健康俱乐部护理干预模式在脑卒中患者中的应用

Application of health club nursing intervention mode on patients with cerebral apoplexy

目的探讨健康俱乐部护理干预模式对居家脑卒中患者的效果。方法将220例脑卒中患者随机分为干预组和对照组各110例，对照组出院后只进行信息跟踪收集，未进行社区护理干预；干预组加入脑卒中继康俱乐部，建立成员档案，出院后由专业医务人员对患者进行系统的护理干预。6个月后对两组患者的疾病知识掌握情况、遵医行为和生活质量进行比较。结果6个月后干预组疾病知识掌握情况、遵医行为和生活质量显著优于对照组，差异具有统计学意义（P〈0．01）。结论健康俱乐部护理于预模式有利于患者获得疾病相关知识与技能，强化健康意识，提高了遵医行为和生活质量。

Objective To investigate the effect of the health club nursing intervention mode on home patients with cerebral apoplexy. Methods Two hundred and twenty patients with cerebral apoplexy were randomly divided into intervention group （n = 110） and control group （n = 110）. Patients in control group discharged from hospital only were collected information and not to perform community nursing intervention. Patients in intervention group all joined the stroke health club with healthy archives. Professional medical staff performed systematically nursing intervention on the members of the club. The knowledge of diseases, according to the medical behavior and quality of life were compared in the two groups of patients after six months. Results At the sixth month, the knowledge of disease and the according to the medical behavior and quality of life in patients in intervention group was better than the patients in the control group （P 〈 0. 01 ）. Conclusions The health club nursing intervention model can help patients get disease related knowledge and skills, strengthen and improve the health consciousness as medical behavior, and the quality of life.