伟霞,吕雨梅,孙秋雪.中青年脑卒中病人社会参与水平及干预策略的研究进展[J].护理研究,2020,34(3):430-434.
[28] 张佳佳,施炜.PDCA循环管理联合家庭跟进式干预对老年脑梗死患者康复治疗的影响[J].国际老年医学杂志,2020,41(4):209-212.
[29] 余晖,宋哲.重复经颅磁刺激联合认知康复训练治疗脑卒中后认知障碍的临床效果[J].中国医药科学,2021, 11(4):31-34.
[30] 鄢琼,杨娜,刘海云,等.健康信念理论联合中医适宜技术在改善中风偏瘫患者功能恢复中的作用[J].中华现代护理杂志,2020,26(6):784-788. |
|
|
|