同伴支持对脑卒中恢复期患者病耻感的作用效果

Effect of peer support on stigma of disease of convalescent stroke patients

  • 摘要:
    目的 探讨同伴支持对脑卒中恢复期患者病耻感的作用效果。
    方法 选取在康复科住院的110例脑卒中患者作为研究对象, 采用随机数字表法随机分为试验组54例与对照组56例。对照组实施常规康复护理方法,试验组在常规康复护理的基础上实施同伴支持干预方法。干预前后分别采用慢性病病耻感量表、改良Barthel指数量表、领悟社会支持量表、慢性病自我效能感量表对所有患者进行评估。
    结果 干预后,试验组内在羞耻感评分、外在羞耻感评分、病耻感总分依次为(2.05±0.65)、(1.95±0.59)、(2.00±0.60)分,分别低于对照组的(2.55±0.70)、(2.37±0.77)、(2.46±0.71)分,差异有统计学意义(P < 0.05); 干预后,试验组社会支持总分、朋友支持维度评分依次为(52.73±10.70)、(16.38±5.05)分,分别高于对照组的(46.92±9.73)、(13.42±4.19)分,差异有统计学意义(P < 0.05)。干预后,试验组的日常生活活动能力评分为(80.00±14.01)分,高于对照组的(66.00±22.25)分,差异有统计学意义(P < 0.05)。干预后,试验组的慢性病自我效能总分为(5.97±1.54)分,高于对照组的(3.17±1.82)分,差异有统计学意义(P < 0.05)。
    结论 同伴支持干预策略可以降低脑卒中恢复期患者的病耻感,提高其日常生活活动能力、社会支持水平和自我效能感。

     

    Abstract:
    Objective To explore effect of peer support on the disease stigma of convalescent stroke patients.
    Methods A total of 110 stroke patients hospitalized in the rehabilitation departmentwere selected as study objects. The random number table method was used to allocate the participants into intervention group (54 patients) and the control group (56 patients). The patients in the control group received usual care, while those in the intervention group received peer support interventionin addition to usual care. Stigma Scale for Chronic Illnesses, Modified Barthel Index, Multidimensional Scale of Perceived Social Support and Chronic Disease Self-efficacy Scale were used to assess these patients.
    Results After intervention, the internal shame score, external shame score and total stigma score of the experimental group were (2.05±0.65), (1.95±0.59) and (2.00±0.60) respectively, which were lower than (2.55±0.70), (2.37±0.77) and (2.46±0.71), respectively in the control group, the differences were statistically significant (P < 0.05). After intervention, the total score of social support and the score of the dimension of friend support in the experimental group were (52.73±10.70) and (16.38±5.05), respectively, which were higher than (46.92±9.73) and (13.42±4.19) in the control group, and the differences were statistically significant (P < 0.05). After intervention, the score of activities of daily living in the experimental group was (80.00±14.01), which was higher than (66.00±22.25) in the control group (P < 0.05). After intervention, the total score of self-efficacy of chronic disease in the experimental group was (5.97±1.54), which was higher than (3.17±1.82) in the control group, and the difference was statistically significant (P < 0.05).
    Conclusion Peer support intervention strategy can reduce the stigma of disease in stroke patients in the recovery period, and improve their activities of daily living, social support level and self-efficacy.

     

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