协同护理模式在首发脑卒中患者自我护理能力和抑郁情绪中的应用研究

Application of collaborative care model in self-care agency and depression among patients with first stroke

摘要:

目的：探讨协同护理模式对首发脑卒中患者自我护理能力和抑郁情绪的影响。方法：在2016年1至6月使用便利抽样法抽取首发脑卒中病例101例，采用随机数字表法将其分为试验组（51例）和对照组（49例），试验组接受协同护理模式护理，对照组接受常规护理，干预后6个月，采用自我护理量表（the Exercise of Self-care Agency Scale，ESCA）和自评抑郁量表（Self-rating Depression Scale，SDS）比较2组干预效果。结果：干预前试验组、对照组自我护理能力（t=-0.375，P=0.708）和抑郁情绪（t=-0.258，P=0.797）均无明显差异，干预后试验组自我护理能力（t=4.122，P=0.000）和抑郁情绪（t=-2.515，P=0.014）较对照组明显改善；干预后试验组自我护理能力（t=-2.980，P=0.004）和抑郁情绪（t=10.491，P=0.000）较干预前也明显改善。结论：协同护理模式可以有效提高首发脑卒中患者的自我护理能力并改善其抑郁情绪。

Abstract:

Objective：To evaluate the effect of the collaborative care model on self-care agency and depression in patients with first stroke. Methods：A total of 101 first stroke patients were randomly chosen between January and June of 2016，and randomly assigned into experimental group（52 persons） and control group（49 persons）. The patients in experimental group received collaborative care and the ones in control group only received routine care. After 6 months，the both groups were assessed with the Exercise of Self-care Agency Scale（ESCA） and Self-rating Depression Scale（SDS） to explore the effect of collaborative care on patients’ self-care agency and depression. Results：There was no significant difference in the self-care agency（t=-0.375，P=0.708） and depression（t=-0.258，P=0.797） between the two group before intervention. The self-care agency（t=4.122，P=0.000） and the depression（t=-2.515，P=0.014） of the experimental group were significantly improved compared with those of control group after the intervention，and the self-care agency（t=-2.980，P=0.004），depression（t=10.491，P=0.000） of the experimental group were also significantly improved after intervention. Conclusion：Collaborative care model can significantly improve first stroke patients’ self-care agency and depression.