自我效能干预对高血压脑出血患者生活质量的影响(1)
【摘要】目的探讨自我效能干预对高血压脑出血患者生活质量的影响。方法将80例高血压脑出血患者随机分为对照组和干预组，每组40例，对照组按照高血压脑出血护理常规进行护理，干预组在此基础上给予自我效能干预，观察比较两组患者干预前及干预6个月的自我效能和生活质量水平。结果干预前两组生活质量综合评定问卷(GQOL74)各维度评分、自我效能感量表(GSES)评分比较差异无统计学意义(P>0.05)，干预6个月后干预组GQOL74评分及GSES评分均优于对照组，差异有统计学意义(P<0.01)。结论自我效能干预能有效提高高血压脑出血患者的自我效能，提升其生活质量。
【关键词】护理干预；高血压脑出血；自我效能；生活质量
中图分类号：R743.340.47 文献标识码：ADOI：10.3969/j.issn.10031383.2015.03.018
Effect of selfefficacy intervention on quality of life in
, 百拇医药
patients with hypertensive cerebral hemorrhage
LONG Meili1，ZOU Youlan2，HUANG Xueling1，DAI limei1
(1.Department of Internal Medicine，Traditional Chinese Medicine Hospital of Tiandong，Tiandong 531500；2. Geriatric Department，The First Affiliated Hospital of Guangxi
University of Chinese Medicine，Nanning 530023，Guangxi，China)
【Abstract】ObjectiveTo investigate effect of selfefficacy intervention on the quality of life of patients with hypertensive cerebral hemorrhage.Methods80 patients with hypertensive cerebral hemorrhage were randomly divided into control group and intervention group with 40 cases in each group.The control group were cared in accordance with nursing routine of hypertension cerebral hemorrhage，and based on which the intervention group were added selfefficacy intervention.Then，levels of selfefficacy and quality of life before intervention and after six months of intervention were observed and compared.Results Before intervention，difference of each dimension score of general of quality of life inventory(GQOL74) and score of general selfefficacy scale (GSES) in the two groups was not statistically significant (P>0.05).After six months of intervention，GQOL74 score and GSES score of the intervention group were significantly higher than those of the control group，so difference was statistically significant(P<0.01).ConclusionSelfefficacy intervention can effectively improve selfefficacy and quality of life of patients with hypertensive cerebral hemorrhage.
, 百拇医药
【Key words】nursing intervention；hypertensive cerebral hemorrhage；selfefficacy；quality of life
高血压脑出血(HICH)发病率高，约占脑血管疾病的1/3，死亡率位居脑血管疾病的首位[1]。HICH由于病情进展迅速，经治疗后可残留不同程度的后遗症，严重影响患者的生活质量[2]。自我效能是指个体对自己是否有能力去实施某一行为的期望，是人们对自我行为能力的认知与评价，个体的自我效能感会决定或影响其对相应行为的选择和坚持。自我效能理论强调达到行为的目标应从调动人的潜能入手，让患者通过接受他人的劝告、获取他人的经验及自身实践经历等途径提高自我行为控制能力，增强战胜疾病和克服困难的信心，充分调动其主观能动性，增强自我保健意识，促进疾病康复，有效地提高其生活质量[3～4]。为探讨自我效能干预对HICH患者生活质量的影响，2012年1月至2014年12月我科对40例HICH患者实施自我效能干预，取得良好的效果，现总结报告如下。
1资料与方法1.1一般资料本组病例80例，男48例，女32例；年龄49～81(57.7±5.5)岁；出血部位：基底节45例、脑室16例、脑叶9例、小脑6例、脑干4例；住院时间30～50 d，平均(35.0±5.5)d。所有患者均有高血压病史，入院后均经头颅CT或MRI确诊。入组标准：首次发病、意识清晰、无认知障碍、病情稳定、服用降压药物使血压维持在150/90 mmHg；排除标准：有听力、认知、理解障碍，伴呼吸、循环等机体重要系统严重并发症。将80例患者随机分为对照组和干预组，每组40例，两组患者年龄、性别、出血部位等比较差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(龙美丽 邹优兰 黄雪玲 戴丽媚)
【关键词】护理干预；高血压脑出血；自我效能；生活质量
中图分类号：R743.340.47 文献标识码：ADOI：10.3969/j.issn.10031383.2015.03.018
Effect of selfefficacy intervention on quality of life in
, 百拇医药
patients with hypertensive cerebral hemorrhage
LONG Meili1，ZOU Youlan2，HUANG Xueling1，DAI limei1
(1.Department of Internal Medicine，Traditional Chinese Medicine Hospital of Tiandong，Tiandong 531500；2. Geriatric Department，The First Affiliated Hospital of Guangxi
University of Chinese Medicine，Nanning 530023，Guangxi，China)
【Abstract】ObjectiveTo investigate effect of selfefficacy intervention on the quality of life of patients with hypertensive cerebral hemorrhage.Methods80 patients with hypertensive cerebral hemorrhage were randomly divided into control group and intervention group with 40 cases in each group.The control group were cared in accordance with nursing routine of hypertension cerebral hemorrhage，and based on which the intervention group were added selfefficacy intervention.Then，levels of selfefficacy and quality of life before intervention and after six months of intervention were observed and compared.Results Before intervention，difference of each dimension score of general of quality of life inventory(GQOL74) and score of general selfefficacy scale (GSES) in the two groups was not statistically significant (P>0.05).After six months of intervention，GQOL74 score and GSES score of the intervention group were significantly higher than those of the control group，so difference was statistically significant(P<0.01).ConclusionSelfefficacy intervention can effectively improve selfefficacy and quality of life of patients with hypertensive cerebral hemorrhage.
, 百拇医药
【Key words】nursing intervention；hypertensive cerebral hemorrhage；selfefficacy；quality of life
高血压脑出血(HICH)发病率高，约占脑血管疾病的1/3，死亡率位居脑血管疾病的首位[1]。HICH由于病情进展迅速，经治疗后可残留不同程度的后遗症，严重影响患者的生活质量[2]。自我效能是指个体对自己是否有能力去实施某一行为的期望，是人们对自我行为能力的认知与评价，个体的自我效能感会决定或影响其对相应行为的选择和坚持。自我效能理论强调达到行为的目标应从调动人的潜能入手，让患者通过接受他人的劝告、获取他人的经验及自身实践经历等途径提高自我行为控制能力，增强战胜疾病和克服困难的信心，充分调动其主观能动性，增强自我保健意识，促进疾病康复，有效地提高其生活质量[3～4]。为探讨自我效能干预对HICH患者生活质量的影响，2012年1月至2014年12月我科对40例HICH患者实施自我效能干预，取得良好的效果，现总结报告如下。
1资料与方法1.1一般资料本组病例80例，男48例，女32例；年龄49～81(57.7±5.5)岁；出血部位：基底节45例、脑室16例、脑叶9例、小脑6例、脑干4例；住院时间30～50 d，平均(35.0±5.5)d。所有患者均有高血压病史，入院后均经头颅CT或MRI确诊。入组标准：首次发病、意识清晰、无认知障碍、病情稳定、服用降压药物使血压维持在150/90 mmHg；排除标准：有听力、认知、理解障碍，伴呼吸、循环等机体重要系统严重并发症。将80例患者随机分为对照组和干预组，每组40例，两组患者年龄、性别、出血部位等比较差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(龙美丽 邹优兰 黄雪玲 戴丽媚)