脑淀粉样血管病健康教育模式研究

STUDY ON THE MODE OF HEALTH EDUCATION OF CEREBRAL AMYLOID ANGIOPATHY

目的脑淀粉样血管病(Cerebral Amyloidotic Angiopathy,CAA)所致的脑出血占所有脑出血患者的34%,严重影响人们的身心健康,本组研究适合CAA患者陪护人员的健康教育模式。方法选择60岁以上的CAA住院患者225例,将患者陪护人员分为夫妻陪护、子女陪护和护工陪护三组,然后将每组陪护人员划分为初中及以下教育程度组、高中及以上教育程度组。教育模式分为随机教育模式、集中培训教育模式和教育处方式教育模式三种,培训3d后进行考核,评价掌握程度。结果夫妻陪护组健康教育模式在性别、年龄、受教育程度上对教育模式影响差异无统计学意义,随机培训掌握程度最高;子女陪护组年龄相差较大,有的涉及到孙子、孙女,不同子女之间轮换频繁,陪护人员情绪影响培训效果,教育处方式教育模式效果最好,掌握程度最高;护工陪护组特点,年龄差相对最小,受教育程度最低,集中培训效果较好,但总体对疾病知识的培训不感兴趣。结论夫妻陪护组比较适合随机教育模式;子女陪护组比较适合教育处方式教育模式;而护工陪护组比较适合集中培训教育模式。

Objective To study adaptive mode of health education for patients with cerebral amyloid angiopathy（CAA）,and provide the basic to reduce cerebral hemorrhage.Methods A total of 225 cases of hospitalized patients with CAA who over the age of 60 were choosed,all patients were divided into three groups as husband and wife accompany,children accompany and nurse escort,respectively,then each accompanying person was divided into junior high school and below education group,high school and above education group.Education mode was divided into random education,centralized way of training and educational pattern,the master degree of training was evaluated after three days.Results Husband and wife accompany group health education model in gender,age,education degree influenced on education pattern was no significant difference,the highest master degree was in random training.The age range of children accompany group was broad,some involved the grandchildren,who was frequently between different rotation,the emotional of accompanying person impacted the training effect,the best mode for them was formulary education way with the highest master degree.The characteristics of nurse accompany group were minimum age difference relatively and the minimum level of education,the effect of focus training was better for them,but they were not interested in training of disease related knowledge.Conclusion For the health education mode,stochastic model of education,recipe education,concentrative training are suitable husband and wife accompany group,children accompany group and carers accompany group respectively.