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[基于电影的护理干预项目对脑卒中患者康复动机及抑郁的影响]

[The Effect of a Movie-Based Nursing Intervention Program on Rehabilitation Motivation and Depression in Stroke Patients].

作者信息

Kwon Hye Kyung, Lee Sook Ja

机构信息

Department of Nursing, Graduate School of Chung-Ang University, Seoul, Korea.

College of Nursing, Korea University, Seoul, Korea.

出版信息

J Korean Acad Nurs. 2017 Jun;47(3):345-356. doi: 10.4040/jkan.2017.47.3.345.

DOI:10.4040/jkan.2017.47.3.345
PMID:28706169
Abstract

PURPOSE

The aim of this study was to develop and measure the effect of a movie-based-nursing intervention program designed to enhance motivation for rehabilitation and reduce depression levels in stroke patients.

METHODS

The study used a quasi-experimental, nonequivalent control group and a pretest-posttest design. The 60 research subjects were assigned to the experimental (n=30) or control group (n=30). The moviebased nursing intervention program was provided for the experimental group during 60-minute sessions held once per week for 10 weeks. The program consisted of patient education to strengthen motivation for rehabilitation and reduce depression, watching movies to identify role models, and group discussion to facilitate therapeutic interaction.

RESULTS

After 10 weeks of participation in the movie-based nursing intervention program, the experimental group's rehabilitation motivation score was significantly higher, F=1161.54 (within groups df=49, between groups df=1), p<.001, relative to that observed in the control group. In addition, the experimental group's depression score was significantly lower relative to that observed in the control group, F=258.97 (within groups df=49, between groups df=1), p<.001.

CONCLUSION

The movie-based nursing intervention program could be used for stroke patients experiencing psychological difficulties including reduced motivation for rehabilitation and increased depression during the rehabilitation process.

摘要

目的

本研究旨在开发并评估一种基于电影的护理干预项目的效果,该项目旨在增强中风患者的康复动力并降低其抑郁水平。

方法

本研究采用准实验、非等效对照组和前测-后测设计。60名研究对象被分为实验组(n = 30)或对照组(n = 30)。实验组每周参加一次为期60分钟、共10周的基于电影的护理干预项目。该项目包括患者教育以增强康复动力并减轻抑郁,观看电影以寻找榜样,以及小组讨论以促进治疗性互动。

结果

在参与基于电影的护理干预项目10周后,实验组的康复动力得分显著高于对照组,F = 1161.54(组内自由度 = 49,组间自由度 = 1),p <.001。此外,实验组的抑郁得分显著低于对照组,F = 258.97(组内自由度 = 49,组间自由度 = 1),p <.001。

结论

基于电影的护理干预项目可用于中风患者,这些患者在康复过程中存在心理困难,包括康复动力降低和抑郁加重。

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