“医院-社区网络化”健康教育路径模式对左右侧基底节区脑卒中疗效分析

Rehabilitation Analysis of Hospital-Community Networking Health Education Mode on the Basal Ganglia Stroke

目的:对比研究"医院-社区网络化"健康教育路径模式与传统健康教育对左右基底节区脑卒中患者入院治疗及出院后的康复效果,探讨适合左右侧基底节区脑卒中患者康复的健康教育模式。方法:研究对比采用"医院-社区网络化"健康教育路径模式组与传统健康教育组左、右侧基底节区脑梗死、脑出血患者入组1 d、入组后至出院前10 d、出院时、出院3个月、出院6个月时MBI(改良巴氏指数评分表)、FCA(功能综合评定表)、QOL-BREF(生存质量测定量简表)、NIHSS(美国国立卫生院神经功能缺损评分)、ZUNG焦虑自我评价表、抑郁自我评价表得分,分析2组之间及同组内患者左右基底节区脑梗死、脑出血的疗效。结果:右侧脑卒中病灶患者出院3个月后,"医院-社区网络化"健康教育路径模式康复效果开始明显优于传统健康教育康复模式,而左侧则要晚于右侧。脑卒中患者出院6个月后"医院-社区网络化"健康教育路径模式的康复效果优于传统健康教育方法。结论:"医院-社区网络化"健康教育路径模式具有明显的康复优势,值得在社区内推广。

Objective： To assess the rehabilitation in different health education mode and explore the optimal health education rehabilitation mode of patients with basal ganglia stroke. Methods： The degree of modified barthel index （MBI）, functional comprehensive assessment （FCA）, Quality of Life-BREF （QOL-BREF）, National Institute of Health stroke scale （NIHSS）, ZUNG-anxiety self-evaluation, ZUNG-depression self-evaluation in patients with basal ganglia stroke who explored hospital-community networking health education mode and traditional health eduction mode were contrasted. Results： Hospital-Community networking health education mode had significantely rehabilitation superiority than traditional health education, in the right side basal ganglia stroke and in the left side it will be later than the righ when patients left the hospital 3 months. Hospital-community networking health education bad significantely rehabilitation superiority in the both side than traditional health education when patients left the hospital 6 months. Conclusion： hospital-community networking health education mode has significantely rehabilitation superiority, is worth popularizing in the community.