Application of multi-track specialized nursing based on the transtheoretical model in patients with myasthenia gravis
10.3760/cma.j.cn115682-20241030-05922
- VernacularTitle:动机行为转化下的多轨道专科护理在重症肌无力患者中的应用
- Author:
Lina PAN
1
;
Xiaoxia ZHAO
1
;
Xuefei REN
1
Author Information
1. 山西省人民医院神经内科，太原 030012
- Publication Type:Journal Article
- Keywords:
Myasthenia gravis;
Transtheoretical model;
Multi-track specialized nursing;
Muscle strength;
Psychological resilience
- From:
Chinese Journal of Modern Nursing
2025;31(26):3562-3566
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical value of multi-track specialized nursing based on the transtheoretical model (TTM) in the care of patients with myasthenia gravis (MG) .Methods:A total of 108 patients with MG admitted to Shanxi Provincial People's Hospital from September 2022 to September 2023 were selected by convenience sampling and randomly divided into a control group and an observation group ( n=54 each) using a random number table. The control group received routine nursing care, while the observation group received multi-track specialized nursing based on the TTM in addition to routine care. The intervention lasted for six months. Barthel Index, Connor-Davidson Resilience Scale (CD-RISC), General Self-Efficacy Scale (GSES), 36-item Short Form Health Survey (SF-36), and Fatigue Severity Scale (FSS) were measured before intervention, and at 3 and 6 months after intervention. Results:At both 3 and 6 months post-intervention, the observation group showed higher scores in Barthel Index, CD-RISC, GSES, and SF-36, and lower FSS scores compared to the control group. The differences were all statistically significant ( P<0.05) . Conclusions:The multi-track specialized nursing model based on the TTM can improve rehabilitation outcomes in patients with MG, enhance psychological resilience and self-efficacy, improve quality of life, and alleviate fatigue.
