文章摘要

以信息-知识-行为理论为指导的护理干预对老年脑梗死患者心理状态及生活质量的影响

作者: 1赵少敏
1 宿州市皖北煤电集团总医院全科医学科,安徽 宿州 234000
通讯: 赵少敏 Email: 39404363@qq.com
DOI: 10.3978/j.issn.2095-6959.2020.08.039

摘要

目的:探讨以信息-知识-行为理论为指导的护理干预对老年脑梗死患者心理状态及生活质量的影响。方法:选取2018年1月至2019年11月于宿州市皖北煤电集团总医院收治的80例老年脑梗死患者作为研究对象,随机分为观察组和对照组,每组各40例。对照组采用常规护理干预,观察组在对照组基础上采用以信息-知识-行为理论为指导的护理干预。对比两组患者干预前后的汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)评分、汉密尔顿抑郁量表(Hamilton Depression Scale,HAMD)评分、生活质量评分,以及干预期间的并发症发生率。结果:观察组患者干预后的HAMA评分和HAMD评分明显低于对照组(P<0.05);观察组患者干预期间的并发症发生率明显低于对照组(P<0.05);同时,观察组患者的躯体功能、心理功能、社会功能和物质生活状态评分均明显高于对照组(P<0.05)。结论:对老年脑梗死患者采用以信息-知识-行为理论为指导的护理干预能明显改善患者心理状态,降低并发症的发生率,并提高患者生活质量。
关键词: 信息-知识-行为理论;老年脑梗死;心理状态;生活质量

Effects of nursing intervention under guidance of information-knowledge-behavior theory on psychological status and quality of life in elderly patients with cerebral infarction

Authors: 1ZHAO Shaomin
1 General Medical Department, General Hospital of Wanbei Coal & Power Group, Suzhou Anhui 234000, China

CorrespondingAuthor: ZHAO Shaomin Email: 39404363@qq.com

DOI: 10.3978/j.issn.2095-6959.2020.08.039

Abstract

Objective: To explore effects of nursing intervention under guidance of information-knowledge-behavior (IKB) theory on psychological status and quality of life in elderly patients with cerebral infarction. Methods: A total of 80 elderly patients with cerebral infarction who were admitted to the hospital from January 2018 to November 2019 were enrolled as study objects. They were randomly divided into observation group and control group, 40 cases in each group. The control group was given routine nursing intervention, while observation group was given nursing intervention under guidance of IKB theory on basis of control group. The nursing compliance rate after intervention, scores of Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD) and quality of life before and after intervention, and incidence of complications during intervention were compared between the two groups. Results: After intervention, scores of HAMA and HAMD in observation group were significantly lower than those in control group (P<0.05), while nursing compliance rate was significantly higher than that in control group (P<0.05). The incidence of complications during intervention in observation group was significantly lower than that in control group (P<0.05). The scores of physical function, psychological function, social function and material life status in observation group were significantly higher than those in control group (P<0.05). Conclusion: Application of nursing intervention under guidance of IKB theory in elderly patients with cerebral infarction can significantly improve their psychological status, increase nursing compliance rate, decrease incidence of complications, and improve their quality of life.
Keywords: information-knowledge-behavior theory; elderly cerebral infarction; psychological status; quality of life