知识宣教对缺血性脑血管病二级预防的效果及预后的影响

INFLUENCE OF HEALTH EDUCATION ON THE EFFECT AND PROGNOSIS OF SECONDARY PREVENTION IN PATIENTS WITH ISCHEMIC CEREBROVASCULAR DISEASE

目的探讨早期知识宣教对缺血性脑血管病患者二级预防的效果及其预后的影响。方法与神经外科、康复科、神经内科、药剂科、心理科合作,对该院有缺血性脑血管病病史的患者进行广泛的健康宣教和技能培训。收集接受系统宣教的患者中出现急性缺血性脑卒中的96例患者设为观察组,另选择同期只做一般入院教育和即时教育的急性缺血性脑卒中患者作为对照组(70例)。对二组患者的就诊时间、症状严重程度(NIHSS评分)、入院前用药依从性、住院天数、卒中后抑郁发生率、治疗转归(mRS评分)、医疗投诉率进行比较。结果观察组就诊时间及住院天数明显短于对照组,入院前用药依从性好于对照组;而观察组的症状严重程度、卒中后抑郁发生率、治疗转归、医疗投诉率均明显低于对照组(P<0.05)。结论通过对缺血性脑血管病患者二级预防的宣教,加强了患者自我保健意识,助于建立合理生活方式,增加患者对药物治疗的依从性,达到降低卒中复发的目的。

Objective To evaluate the influence of early health education on the effect and prognosis of secondary prevention in patients with ischemic cerebrovascular disease.Methods Cooperated with neurosurgery department,rehabilitation department,neurology department,pharmacy department,psychological department,health education and skills training were provided for patients with history of ischemic cerebrovascular disease.All 96 cases of acute ischemic stroke patients were selected as experimental group,who were educated above.And 70 cases of acute ischemic stroke patients who were educated generally were selected as control group.The time of morbidity to treatment,severity of disease,pre-hospital medication compliance,length of hospital stay,post-stroke depression proportion,patient outcomes and complaint rate were compared between the experimental group（EP）and the control group（CP）.Results The time of morbidity to treatment and length of hospital stay in EP were more shorter than that of CP.The EP showed better pre-hospital medication compliance in secondary prevention in stroke.There were significant differences in the severity of disease,post-stroke depression proportion,patient outcomes and complaint rate between the two groups（P〈0.05）.Conclusions Health education of secondary prevention in patients with ischemic cerebrovascular disease is effective to help the patients to elevate the self-care awareness,chose healthy life style,improve medication compliance,so reduce the recurrence of stroke.