脑卒中患者赋能护理干预的范围综述

doi:10.3761/j.issn.1672-9234.2024.02.019

Abstract

Abstract:

Objective To review the studies related to empowering nursing intervention in health management of stroke patients，and summarize the intervention programs to promote the health management of stroke patients，so as to provide references for clinical practice and future research in this field. Methods According to scoping review method，related studies in CNKI， Wanfang， SinoMed， PubMed， Embase， Cochrane Library， Scopus， ProQuest were searched. The time limit for retrieval was from the establishment of the database to January 2023. An integration analysis of the included literature was performed. Results Totally，23 studies were included，the intervention form was mainly one-to-one or group intervention online and offline. The intervention elements included four topics：nurse-patient decision-making，provision of information and skill guidance，psychological support，and peer support. The outcome measures were mainly about the patients’ living activities and self-care ability，and self-efficacy. Conclusion Empowering nursing intervention has positive effects on the health management for stroke patients. Future studies should extend the application of empowering nursing intervention，enrich the content and intervention form，formulate standardized evaluation criteria，and actively set up multidisciplinary teams according to the intervention content to explore the best empowering nursing intervention program for the health management of stroke patients.

Key words: Stroke, Empowering, Nursing, Health management, Scoping review

JIAO Meng, GUO Hong, ZHAO Peiyu, DUAN Yu, GUO Zhanghui, CHEN Shanshan, QU Jianni. Empowering nursing intervention in the health management of stroke patients：a scoping review[J].Chinese Journal of Nursing Education, 2024, 21(2): 245-251.

