基于相互作用分析理论的护理干预对缺血性脑卒中患者吞咽功能及心理弹性的影响OA
Effect of nursing intervention based on the interaction analysis theory on the swallowing function and psychological resilience of patients with ischemic stroke
目的 探讨缺血性脑卒中患者接受相互作用分析理论护理干预的效果.方法 回顾性分析2023年9月至2024年9月该院收治的90例缺血性脑卒中患者的临床资料,根据不同护理方式分为观察组和对照组,每组45例.2组均采取常规护理,观察组联合相互作用分析理论护理干预.对比2组患者吞咽功能、心理弹性和自我管理行为.结果 2组患者干预后吞咽-嗓音综合评估量表、心理弹性量表评分均明显低于干预前,青年脑卒中患者自我管理行为量表评分均明显高于干预前,且观察组患者干预后吞咽-嗓音综合评估量表、心理弹性量表评分均明显低于对照组,青年脑卒中患者自我管理行为量表评分明显高于对照组,差异均有统计学意义(P<0.05).结论 常规护理模式在改善缺血性脑卒中患者吞咽功能障碍症状方面具有一定局限性,且难以有效促进其心理弹性的恢复.在此基础上联合相互作用分析理论护理干预,可明显改善缺血性脑卒中患者心理弹性和自我管理行为,进一步促进患者吞咽功能的恢复.
Objective To explore the effect of nursing intervention based on the interaction analysis theory for patients with ischemic stroke.Methods A retrospective analysis was conducted on the clinical data of 90 patients with ischemic stroke admitted to the hospital from September 2023 to September 2024.The pa-tients were divided into the observation group and the control group based on different nursing methods,with 45 cases in each group.Both groups received routine care,while the observation group was additionally provid-ed with nursing intervention based on the theory of interaction analysis.The swallowing function,psychologi-cal resilience,and self-management behaviors of the two groups of patients were compared.Results After the intervention,the scores of the swallowing-speech comprehensive assessment scale and the psychological resili-ence scale for both groups of patients were significantly lower than those before the intervention.The scores of the self-management behavior scale for young stroke patients was significantly higher than that before the in-tervention.Moreover,the scores of the swallowing-voice comprehensive assessment scale and the psychological resili-ence scale for the observation group after the intervention were significantly lower than those of the control group,and the scores of the self-management behavior scale for young stroke patients in the observation group was significantly higher than that of the control group.All these differences were statistically significant(P<0.05).Conclusion The conventional nursing model has certain limitations in improving the symptoms of swallowing dysfunction in patients with ischemic stroke,and it is difficult to effectively promote the recovery of their psychological resili-ence.On this basis,combined with the interaction analysis theory for nursing intervention,it can significantly improve the psychological resilience and self-management behavior of patients with ischemic stroke,and fur-ther promote the recovery of swallowing function in patients.
程吉莎;胡明伟;李燕燕
重庆医药高等专科学校附属第一医院,重庆 400060重庆医药高等专科学校附属第一医院,重庆 400060重庆医药高等专科学校附属第一医院,重庆 400060
医药卫生
缺血性脑卒中相互作用分析理论护理干预吞咽功能心理弹性
Ischemic strokeInteraction analysis theoryNursing interventionSwallowing functionPsychological resilience
《现代医药卫生》 2026 (3)
531-534,539,5
重庆市教育委员会人文社会科学研究项目(22SKGH547).
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