Application Of Continuing Nursing Based On Protective Motivation Theory In Stroke Patients With Hemiplegia

Objective: To explore the development and application of continuous nursing intervention based on the theory of protective motivation in Stroke Patients with Hemiplegia and to study the effect of continuous nursing intervention based on the theory of protective motivation on the ability of daily life,quality of life and self-efficacy in Stroke Patients with Hemiplegia.Methods: Using objective sampling and convenient sampling,80 Stroke Patients with Hemiplegia who were hospitalized in hospital in Wuhan from May 2018 to November2018 were selected as the research subjects.It was divided into control group and experimental group,40 cases in control group and 40 cases in experimental group.The control group received routine neurological nursing and routine telephone follow-up.The experimental group based on the control group implemented a continuum of nursing intervention based on the theory of protective motivation: the intervention plan was constructed around 7 core variables of the theory of protective motivation,including during hospitalization The interventions and post-hospital interventions lasted 6 months.Before the intervention,3 months and 6 months of intervention,the daily living ability scale,the special quality of life scale for stroke patients,and the self-efficacy scale for chronic disease patients were used to evaluate the continuous nursing intervention based on the protective motivation theory in stroke patients with hemiplegia.Repeated measurement analysis of variance,descriptive statistical analysis,two independent samples t-test,chi-square test,etc.were used for statistical analysis of each evaluation index.P <0.05 indicated that the difference was statistically significant.Results: A total of 75 study subjects completed the study.There was no statistically significant difference between the general data of the study group and the baseline data of each evaluation index between the experimental group and the control group(P> 0.05).Comparing the scores of the control group and the experimental group at different time points before the intervention,3 months and 6 months,the results are as follows:(1)There were significant differences in the main effect,time main effect,and the interaction between time and group between the experimental group and the control group(P <0.001).Two independent sample t tests were used to analyze the differences between the experimental group and the control group at 3 months and 6 months of intervention.The results showed that the experimental group score was higher than the control group,and the results were statistically different(P <0.05).(2)There were significant differences in the main effect,time main effect,and time-group interaction between the experimental and control groups(P <0.001).Two independent sample t tests were used to analyze the differences between the experimental group and the control group at 3 months and 6 months of intervention.The results showed that the experimental group score was higher than the control group,and the results were statistically different(P <0.05).(3)The time-dependent main effects of all dimensions of the stroke-specific quality of life scale scores in the experimental and control groups were statistically significant(P <0.001),and the dimensions of the main effects between groups were statistically significant(P <0.05).: Energy,family role,self-care ability,social role thinking,upper limb ability,vision and labor;except for the language and thinking dimensions,the interactions of time and grouping in the other dimensions were statistically different(P <0.05).The scores of the experimental group at different time points after the intervention were higher in the energy,family role,self-care ability,social role,thinking,upper limb ability,vision,and labor dimensions than the control group,and the differences were statistically significant(P <0.05).Conclusion: Continuing nursing intervention based on the theory of protective motivation can effectively improve the daily living ability of stroke patients with hemiplegia.It can also improve the energy,family role,self-care ability,social role,thinking,upper limb ability,vision and labor dimensions of patients.The positive effect of the dimension improves the quality of life,in addition,continuous nursing intervention based on the theory of protective motivation can effectively improve the self-efficacy of patients with stroke and hemiplegia.In summary,the continuous nursing based on the protection motivation theory can be promoted and applied in stroke Patients with Hemiplegia.