实用老年医学

实用老年医学 ›› 2024, Vol. 38 ›› Issue (5): 533-437.doi: 10.3969/j.issn.1003-9198.2024.05.024

• 护理园地 • 上一篇    下一篇

跨理论模型护理方案对老年癫痫病人疲劳感和心理健康的干预效果

唐玥, 朱建英, 刘卫国, 向阳, 李雪芬   

  1. 210029 江苏省南京市,南京医科大学附属脑科医院神经内科
  • 收稿日期:2023-07-09 出版日期:2024-05-20 发布日期:2024-05-23
  • 通讯作者: 朱建英,Email:wyc2000510@126.com
  • 基金资助:
    江苏省南京市卫生科技发展专项资金资助项目(YKK18113);江苏省重点研发计划专项资金(BE2019611)

Effect of trans-theoretical model on fatigue and psychological health in elderly patients with epilepsy

TANG Yue, ZHU Jianying, LIU Weiguo, XIANG Yang, LI Xuefen   

  1. Department of Neurology, Brain Hospital Affiliated to Nanjing Medical University, Nanjing 210029, China
  • Received:2023-07-09 Online:2024-05-20 Published:2024-05-23
  • Contact: ZHU Jianying, Email:wyc2000510@126.com

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摘要： 目的 探讨跨理论模型(行为分阶段转换理论)(TTM)护理干预对老年癫痫病人疲劳感和负性情绪的影响。 方法 选择2022年1月至2023年3月住院治疗的老年癫痫病人95例,采用TTM进行护理干预。比较干预前后病人焦虑自评量表(SAS)、抑郁自评量表(SDS)、疲乏修订量表(RPFS)评分以及TTM阶段期变化、TTM阶段期改变跨度、病人对癫痫药物的了解程度和发作自救掌握程度等评估结果。 结果 经过3个月的行为干预护理,病人SAS、SDS、RPFS得分,TTM行为阶段改变期和改变期跨度,自评项目和药物知识掌握度等均明显优于干预前,差异具有统计学意义(P＜0.05)。 结论 运用TTM对老年癫痫病人进行护理干预,不仅改善了病人的健康行为,提高了病人对疾病知识的掌握程度,同时也降低了病人的焦虑、抑郁情绪和疲劳感。

关键词: 跨理论模型, 老年人, 癫痫, 心理健康, 疲劳感

Abstract: Objective To explore the influences of nursing intervention by a trans-theoretical model (TTM) on the psychological health and fatigue status in the elderly patients with epilepsy. Methods A total of 95 elderly inpatients with epilepsy were enrolled from January 2021 to March 2023. Personalized TTM care was performed on all subjects for 3 months. Before and after the intervention, the self-rating anxiety scale (SAS), self-rating depression scale (SDS), revised piper fatigue scale (RPFS), the stage variation and span of TTM, the knowledge of antiepilepsy drugs and the mastery of self-rescue were evaluated and compared. Results After 3 months of behavioral nursing intervention, the scores of SAS, SDS, RPFS, and the stage variation, span of TTM and the mastery of self-rescue in the elderly patients with epilepsy were significantly improved (P<0.05). Conclusions The nursing intervention based on TTM can effectively improve the behavior of the elderly patients with epilepsy, alleviate their anxiety and depression, and relieve fatigue.

Key words: trans-theoretical model, aged, epilepsy, psychological health, fatigue

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