摘要
目的构建一套适用于脑卒中恢复期患者的自我管理项目。方法在文献回顾和大样本调查的基础上,根据脑卒中恢复期患者的特点,以自我管理理论为基础,自我效能为调节因子,构建具有中医特色的脑卒中恢复期患者自我管理项目。抽取180例患者进行临床随机对照试验验证项目的有效性。结果形成了以健康教育为主、辅以自我效能训练的自我管理模式,包括疾病相关知识健康教育、安全用药指导、康复锻炼管理、中医特色康复、自我监测、情志调护、饮食管理、日常生活起居管理、社会支持管理9项。干预4个月后,观察组患者自我管理能力和生活质量显著高于对照组(均P<0.01)。结论应用具有中医特色的脑卒中恢复期患者自我管理项目,能有效改善患者健康行为,提高患者生活质量。
Objective To develop a self-management intervention program for convalescent stroke patients. Methods Based on literature review and a large-sample survey, a self-management intervention program, derived from self-management theory and adjusted by self-efficacy theory, was developed according to clinical features of stroke patients during convalescent phase and based on tradi- tional Chinese medical nursing. One hundred and eighty convalescent stroke patients were randomly selected to test effectiveness of the program. Results The program involved such 9 aspects as disease-related knowledge education, medication safety education, rehabilitation training management, TCM-oriented rehabilitation, self-monitoring, mental care, diet management, daily life management, and social support management. The scores of self-management ability and quality of life were significantly higher in the observation group than those in the control group after 4 month intervention （P〈0.01 for both）. Conclusion Implementation of TCMcharacterized self-management intervention program for convalescent stroke patients, can effectively improve their self-management behaviors and quality of life.
基金
四川省2010年第二批科技计划项目(2010ZR0131)
成都市本级第二批科技计划项目(313-114)
关键词
卒中恢复期
自我管理
自我效能
生活质量
项目构建
中医护理
convalescent stage affter stroke
self-management
self-efficacy
quality of life
program development
tradi- tional Chinese medicial nursing
作者简介
蒋运兰：女，本科，主任护师，副院长兼护理部主任，硕士生导师通信作者：王艳桥，wang-yanqiao@163．com
