应用健康教育提高短暂性脑缺血发作患者遵医行为的研究

Effects of health education on improving compliance of patients with transient ischemic attack treatment

目的探讨健康教育对提高短暂性脑缺血发作（TIA）患者遵医行为依从程度及其对疗效的影响。方法将90例确诊为TIA患者随机分为实验组（n=45）和对照组（n=45），实验组有计划地进行健康教育干预，包括发放健康教育手册、个案教育、集体教育、随机教育。对照组按常规给予常规指导。结果实验组对TIA知识的知晓率为100．0％，对照组为77．7％，实验组高于对照组（P〈0．05）；实验组对医嘱的遵从率高于对照组，继续发作次数低于对照组（P〈0．05）。结论健康教育提高患者对TIA知识的认知水平，提高患者的遵医行为，预防症状的复发。

Objective To study the effects of health education concerning transiem isehemic attack （TIA） knowledge on improving compliance of patients and how it affect therapy. Methods Ninety patients with transient ischemic attack were divided into the experiment group （ n = 45 ） and the control group （ n = 45 ） at random. The experiment group performed health education intervention including providing health education manual, carrying out the individual education, group education and random education while the control group was given ordinary medical advice only. Results The knowledge about transient ischemic attack mastered by patients in two groups was different. T 和 experiment group was higher than the control group （ P 〈 0. 05 ）. TIA seizure frequency in the experiment group was lower than that in the control group （P 〈 0. 05 ）. Conclusions Health education can enhance disease-related knowledge and improve the compliance for patients with TIA, so as to prevent the recrudesce of TIA.