Chinese Journal of Nursing Education >
The effects of an interventional program based on health empowerment theory on fatigue of post-stroke patients
Objective To explore the effects of an interventional program based on health empowerment theory on fatigue of post-stroke patients. Methods From October 2019 to September 2020,a total of 202 post-stroke patients with fatigue were randomly divided into the control group and the experimental group with 101 cases in each group. Patients in the control group received routine care and patients in the experimental group received the intervention based on health empowerment theory besides routine care. Regarding the interventional program,four aspects were involved including belief and attitude,knowledge and ability,action and performance,and support and resources. After 2 months and 6 months of intervention,the level of empowering nursing between the two groups were compared. After 6 months of intervention,the severity of fatigue was compared. The recurrence rate of stroke one year after the intervention was recorded. Results There was an interaction effect in score of empowering nursing between groups and time(F=61.335,P<0.001). A simple effect analysis showed that the score of the experimental group was higher than that of the control group(t=2.957,3.061;P<0.05). Six months after the intervention,the severity of fatigue in the experimental group was lower than that of the control group(P<0.05)). The recurrence rate of stroke in the experimental group(4.00%) was lower than that of the control group(11.88%) 1 year after the intervention. The survival curve of the experimental group was better than that of the control group(P<0.05). Conclusion Intervention based on the theory of health empowerment besides routine care can effectively improve the level of emprowing nursing,reduce the severity of fatigue,and improve patient’s self-care ability. Accordingly,patients’ disease recovery can be improved and rate of disease recurrence can be decreased.
Key words: Stroke; Fatigue; Recurrence; Health empowerment
Mei-chun SHU , Sui-li YANG , Shao-rui BAO , Sui-li LIN , Yue-ting YU , Xian-chai HONG . The effects of an interventional program based on health empowerment theory on fatigue of post-stroke patients[J]. Chinese Journal of Nursing Education, 2022 , 19(3) : 236 -241 . DOI: 10.3761/j.issn.1672-9234.2022.03.008
| [1] | GBD 2016 Lifetime Risk of Stroke Collaborators, Feigin VL, Nguyen G, et al. Global,regional,and country-specific lifetime risks of stroke,1990 and 2016[J]. N Engl J Med, 2018, 379(25):2429-2437. |
| [2] | 刘福兰, 欧阳松生. 康复护理对脑卒中偏瘫患者运动功能恢复的影响[J]. 养生保健指南, 2017(10):127. |
| [2] | Liu FL, Ouyang SS. The effect of rehabilitation nursing on the recovery of motor function in stroke patients with hemiplegia[J]. Health Guide, 2017(10):127. |
| [3] | 王春昕, 赵颖, 李容杭, 等. 健康赋权理论在老年股骨骨折患者术后康复管理中的应用[J]. 中华现代护理杂志, 2018, 24(10):1199-1203. |
| [3] | Wang CX, Zhao Y, Li RH, et al. Application of health empowerment theory in postoperative rehabilitation management of elderly patients with femoral fracture[J]. Chin Mod Nurs, 2018, 24(10):1199-1203. |
| [4] | 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. |
| [4] | Du YF. Study on the application of health empowerment in elderly patients with ischemic stroke[D]. Kaifeng:Henan Univer-sity, 2018. |
| [5] | 吴春薇, 王得新. 疲劳严重度量表中译本应用于脑梗死患者的临床与评价[J]. 中华物理医学与康复杂志, 2007, 29(9):608-611. |
| [5] | Wu CW, Wang DX. Clinical application and assessment of the Chinese version of Fatigue Severity Scale in stroke patients[J]. Chin J Phys Med Rehabilitation, 2007, 29(9):608-611. |
| [6] | 杨阳, 曾铁英. 健康赋权理论在老年护理中的启示[J]. 中华护理杂志, 2016, 51(6):737-741. |
| [6] | Yang Y, Zeng TY. Enlightenment of health empowerment nursing intervention in elderly nursing[J]. Chin J Nurs, 2016, 51(6):737-741. |
| [7] | 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. |
| [7] | Zhang XB. Developing and application on Empowerment Care Evaluation Scale of stroke patients[D]. Taiyuan:Shanxi Medical University, 2014. |
| [8] | 崔慧敏, 夏征, 邢凤梅, 等. 急性缺血性脑卒中患者急性期疲劳现状及其影响因素[J]. 解放军护理杂志, 2020, 37(11):9-12,25. |
| [8] | Cui HM, Xia Z, Xing FM, et al. Fatigue status and its influencing factors among patients in the acute stage of acute ischemic stroke[J]. Nurs J Chin PLA, 2020, 37(11):9-12,25. |
| [9] | 杨阳, 曾铁英. 老年慢性病病人健康赋权水平及其影响因素[J]. 护理研究, 2019, 33(2):214-218. |
| [9] | Yang Y, Zeng TY. Health empowerment level of elderly patients with chronic diseases and its influencing factors[J]. Chin Nurs Res, 2019, 33(2):214-218. |
| [10] | 李力, 王惠娟, 苗江永, 等. 卒中后疲劳:新出现的证据与管理方法[J]. 国际脑血管病杂志, 2017, 25(10):865-876. |
| [10] | Li Li, Wang HJ, Miao JY, et al. Poststroke fatigue:emerging evidence and approaches to management[J]. International Journal of Cerebrovascular Diseases, 2017, 25(10):865-876. |
| [11] | 刘晓玲, 窦娜, 李丹, 等. 脑卒中患者精神疲劳的影响因素分析[J]. 中华行为医学与脑科学杂志, 2018, 27(11):1006-1010. |
| [11] | Liu X, Dou N, Li D, et al. Influencing factors of mental fatigue in patients with stroke[J]. Chin J Behav Med & Brain Sci, 2018, 27(11):1006-1010. |
| [12] | 岳萌, 雷梦杰, 刘文艳. 卒中后抑郁与卒中后疲劳相关性的Meta分析[J]. 护理研究, 2020, 34(2):227-231. |
| [12] | Yue M, Lei MJ, Liu WY. Correlation between post-stroke depression and post-stroke fatigue:a Meta-analysis[J]. Chin Nurs Res, 2020, 34(2):227-231. |
| [13] | 王小丽, 许小明, 刘宁, 等. 卒中后疲劳危险因素的系统评价[J]. 中国卒中杂志, 2020, 15(7):759-765. |
| [13] | Wang XL, Xu XM, Liu N, et al. Risk factors of post-stroke fatigue:a systematic review[J]. Chin J Stroke, 2020, 15(7):759-765. |
/
| 〈 |
|
〉 |