Effect of self-care management on disease cognition and self-efficacy of patients with lacunar cerebral infarction
自我护理管理对腔隙性脑梗死患者疾病的认知、自我效能的影响

摘要

目的 运用自我护理管理模式对腔隙性脑梗死患者行治疗期间护理，分析自我护理管理模式护理对患者的应用价值。方法 选取本院在2020.3-2021.8期间接受治疗的腔隙性脑梗死患者100例，根据护理模式将患者分为对照组（临床治疗期间仅接受常规护理）以及研究组（临床治疗期间接受常规护理，增加自我护理管理内容），在两组患者接受不同护理模式前以及30天后进行自我护理管理情况、疾病认知及自我效能感的相关评估。结果 1.研究组病患经自我护理管理模式30天护理后，自我护理管理评分显著高于一般护理的对照组(P<0.05)；2.本研究开始前的测量评估中，两组病患间的疾病认知评分及自我效能感评分均无明显差异（P＞0.05），经自我护理管理模式30天护理后，受到良好疾病、康复知识教育的研究组患者疾病认知评分显著高于仅有一般护理的对照组(P<0.05)，在自我效能感评分方面，接受心理干预、疾病普及、肢体康复以及语言恢复的研究组患者护理30天后比对照组有明显提升(P<0.05)。结论 腔隙性脑梗死患者治疗过程中接受自我护理管理，可有效提高其自我护理管理能力，加深疾病认知，自我效能感明显提升，促进疾病康复，临床上自我护理管理模式具有较高应用价值。

Abstract

Objective: To analyze the application value of self-care management model in patients with lacunar cerebral infarction.
Methods: 100 patients with lacunar cerebral infarction treated in our hospital from March 2020 to August 2021 were selected. According to the nursing mode, the patients were divided into control group (only routine nursing during clinical treatment) and research group (routine nursing during clinical treatment, adding self-care management content), The self-care management, disease cognition and self-efficacy of the two groups were evaluated before and 30 days after receiving different nursing modes.
Results: 1 After 30 days of self-care management, the self-care management score of patients in the study group was significantly higher than that in the control group of general nursing (P < 0.05); 2. In the measurement and evaluation before the beginning of this study, there was no significant difference between the two groups in disease cognition score and self-efficacy score (P > 0.05). After 30 days of nursing under the self-care management mode, the disease cognition score of the study group receiving good disease and rehabilitation knowledge education was significantly higher than that of the control group with only general nursing (P < 0.05), After 30 days of nursing care, the patients in the study group who received psychological intervention, disease popularization, limb rehabilitation and language recovery were significantly higher than those in the control group (P < 0.05).
Conclusion  : receiving self-care management in the treatment of patients with lacunar cerebral infarction can effectively improve their self-care management ability, deepen disease cognition, significantly improve their sense of self-efficacy, and promote disease rehabilitation. Clinically, the self-care management model has high application value.