The effect analysis of Maslow′s hierarchy of needs theory in elderly patients with stroke

Abstract

Objective To explore the elderly stroke patients into Maslow's hierarchy of needs theory to carry out the effect of nursing intervention on the Barthel and self efficacy, quality of diagnosis and treatment of this kind of special group that the accumulation of evidence-based care experience. Methods Eighty-two cases of elderly patients with stroke in our hospital from September 2015 to March 2017, with the random number table as the grouping criterion, will meet the inclusion criteria of the object is divided into study group and control group, 41 cases in each group. The control group received traditional nursing care, while the research group introduced the Maslow hierarchy of needs theory to intervene. The two groups of patients were evaluated before and after treatment, and the neurological function level, daily living ability, complication rate and nursing satisfaction were compared. Results After treatment, the score of basic knowledge, poor dietary harmful cognition, treatment knowledge, self-management knowledge and complication prevention knowledge were (2.3±0.6), (2.4±0.7), (2.3±0.7), (2.5±0.7), (2.6±0.8) points respectively in study group, and (1.4 ± 0.4), (1.5 ± 0.4), (1.4 ± 0.4), (1.6 ± 0.5), (1.7 ± 0.5) points in control group. The difference was statistically significant (t= 8.175-15.260, P <0.05). Neurological deficits after treatment in the study group were (7.8±1.1) points lower than those in the control group (14.5±2.2) points. Barthel index was (61.5±5.4) higher than that in the control group (41.3±4.0). The length of stay in hospital was (16.3±2.6) d, which was shorter than that in control group (25.3±3.2) d, the difference was statistically significant (t= 15.260, 12.352, 8.367, P < 0.05). The complication rate was 9.8% (4/41) in the study group, which was lower than 29.3% (12/41) in the control group. The satisfaction rate in the study group was 97.6% (40/41), which was higher than 82.9%(34/41) in the control group), the difference was statistically significant (χ2=13.279, 13.267, P < 0.05). Conclusions For elderly stroke patients, nursing intervention into Maslow's hierarchy of needs theory, help to improve their self-efficacy and nerve function level, and can improve the nursing satisfaction, is worthy of further promotion. Key words: Stroke; Aged; Maslow's hierarchy of needs theory; Barthel; Self-efficacy