基于赋能理论的中青年卒中偏瘫患者自我管理干预研究
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朱红霞
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十堰市太和医院，湖北十堰，442000
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摘要：目的 探究基于赋能理论的中青年卒中偏瘫患者自我管理干预效果。方法 将2023 年6 月至2025年1 月我院收治的62 例中青年卒中偏瘫患者，随机分为观察组、对照组，各31 例。对照组、观察组分别实施常规管理干预、基于赋能理论的自我管理干预。结果 在脑卒中知识掌握率方面，观察组为96.77%，对照组为80.65%，观察组明显高于对照组，有统计学意义（P＜0.05）；在自我管理行为依从性方面，观察组为96.77%，对照组为77.42%，观察组明显高于对照组，有统计学意义（P＜0.05）；在患者的生活质量方面，观察组精神健康、躯体功能、心理功能以及情感职能分别为（74.64±3.13）分、（73.74±3.71）分、（72.97±3.82）分、（73.83±2.83）分，观察组明显优于对照组，有统计学意义（P＜0.05）。结论 实施基于赋能理论的自我管理干预在中青年卒中偏瘫患者中，能帮助患者通过具体场景加深对知识的理解与记忆，让知识真正内化为自身认知的一部分，帮助患者长期保持对脑卒中知识的清晰认知，最终提升整体知识掌握率，减少因障碍无法解决而放弃的情况，保障行为的持续性与依从性，值得参考。
关健词：赋能理论；中青年；卒中；偏瘫；自我管理
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Research on Self-Management Intervention for Young and Middle-Aged Stroke Patients with Hemiplegia Based on the Enablement Theory
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Hongxia Zhu
Taihe Hospital of Shiyan City, Shiyan, Hubei, 442000, China
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Abstract: Objective To investigate the effect of a self-management intervention based on the enablement theory in young and middle-aged stroke patients with hemiplegia. Methods Sixty-two young and middle-aged stroke patients with hemiplegia admitted to our hospital between June 2023 and January 2025 were randomly divided into an observation group and a control group, with 31 patients in each group. The control group received routine management intervention, while the observation group received a selfmanagement intervention based on the enablement theory. Results Regarding the mastery rate of stroke knowledge, the observation group was 96.77%, significantly higher than the control group's 80.65%, with statistical significance (P < 0.05). Regarding compliance with self-management behaviors, the observation group was 96.77%, significantly higher than the control group's 77.42%, with statistical significance (P < 0.05). In terms of patients' quality of life, the scores for mental health, physical function, psychological function, and emotional role in the observation group were (74.64 ± 3.13), (73.74 ± 3.71), (72.97 ± 3.82), and (73.83 ± 2.83) points, respectively, which were significantly better than those in the control group, with statistical significance (P < 0.05). Conclusion Implementing the self-management intervention based on the enablement theory in young and middle-aged stroke patients with hemiplegia can help patients deepen their understanding and memory of knowledge through specific scenarios, truly internalizing the knowledge as part of their own cognition. This helps patients maintain a clear understanding of stroke knowledge in the long term, ultimately improving the overall knowledge mastery rate, reducing the likelihood of abandonment due to unresolved obstacles, and ensuring the sustainability and compliance of behaviors. It is worthy of reference.
Keywords : Enablement theory; Young and middle-aged; Stroke; Hemiplegia; Self-management
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