团体生活延续性护理对脑出血患者术后自我效能与生活质量的影响-现代医学

团体生活延续性护理对脑出血患者术后自我效能与生活质量的影响

单位：广汉市人民医院神经外科, 四川广汉 618300

分类号：R743.34;R473.74

出版年·卷·期（页码）：2017·36·第三期（459-462）

摘要：

目的：探讨团体生活延续性护理对脑出血患者术后自我效能与生活质量的影响。方法：选择2013年1月至2014年1月我科收治的60例脑出血患者作为对照组，出院后由社区医护人员进行常规护理；选择2014年2月至2015年1月收治的60例脑出血患者作为观察组，采用团体生活延续性护理。护理5周后比较两组患者自我效能、恢复积极性、生活质量及患者满意度。结果：两组患者干预后自我效能评分和日常生活能力评分增加（P<0.05），但观察组干预后评分显著高于对照组（P<0.05）；两组患者干预后生活质量显著改善（P<0.05），但观察组改善程度显著高于对照组（P<0.05）；观察组患者康复积极性评分和积极应对评分显著高于对照组，差异具有统计学意义（P<0.05）；观察组患者满意率显著高于对照组，差异具有统计学意义（P<0.05）。结论：团体生活延续性护理能够增加脑出血患者的自我效能和生活质量，容易在社区推广，值得推广使用。

Objective: To explore the influence of transitional care program involving group activities on self-efficacy and life quality in cerebral hemorrhage patients. Methods: 60 cases of cerebral hemorrhage admitted from January 2013 to January 2014 were treated with routine care for 5 weeks as control group, 60 cases of cerebral hemorrhage admitted from February 2014 to January 2015 were treated with transitional care program involving group activities for 5 weeks as observation group, the self-efficacy, enthusiasm,life quality and satisfaction were compared between the twe groups. Results: After intervention the patient self-efficacy score and activities of daily living score in two groups increased(P<0.05), but the scores in observation group were significantly higher(P<0.05); quality of life improved significantly in two groups after the intervention(P<0.05), but the degree of improvement in the observation group was significantly higher(P<0.05); the rehabilitation score enthusiasm and positive response rates of patients in the observation group were significantly higher, the difference was statistically significant(P<0.05); the satisfaction rate in observation group was significantly higher, the difference was significant(P<0.05). Conclusion: Transitional care program involving group activities can improve the self-efficacy and life quality of cerebral hemorrhage patients, which spreads easily in community outreach.

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