个性化健康教育对脑卒中患者生活质量的影响

Effects of personalized health education on quality of life in patients with stroke

目的研究个性化健康教育对脑卒中患者生活质量的影响。方法将70例脑卒中康复患者随机分为两组,对照组给予康复训练及常规健康教育,干预组在康复训练基础上进行有针对性和系统性的个性化健康教育。采用汉密尔顿焦虑量表(HAMA)评估患者的焦虑症状;Banthel指数量表评估日常生活能力;生活满意度指数量表评估生活满意度。比较两组患者治疗前后焦虑症状、日常生活能力和生活满意度的差异。结果两组患者治疗前的HAMA、Banthel指数和生活满意度指数评分比较差异均无统计学意义(P>0.05)。两组患者治疗后的HAMA评分显著低于治疗前,Banthel指数和生活满意度指数评分显著高于治疗前,差异均有统计学意义(P<0.05)。与对照组治疗后比较,干预组治疗后的HAMA评分更低,Banthel指数和生活满意指数评分更高,差异也均有统计学意义(P<0.05)。结论脑卒中患者在进行康复训练的基础上,早期接受有针对性和系统性的个性化健康教育能进一步提高患者的生活质量。

Objective To investigate the effects of personalized health education on quality of life in patients with stroke.Methods Seventy patients with stroke were randomly divided into control group and treatment group.Patients in control group were given rehabilitation training and routine health education,while specific and systematic health education on the basis of rehabilitation training were conducted in treatment group.Hamilton anxiety scale(HAMA) was employed to assess the anxiety status,Banthel index scale was adopted to evaluate the daily living,and life satisfaction index was used to assess the life satisfaction of patients.The anxiety status,daily living and life satisfaction were compared between groups before and after treatment. Results There was no significant difference in the scores of HAMA,Banthel index and life satisfaction index between groups before treatment(P>0.05).The scores of HAMA after treatment were significantly lower than those before treatment in two groups(P<0.05),and the scores of Banthel index and life satisfaction index after treatment were significantly higher than those before treatment in two groups(P<0.05).After treatment,the score of HAMA in treatment group was significantly lower than that in control group(P<0.05),and the scores of Banthel index and life satisfaction index in treatment group were significantly higher than those in control group(P<0.05). Conclusion On the basis of rehabilitation training,specifically and systematically personalized health education may improve the quality of life in patients with stroke.