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回授式健康教育对恢复期脑卒中患者自我管理的影响

发布时间:2018-11-26 13:46
【摘要】:目的探讨回授式健康教育对恢复期脑卒中患者自我管理及康复状况的影响。方法将2015年5月—2016年5月经治疗处于恢复期的脑卒中患者120例随机分为2组,每组60例,观察组接受回授式健康教育,对照组接受常规健康教育,比较2组患者自我管理能力的变化情况。结果干预前,2组患者的健康知识知晓率、自我管理量表评分比较差异均无统计学意义(P0.05);干预后,观察组患者对运动(71.93%vs 50.88%)、服药(68.42%vs 49.12%)、卒中先兆(66.67%vs 38.60%)、卒中处理(70.18%vs 36.84%)等知识的知晓率高于干预前及同期对照组,差异有统计学意义(P0.05);观察组症状管理[(8.22±1.32)分vs(7.21±1.13)分]、疾病共性管理[(7.56±1.21)分vs(3.88±1.03)分]、认知症状管理[(3.29±0.96)分vs(2.48±1.16)分]、体育锻炼行为[(50.34±8.96)分vs(12.47±3.79)分]、健康自评[(1.23±0.54)分vs(4.37±0.92)分]、健康担忧评分[(2.02±1.11)分vs(4.12±1.14)分]与对照组比较差异均有统计学意义(P0.05);干预后6个月内,观察组好转率(70.18%)高于对照组(50.88%)。结论回授式健康教育有助于提高患者对脑卒中健康知识的认知,促进自我管理完成,这对促进患者康复有重要意义。
[Abstract]:Objective to explore the effect of health education on self-management and rehabilitation of stroke patients in convalescent period. Methods from May 2015 to May 2016, 120 patients with cerebral apoplexy were randomly divided into two groups, 60 patients in each group. The observation group received health education in return mode, while the control group received routine health education. The changes of self-management ability in two groups were compared. Results before intervention, there was no significant difference in the awareness rate of health knowledge and the score of self-management scale between the two groups (P0.05). After intervention, patients in the observation group were treated with exercise (71.93%vs 50.88%), medication (68.42%vs 49.12%) and stroke precursor (66.67%vs 38.60%). The awareness rate of stroke treatment (70.18%vs 36.84%) was higher than that of the control group before intervention (P0.05). Symptom management [(8.22 卤1.32) score, vs (7.21 卤1.13)], disease commonality management [(7.56 卤1.21) score, vs (3.88 卤1.03) score]. The scores of cognitive symptom management [(3.29 卤0.96) vs (2.48 卤1.16)], physical exercise behavior (50.34 卤8.96) vs (12.47 卤3.79), health self-assessment [(1.23 卤0.54) vs (4.37 卤0.92)]; The scores of health anxiety [(2.02 卤1.11), vs (4.12 卤1.14)] were significantly different from those of the control group (P0.05). Within 6 months after intervention, the improvement rate in the observation group (70.18%) was higher than that in the control group (50.88%). Conclusion feedback health education is helpful to improve patients' knowledge of stroke health and promote self-management, which is of great significance to the rehabilitation of stroke patients.
【作者单位】: 长治医学院;长治医学院附属和济医院;
【分类号】:R473.74


本文编号:2358730

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