短暂性脑缺血反复发作患者强化健康教育的临床意义

Clinical significance of intensive health education to patientswith repeated attacks of transient cerebral ischemia

目的探讨对短暂性脑缺血反复发作患者强化健康教育的临床意义。方法将选取的样本随机分为对照组和实验组,对照组采用常规治疗和护理,实验组在此基础上强化健康教育。对2组患者在出院半年后的心理状态、发作频次、发作时间、依从性和健康教育知识的掌握情况随访调查。结果 2组患者的汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)得分比较,t值分别是7.36和7.14,P<0.05,发作频次和发作时间的比较,t值分别是6.95和7.82,P<0.05。健康教育知识合格率、依从性、满意率比较,卡方值分别是9.13、7.86和6.52,P<0.05,2组差异有统计学意义。结论强化健康教育对短暂性脑缺血反复发作患者的治疗及康复效果有积极作用。

Objective To study on clinical significance of intensive health education to patients with repeated attacks of transient cerebral ischemia. Methods The selected sample was randomly divided into control group and experimental group, and the control group received routine treatment and nursing; while the experimental group received Intensive health education besides that, and two groups of patients were followed up to survey in mental state, attack frequency, attack time, compliance and health education knowledge after half a year. Results The scores of two groups of patients with Hamilton Anxiety Scale（ HAMA）, Hamilton Depression Scale（HAMD） were compared, then the T values were 7.36 and 7.14, P 〈 0.05 ; the T values were 6.95 and 7.82,P 〈 0.05 after the comparison of the seizure frequency and attack time ; the chi - square values were 9.13,7.86 and 6.52,P 〈 0.05 after the comparison of the rate of qualified health education knowledge, compliance, satisfaction. Conclusion Intensive health education has positive effect on treatment and rehabilitation to patients with repeated attacks of transi- ent cerebral ischemia.