基于自我调节理论的健康教育在缺血性脑卒中患者中的应用研究

发布时间：2018-06-24 02:27

本文选题：缺血性脑卒中 + 自我调节理论　；参考：《安徽医科大学》2017年硕士论文

【摘要】：目的:(1)了解缺血性脑卒中患者的疾病感知现况,探讨缺血性脑卒中患者疾病感知的影响因素。(2)探讨基于自我调节理论的健康教育对缺血性脑卒中患者疾病感知的影响。(3)探讨基于自我调节理论的健康教育对缺血性脑卒中患者生活方式的影响。方法:第一阶段为描述性研究:采用便利抽样的方法,选取2015年9月-2016年7月在合肥市某三甲医院神经内科就诊并符合本研究入选标准的缺血性脑卒中患者共215例,对患者的疾病感知现状进行调查并分析探讨探讨其影响因素。第二阶段为类实验性研究,选择在合肥市某三甲医院神经内科就诊的缺血性脑卒中患者作为研究对象,并按照入院的前后顺序对符合入选标准的患者进行分组:其中2016年1月-3月诊断的40名患者为对照组,2016年4月-7月诊断的43名患者为干预组。对照组样本在出院后给予常规健康教育,干预组样本在常规健康教育的基础上给予基于自我调节理论指导设计的干预方案。干预12周后,将两组患者干预前后的疾病感知和生活方式情况进行对比,分析基于自我调节理论的健康教育在缺血性脑卒中患者中的应用效果。结果:第一阶段:(1)缺血性脑卒中患者疾病感知量表结果显示:患者疾病同一性因子得分为(2.74±2.23)分,严重后果因子得分为(17.59±4.91)分,情绪陈述因子得分为(19.46±6.43)分,缺血性脑卒中患者具有负性的疾病感知。(2)多元逐步线性回归分析显示,患者年龄、性别、家庭住址、职业和NIHSS评分是缺血性脑卒中患者疾病感知的影响因素;第二阶段:(1)实施干预后干预组患者疾病感知8因子评分较干预前明显改善,多个因子评分优于对照组,二组差异具有统计学意义(P0.05);(2)实施干预后干预组患者健康相关生活方式量表得分情况比干预前明显提高,量表总分以及多个维度的得分均优于对照组,二组差异具有统计学意(P0.05)。结论:(1)缺血性脑卒中患者具有负性的疾病感知,年龄、性别、家庭住址、职业和NIHSS评分是患者疾病感知的主要影响因素。(2)对缺血性脑卒中患者实施基于自我调节理论制定的干预方案在有效改善患者疾病感知的基础上,同时能显著改善患者不健康的生活方式。
[Abstract]:Objective: (1) to understand the current situation of the disease perception in patients with ischemic stroke and to explore the influencing factors of the disease perception of patients with ischemic stroke. (2) to explore the effect of health education based on self-regulation theory on the disease perception of patients with ischemic stroke. (3) to explore the health education based on self-regulation theory for patients with ischemic stroke. Method: the first stage is a descriptive study: using the convenient sampling method, 215 cases of ischemic stroke patients in the neurology department of a three a hospital in Hefei in September 2015 and in accordance with the standard of this study in July, -2016, are selected. The status of the patients' perception of disease is investigated and the influence causes are discussed and discussed. The second stage was an experimental study. The patients were selected in the neurology department of a three a hospital in Hefei as the research object, and the patients were grouped according to the order of admission. In January 2016, 40 patients were diagnosed as the control group and 43 patients were diagnosed in the month of April 2016. In April 2016, 43 patients were diagnosed. For the intervention group, the control group was given routine health education after discharge. The intervention group was given an intervention program based on the self-regulation theory guidance on the basis of routine health education. After 12 weeks, the perception of disease and the lifestyle of the two groups were compared, and the health based on the self-regulation theory was analyzed. Results of the application of Kang education in patients with ischemic stroke. Results: (1) the results of the disease perception scale of patients with ischemic stroke showed that the score of the disease identity factor was (2.74 + 2.23), the score of severe consequence factor was (17.59 + 4.91), the score of emotional state statement factor was (19.46 + 6.43) points, and the patients with ischemic stroke (2) multiple stepwise linear regression analysis showed that age, sex, home address, occupational and NIHSS score were the factors affecting the perception of disease in patients with ischemic stroke, and the second stage: (1) the 8 factor score of patients' perception of disease perception after intervention was significantly better than that before intervention, and the scores of multiple factors were better than those in the intervention group. The difference between the two groups was statistically significant (P0.05); (2) the score of the health related lifestyle scale in the intervention group was significantly higher than that before the intervention, the score of the total score and the multiple dimensions were better than the control group, and the two groups were statistically significant (P0.05). Conclusion: (1) the patients with ischemic stroke have a negative disease. Perception, age, sex, home address, occupation, and NIHSS score are the main factors affecting patients' perception of disease. (2) intervention based on self adjustment theory for patients with ischemic stroke is based on effective improvement of patient's perception of disease, and can significantly improve the patient's unhealthy lifestyle.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.74

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