探索基于自我效能和自我护理的中风护理模型,以改变轻度至中度中风患者的风险因素
Al Rasyid1, Uke Pemila2, Siti Aisah3
1Department of Neurology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo National Hospital, Jakarta, Indonesia.
Frontiers in neurology
|May 30, 2023
概括
基于自我效能和自我护理的中风教育 (SSE) 显著改善了患者的治疗结果. 这种干预措施提高了自我护理,自我有效性,并降低了病人的中风风险因素.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 卫生教育卫生教育教育
背景情况:
- 全球中风负担正在增加,需要有效的患者教育策略.
- 传统的信息传递本身不足以改善患者的自我效能,自我护理和风险因素管理.
研究的目的:
- 评估基于自我效能和自我护理的中风教育 (SSE) 对患者自我效能,自我护理行为和中风风险因素修改的影响.
- 评估SSE在改善功能结果和降低中风后血粘度方面的有效性.
主要方法:
- 一个单中心,双盲,随机对照试验,涉及120名患者在印度尼西亚.
- 参与者在出院前接受了SSE或标准护理,并在1个月和3个月后进行后续检查.
- 主要结局包括自我护理,自我效能和中风风险得分的变化. 二次结局包括修改的兰金尺度,巴特尔指数和血液粘度.
主要成果:
- 与对照组相比,干预组在出院1个月和3个月后在自我护理,自我有效性和中风风险降低方面表现出明显的改善.
- 在第一个月内,在自我护理和自我有效性方面注意到了具体的改善,在第三个月内持续和增强了效果.
- 脑卒中干预导致了与中风恢复和风险管理相关的关键健康指标的统计学上显著变化.
结论:
- 基于自我效能和自我护理的中风教育 (SSE) 是一个有前途的干预措施,以提高患者的康复和管理.
- SSE有可能改善自我护理,提高自我效能,修改风险因素,改善功能结果,降低血液粘度.
- 实施SSE计划可以成为减轻全球日益增长的中风负担的重要策略.
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