本文選題：缺血性腦卒中 + 自我調(diào)節(jié)理論��； 參考：《安徽醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:(1)了解缺血性腦卒中患者的疾病感知現(xiàn)況,探討缺血性腦卒中患者疾病感知的影響因素。(2)探討基于自我調(diào)節(jié)理論的健康教育對(duì)缺血性腦卒中患者疾病感知的影響。(3)探討基于自我調(diào)節(jié)理論的健康教育對(duì)缺血性腦卒中患者生活方式的影響。方法:第一階段為描述性研究:采用便利抽樣的方法,選取2015年9月-2016年7月在合肥市某三甲醫(yī)院神經(jīng)內(nèi)科就診并符合本研究入選標(biāo)準(zhǔn)的缺血性腦卒中患者共215例,對(duì)患者的疾病感知現(xiàn)狀進(jìn)行調(diào)查并分析探討探討其影響因素。第二階段為類實(shí)驗(yàn)性研究,選擇在合肥市某三甲醫(yī)院神經(jīng)內(nèi)科就診的缺血性腦卒中患者作為研究對(duì)象,并按照入院的前后順序?qū)Ψ先脒x標(biāo)準(zhǔn)的患者進(jìn)行分組:其中2016年1月-3月診斷的40名患者為對(duì)照組,2016年4月-7月診斷的43名患者為干預(yù)組。對(duì)照組樣本在出院后給予常規(guī)健康教育,干預(yù)組樣本在常規(guī)健康教育的基礎(chǔ)上給予基于自我調(diào)節(jié)理論指導(dǎo)設(shè)計(jì)的干預(yù)方案。干預(yù)12周后,將兩組患者干預(yù)前后的疾病感知和生活方式情況進(jìn)行對(duì)比,分析基于自我調(diào)節(jié)理論的健康教育在缺血性腦卒中患者中的應(yīng)用效果。結(jié)果:第一階段:(1)缺血性腦卒中患者疾病感知量表結(jié)果顯示:患者疾病同一性因子得分為(2.74±2.23)分,嚴(yán)重后果因子得分為(17.59±4.91)分,情緒陳述因子得分為(19.46±6.43)分,缺血性腦卒中患者具有負(fù)性的疾病感知。(2)多元逐步線性回歸分析顯示,患者年齡、性別、家庭住址、職業(yè)和NIHSS評(píng)分是缺血性腦卒中患者疾病感知的影響因素;第二階段:(1)實(shí)施干預(yù)后干預(yù)組患者疾病感知8因子評(píng)分較干預(yù)前明顯改善,多個(gè)因子評(píng)分優(yōu)于對(duì)照組,二組差異具有統(tǒng)計(jì)學(xué)意義(P0.05);(2)實(shí)施干預(yù)后干預(yù)組患者健康相關(guān)生活方式量表得分情況比干預(yù)前明顯提高,量表總分以及多個(gè)維度的得分均優(yōu)于對(duì)照組,二組差異具有統(tǒng)計(jì)學(xué)意(P0.05)。結(jié)論:(1)缺血性腦卒中患者具有負(fù)性的疾病感知,年齡、性別、家庭住址、職業(yè)和NIHSS評(píng)分是患者疾病感知的主要影響因素。(2)對(duì)缺血性腦卒中患者實(shí)施基于自我調(diào)節(jié)理論制定的干預(yù)方案在有效改善患者疾病感知的基礎(chǔ)上,同時(shí)能顯著改善患者不健康的生活方式。
[Abstract]:Objective: (1) to understand the current situation of the disease perception in patients with ischemic stroke and to explore the influencing factors of the disease perception of patients with ischemic stroke. (2) to explore the effect of health education based on self-regulation theory on the disease perception of patients with ischemic stroke. (3) to explore the health education based on self-regulation theory for patients with ischemic stroke. Method: the first stage is a descriptive study: using the convenient sampling method, 215 cases of ischemic stroke patients in the neurology department of a three a hospital in Hefei in September 2015 and in accordance with the standard of this study in July, -2016, are selected. The status of the patients' perception of disease is investigated and the influence causes are discussed and discussed. The second stage was an experimental study. The patients were selected in the neurology department of a three a hospital in Hefei as the research object, and the patients were grouped according to the order of admission. In January 2016, 40 patients were diagnosed as the control group and 43 patients were diagnosed in the month of April 2016. In April 2016, 43 patients were diagnosed. For the intervention group, the control group was given routine health education after discharge. The intervention group was given an intervention program based on the self-regulation theory guidance on the basis of routine health education. After 12 weeks, the perception of disease and the lifestyle of the two groups were compared, and the health based on the self-regulation theory was analyzed. Results of the application of Kang education in patients with ischemic stroke. Results: (1) the results of the disease perception scale of patients with ischemic stroke showed that the score of the disease identity factor was (2.74 + 2.23), the score of severe consequence factor was (17.59 + 4.91), the score of emotional state statement factor was (19.46 + 6.43) points, and the patients with ischemic stroke (2) multiple stepwise linear regression analysis showed that age, sex, home address, occupational and NIHSS score were the factors affecting the perception of disease in patients with ischemic stroke, and the second stage: (1) the 8 factor score of patients' perception of disease perception after intervention was significantly better than that before intervention, and the scores of multiple factors were better than those in the intervention group. The difference between the two groups was statistically significant (P0.05); (2) the score of the health related lifestyle scale in the intervention group was significantly higher than that before the intervention, the score of the total score and the multiple dimensions were better than the control group, and the two groups were statistically significant (P0.05). Conclusion: (1) the patients with ischemic stroke have a negative disease. Perception, age, sex, home address, occupation, and NIHSS score are the main factors affecting patients' perception of disease. (2) intervention based on self adjustment theory for patients with ischemic stroke is based on effective improvement of patient's perception of disease, and can significantly improve the patient's unhealthy lifestyle.
【學(xué)位授予單位】：安徽醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R473.74

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