Contemporary Nursing
Contemporary Nursing. 2026; 7: (4) ; 10.12208/j.cn.20260173 .
总浏览量: 25
上海交通大学医学院附属仁济医院 上海
*通讯作者: 倪莉萍,单位:上海交通大学医学院附属仁济医院 上海; ;
目的 研究基于自我效能理论构建的精细化护理方案对脑梗死患者心理层面的自我管理行为以及整体生活质量所产生的影响。方法 本研究纳入我院收治的70例脑梗死患者作为研究对象。采用随机数字表法将其均衡分配至对照组(35例,实施常规护理)与研究组(35例,实施自我效能理论指导下的精细化护理)。对比两组的干预效果。结果 与对照组相比,研究组患者的自我护理能力测评分值与生活质量量化评分均呈现出显著上升的趋势,差异具有统计学意义(P<0.05)。结论 在脑梗死患者的护理实践中,基于自我效能理论开展精细化护理干预可切实增强患者自我管理能力,并显著改善其生活质量。
Objective To study the impact of the precision nursing scheme constructed based on the self-efficacy theory on the psychological self-management behaviors and overall quality of life of patients with cerebral infarction. Methods A total of 70 patients with cerebral infarction admitted to our hospital were included as the research subjects. They were evenly allocated to the control group (35 cases, receiving routine care) and the study group (35 cases, receiving precision nursing guided by the self-efficacy theory). The intervention effects of the two groups were compared. Results Compared with the control group, the scores of self-care ability assessment and the quantitative score of quality of life of patients in the study group showed a significant upward trend, and the differences were statistically significant (P < 0.05). Conclusion In the nursing practice of patients with cerebral infarction, precision nursing intervention based on the self-efficacy theory can effectively enhance the self-management ability of patients and significantly improve their quality of life.
[1] 王晓红,汪敏玲,陈红瑜,等.自我效能理论辅助下早期个性化康复护理在老年脑梗死患者中的应用效果[J].中外医药研究,2025,4(17):145-147.
[2] 郭淑华.基于循证理论的精细化护理在脑梗死患者中的应用效果[J].智慧健康,2025,11(23):158-160+164.
[3] 时红敏,薛海红.以赋能理论为指导的康复护理对急性脑梗死偏瘫患者自我效能感及生活自理能力的影响[J].反射疗法与康复医学,2023,4(17):172-175.
[4] 郑丽欢,王田利,李萌.精细化护理干预对脑梗死后患者康复锻炼积极性及神经功能的影响[J].航空航天医学杂志,2025,36(4):499-501.
[5] 付霄霞.基于保护动机理论的赋能康复管理对脑梗死患者肢体恢复心理及神经功能影响研究[J].山西医药杂志,2025,54(23):1807-1810.
[6] 蔡莉莉,吴琼,王育宁,等.基于自我效能理论的护理干预联合早期精细化护理改善青年脑梗死病人抑郁的效果[J].护理研究,2023,37(19):3582-3586.
[7] 达雪萍,何峰,姚云.自我效能理论护理干预模式对2型糖尿病患者症状改善、生活质量及心理状态的影响[J].2023,42(24).
[8] 刘苗苗,朱华清,刘芹芹.以创新扩散理论为基础的循证护理对老年脑梗死偏瘫患者负性情绪及自理能力的影响[J].2023,29(3).