刘伟, 倪木兰. Three-talk决策模式干预对急性脑梗死病人神经功能恢复和心理状态的影响[J]. 蚌埠医科大学学报, 2024, 49(5): 669-673. DOI: 10.13898/j.cnki.issn.1000-2200.2024.05.025
    引用本文: 刘伟, 倪木兰. Three-talk决策模式干预对急性脑梗死病人神经功能恢复和心理状态的影响[J]. 蚌埠医科大学学报, 2024, 49(5): 669-673. DOI: 10.13898/j.cnki.issn.1000-2200.2024.05.025
    LIU Wei, NI Mulan. Effect of Three-talk decision model intervention on the neurological function recovery and mental state in patients with acute cerebral infarction[J]. Journal of Bengbu Medical University, 2024, 49(5): 669-673. DOI: 10.13898/j.cnki.issn.1000-2200.2024.05.025
    Citation: LIU Wei, NI Mulan. Effect of Three-talk decision model intervention on the neurological function recovery and mental state in patients with acute cerebral infarction[J]. Journal of Bengbu Medical University, 2024, 49(5): 669-673. DOI: 10.13898/j.cnki.issn.1000-2200.2024.05.025

    Three-talk决策模式干预对急性脑梗死病人神经功能恢复和心理状态的影响

    Effect of Three-talk decision model intervention on the neurological function recovery and mental state in patients with acute cerebral infarction

    • 摘要:
      目的 探讨Three-talk决策模式干预对急性脑梗死病人神经功能恢复和心理状态的影响。
      方法 选取急性脑梗死病人80例,随机分为对照组和观察组,各40例。对照组给予常规护理,观察组在常规护理基础上给予Three-talk决策模式(包括团队会谈、选择会谈、决策会谈)干预,比较2组病人干预前和干预1个月后的负性情绪、肢体肌力、运动功能、吞咽功能和自我护理能力(ESEA)评分。
      结果 干预前,2组病人焦虑、抑郁、肢体肌力、运动功能、吞咽功能和ESEA评分差异均无统计学意义(P>0.05);干预1个月后,观察组焦虑、抑郁和吞咽功能评分均明显低于对照组(P<0.01),肢体肌力、运动功能、ESEA评分均明显高于对照组(P<0.01)。
      结论 Three-talk决策模式干预有助于缓解急性脑梗死病人的焦虑、抑郁情绪,帮助病人实现肢体肌力、运动及吞咽功能的恢复,进而提高其自我护理能力。

       

      Abstract:
      Objective To explore the effects of Three-talk decision model intervention on the recovery of neurological function and mental state in patients with acute cerebral infarction.
      Methods A total of 80 patients with acute cerebral infarction were randomly divided into the control group(n=40) and observation group(n=40).The control group was given the routine nursing.On the basis of the intervention, the observation group was treated with Three-talk decision mode(including team talk, option talk and decision talk).The scores of negative emotion, limb muscle strength, motor function, swallowing function and self-nursing ability (ESEA) scores were compared between two groups after one month of intervention.
      Results Before intervention, there was no statistical significance in the scores of SAS, SDS, limb muscle strength, motor function, swallowing function and ESEA scores between two groups(P >0.05).After 1 month of intervention, the scores of SAS, SDS and swallowing function in the observation group were significantly lower than those in control group, while the scores of limb muscle strength, motor function and ESEA scores in the observation group were significantly higher than those in control group(P<0.01).
      Conclusions Three-talk decision model intervention can relieve the anxiety and depression of patients with acute cerebral infarction, help patients achieve the recovery of limb muscle strength, movement and swallowing function, and then improve their self-nursing ability.

       

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