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References 39

[1]	《中国脑卒中防治报告》编写组. 我国脑卒中防治仍面临巨大挑战:《中国脑卒中防治报告2018》概要[J]. 中国循环杂志, 2019, 34(2):105-119.
[2]	Hebert D, Lindsay MP, McIntyre A, et al. Canadian stroke best practice recommendations:stroke rehabilitation practice guide-lines,update 2015[J]. Int J Stroke, 2016, 11(4):459-484. doi: 10.1177/1747493016643553
[3]	GBD 2019 Stroke Collaborators. Stroke Collaborators. Global,regional,and national burden of stroke and its risk factors,1990-2019:a systematic analysis for the Global Burden of Disease Study 2019[J]. Lancet Neurol, 2021, 20(20):795-820. doi: 10.1016/S1474-4422(21)00252-0
[4]	Casemiro FG, Quirino DM, Diniz MAA, et al. Effects of health education in the elderly with mild cognitive impairment[J]. Revista Brasileira De Enfermagem, 2018, 71(Suppl 2):801-810. doi: 10.1590/0034-7167-2017-0032
[5]	赵慢, 井坤娟, 李婷婷. 脑卒中健康教育模式研究现状[J]. 护理研究, 2021, 35(5):883-886.
[6]	管慧. 赋能教育及其在健康教育中的应用研究[J]. 护理学杂志, 2016, 31(12):111-113.
[7]	Alhani F, Asghari-Jafarabadi M, Norouzadeh R, et al. The effect of family-centered empowerment model on the quality of life of adults with chronic diseases:an updated systematic review and meta-analysis[J]. J Affect Disord, 2022, 316:140-147. doi: 10.1016/j.jad.2022.07.066
[8]	Arksey H, O’Malley L. Scoping studies:towards a methodologi-cal framework[J]. Int J Soc Res Methodol, 2005, 8(1):19-32. doi: 10.1080/1364557032000119616
[9]	栾丽平, 赵立岩. 赋能教育护理对脑梗死患者睡眠质量的影响[J]. 世界睡眠医学杂志, 2022, 9(6):1141-1143.
	Luan LP, Zhao LY. The effect of empowering education nursing on sleep quality of patients with cerebral infarction[J]. World J Sleep Med, 2022, 9(6):1141-1143.
[10]	Izadi-Avanji FS, Amini A, Mirbagh Ajorpaz N, et al. The effect of a family-centered empowerment model on the quality of life of patients with stroke[J]. J Client Centered Nurs Care, 2020:13-22.
[11]	Sit JW, Chair SY, Chan Yip CW, et al. Effect of health empo-werment intervention for stroke self-management on behaviour and health in stroke rehabilitation patients[J]. Hong Kong Med J, 2018, 24 Suppl 2(1):12-15.
[12]	刘莹, 冯霞, 张懿. 赋能干预对中青年脑卒中患者社会参与及希望水平的影响[J]. 重庆医学, 2022, 51(11):1927-1930.
[13]	聂志春. 家庭赋权方案对脑卒中吞咽障碍患者的干预效果[J]. 临床医药实践, 2022, 31(10):782-785.
[14]	孙喜风, 杨海新, 袁玮, 等. 授权赋能式健康教育在脑卒中伴肢体功能障碍患者中的应用[J]. 中国临床护理, 2021, 13(11):677-682.
[15]	李慧妍. 基于授权理论的健康教育在脑卒中偏瘫患者中的应用研究[D]. 海口: 海南医学院, 2020.
[16]	聂贝贝, 徐艳华. 家庭赋权方案对脑卒中病人自我管理行为及预后的影响[J]. 全科护理, 2020, 18(26):3504-3506.
[17]	朱蓉蓉, 束余声. 克服病耻感的赋能教育对脑卒中恢复期患者的影响[J]. 世界最新医学信息文摘(连续型电子期刊), 2020, 20(70):17-19.
[18]	张秀波. 基于赋能理论的延续性护理对高血压性脑出血患者日常生活活动能力的影响[J]. 当代护士(中旬刊), 2020, 27(2):7-9.
[19]	符鸿香. 家庭赋权护理对改善脑卒中患者护理质量、负性情绪及社会功能的影响[J]. 现代医学, 2019, 47(6):707-711.
[20]	张艺丹. 赋能教育模式在脑卒中偏瘫患者中的应用研究[D]. 衡阳: 南华大学, 2018.
[21]	杜雅芳. 健康赋权在老年缺血性脑卒中患者中的应用研究[D]. 开封: 河南大学, 2018.
[22]	袁添, 刘沫. 高校附属医院城市社区授权教育对首发脑卒中患者的干预效果研究[J]. 中国全科医学, 2015(19):2337-2340. doi: 10.3969/j.issn.1007-9572.2015.19.022
[23]	李霞, 厉学敏, 王陈军, 等. 专科护士主导的家庭赋权方案在老年脑卒中吞咽障碍患者中的应用[J]. 中华现代护理杂志, 2021, 27(36):4957-4963.
[24]	陈璐, 王芳, 沈小芳. 基于授权理论自我管理模式在脑卒中病人出院准备中的应用效果分析[J]. 护理研究, 2016, 30(29):3613-3616.
	Chen L, Wang F, Shen XF. Analysis of application effect of self management model based on empowerment theory in discharge preparation of patients with stroke[J]. Chin Nurs Res, 2016, 30(29):3613-3616.
[25]	Chen L, Chen Y, Chen XY, et al. Longitudinal study of effec-tiveness of a patient-centered self-management empowerment intervention during predischarge planning on stroke survivors[J]. Worldviews Ev Based Nurs, 2018, 15(3):197-205. doi: 10.1111/wvn.2018.15.issue-3
[26]	Chin LF, Hayward KS, Chai ALM, et al. A self-empowered upper limb repetitive engagement program to improve upper limb recovery early post-stroke:phase Ⅱ pilot randomized control-led trial[J]. Neurorehabil Neural Repair, 2021, 35(9):836-848. doi: 10.1177/15459683211032967
[27]	Deyhoul N, Vasli P, Rohani C, et al. The effect of family-centered empowerment program on the family caregiver burden and the activities of daily living of Iranian patients with stroke:a randomized controlled trial study[J]. Aging Clin Exp Res, 2020, 32(7):1343-1352. doi: 10.1007/s40520-019-01321-4 pmid: 31473982
[28]	田慧利. 基于赋能理论的中青年卒中偏瘫患者自我管理干预研究[D]. 郑州: 郑州大学, 2021.
[29]	李学军, 付金英, 朱兆凤, 等. 授权教育对脑卒中偏瘫伴心理障碍患者自我效能感和日常生活能力的影响[J]. 中华现代护理杂志, 2016, 22(11):1590-1593.
[30]	舒美春, 杨碎丽, 鲍少蕊, 等. 基于健康赋权理论的护理干预在卒中后疲劳患者中的应用[J]. 中华护理教育, 2022, 19(3):236-241.
	Shu MC, Yang SL, Bao SR, et al. The effects of an inter-ventional program based on health empowerment theory on fatigue of post-stroke patients[J]. Chin J Nurs Educ, 2022, 19(3):236-241.
[31]	王朝霞. 探讨家庭赋权护理干预对改善脑卒中患者护理质量、负性情绪、社会功能的影响[J]. 全科口腔医学电子杂志, 2020, 7(12):80-82,104.
[32]	Shoghi M, Shahbazi B, Seyedfatemi N. The effect of the fami-ly-centered empowerment model(FCEM) on the care burden of the parents of children diagnosed with cancer[J]. Asian Pac J Cancer Prev, 2019, 20(6):1757-1764. doi: 10.31557/APJCP.2019.20.6.1757
[33]	张秀波. 脑卒中患者赋能护理评价量表的编制及应用[D]. 太原: 山西医科大学, 2014.
[34]	庄灼梅, 林如, 冯锦绣, 等. 家属赋能教育模式对缺血性脑卒中恢复期病人日常生活能力的影响[J]. 全科护理, 2018, 16(12):1477-1479.
[35]	黎佩珊, 磨慧慧, 马方方. 家庭赋权方案对脑卒中病人家庭主要照顾者生活质量、照顾能力和照顾准备度的影响[J]. 全科护理, 2019, 17(29):3600-3603.
[36]	Subandi MA. The role of family empowerment and family re-silience on recovery from psychosis[D]. Yogyakarta: Gadjah Mada University, 2013.
[37]	Christensen B, Kockrow EO. Foundations and adult health nurs-ing[M]. 5th ed. St. Louis: Mosby, 2006.
[38]	赵慧, 江黛琪. 健康赋权理论用于中青年脑卒中患者护理中的效果观察[J]. 中国基层医药, 2021, 28(1):145-147.
[39]	Hartford W, Lear S, Nimmon L. Stroke survivors’ experiences of team support along their recovery continuum[J]. BMC Health Serv Res, 2019, 19(1):1-12. doi: 10.1186/s12913-018-3827-x

Empowering nursing intervention in the health management of stroke patients：a scoping review

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