健康信念模式教育改善脑卒中后并发抑郁症的效果分析

Effects Analyze of Improving after Stroke Concurrent Depression with Health Education Belief Model

目的探讨健康信念模式教育对脑卒中后并发抑郁症患者的治疗效果。方法 131例脑卒中后并发抑郁症患者随机分成观察组(67例),采用健康信念模式教育;对照组64例采用常规健康教育,比较两组治疗前后汉密顿抑郁量表评分。结果观察组治疗后焦虑/躯体化等7类得分低于治疗前(P<0.05)。对照组治疗后焦虑/躯体化等5类得分低于治疗前(P<0.05);而体重、日夜变化2类得分较治疗前无显著性差异。两组治疗前上述7类因子得分差异无统计学意义。治疗后观察组7类因子得分均显著低于对照组(P<0.05)。随访1年观察组复发率低于对照组(P<0.05)。结论健康信念模式教育比常规健康教育能更有效地改善脑卒中后并发抑郁症患者的抑郁程度。

Objective To investigate the therapeutic effect of after stroke concurrent depression with health beliefs mode education. Methods All 131 patients complicated after stroke patients were randomly divided into observation group （ n=67 ） with Health belief model. The control group （ n=64 ） with conventional health education.Compare two groups before treatment, the treatment Hamilton Depression Scale scores. Results The observation group therapy of anxiety/body after 7 class factor score were significantly lower than before treatment （ P 〈 0.05 ）. The control group therapy of anxiety/body after five types of factor score below before treatment（ P 〈 0.05 ）. Both And weight, changes of day and night with treatment factor score two former comparative differences was statistically significant. The two groups before treatment for these 7 class factor score difference was statistically significant. After treatment, the observation group of seven categories factor score were significantly lower than those of the control group （ P 〈 0.05 ）. After discharge observation group within 1 year recurrence rate significantly lower than in control group （ P 〈 0.05 ）. Conclusion Health belief model; than the regular health education can more effectively improve after stroke patients with complicated depression levels of depression.