Application of the PRECEDE nursing model based on action research method in patients during the rehabilitation period after intracerebral hemorrhage surgery
基于行动研究法的PRECEDE护理模式在脑出血术后康复期患者中的应用

摘要

目的 探讨基于行动研究法的PRECEDE护理模式对脑出血术后康复期患者自我效能、神经功能恢复及生活质量的影响。方法 选取我院收治的脑出血术后康复期患者，对照组实施常规康复护理，观察组实施基于行动研究法与PRECEDE模式相结合的护理干预，比较两组干预效果。结果 干预后，观察组NIHSS、SAS、SDS评分显著低于对照组，FMA、ADL评分及康复依从性优良率（91.11%）显著高于对照组（P＜0.05）。结论 基于行动研究法的PRECEDE护理模式能有效促进脑出血术后患者神经功能与运动功能恢复，改善心理状态，提升康复依从性与自理能力，是一种系统、动态且高效的康复护理策略。

Abstract

Objective To explore the effect of PRECEDE nursing model based on action research method on self-efficacy, neurological function recovery and quality of life in patients with cerebral hemorrhage during the postoperative rehabilitation period.
Methods Patients with cerebral hemorrhage during the postoperative rehabilitation period admitted to our hospital were selected. The control group received routine rehabilitation nursing, while the observation group received nursing intervention combined with action research method and PRECEDE model. The intervention effects of the two groups were compared.
Results After intervention, the scores of NIHSS, SAS and SDS in the observation group were significantly lower than those in the control group, and the scores of FMA, ADL and the excellent and good rate of rehabilitation compliance (91.11%) were significantly higher than those in the control group (P<0.05).
Conclusion   The PRECEDE nursing model based on action research method can effectively promote the recovery of neurological function and motor function, improve the psychological state, and enhance the rehabilitation compliance and self-care ability of patients after cerebral hemorrhage surgery, which is a systematic, dynamic and efficient rehabilitation nursing strategy.