实施互动式健康教育对脑梗死患者神经功能及Barthel指数的影响

Effects of interactive health education on neurological function and Barthel index in patients with cerebral infarction

目的探讨脑梗死患者实施互动式健康教育对神经功能及Barthel指数的影响.方法选取2016年1月~2017年12月该院收治114例脑梗死患者作为研究对象,随机将所选患者分为互动健康教育组和常规对照组,各57例.常规对照组实施传统健康教育护理,互动健康教育组实施互动式健康教育.通过NIHSS量表评价患者神经功能恢复情况,选择Barthel指数评价日常生活能力,并采用该院护理满意度表调查两组护理质量满意度.结果干预后两组患者神经功能均得到了改善,轻度神经障碍患者人数明显增加,且互动健康教育组改善更明显,两组干预后同期比较,差异有统计学意义(均P<0.05);干预后两组患者生活自理障碍均得到了改善,轻度生活自理障碍患者人数明显增加,且互动健康教育组改善更明显,两组干预后同期比较,差异具有统计学意义(均P<0.05);互动健康教育组干预后调查显示护理满意率为100%明显高于常规对照组的91.23%,差异具有统计学意义(P<0.05).结论通过互动式健康教育使患者对脑梗死知识的认知度提高,提升了患者的自律意识,促进患者神经功能和生活能力的恢复,值得在临床推广使用.

Objective To investigate the effect of interactive health education on neurological function and Barthel index in patients with cerebral infarction. Methods A total of 114 patients with cerebral infarction admitted to this hospital from January 2016 to December 2017 were selected as the research objects. The selected patients were randomly divided into interactive health education group and conventional control group, with 57 cases each. Traditional healthy education nursing was carried out in the conventional control group, while interactive healthy education was carried out in the interactive health education group. NIHSS scale was used to evaluate the neurological function recovery of the patients, Barthel index was selected to evaluate the daily living ability, and the nursing satisfaction table of the hospital was used to investigate the nursing quality satisfaction of the two groups. Results After intervention, neurological function was improved in both groups, and the number of patients with mild neurological disorders was significantly increased, especially in the interactive health education group.Comparison between the two groups at the same time after intervention showed statistically significant differences (P<0.05). After intervention, self-care disorders were improved in both groups, and the number of patients with mild self-care disorders was significantly increased, and the interactive health education group showed more significant improvement.Comparison of the two groups at the same time after intervention showed statistically significant difference (P<0.05). After intervention, the nursing satisfaction rate of the interactive health education group was 100%, which was significantly higher than that of the conventional control group (91.23%), and the difference was statistically significant(P<0.05). Conclusion Through interactive health education, patients' awareness of the knowledge of cerebral infarction is improved, the self-discipline of patients is enhanced, and the recovery of patients' neurological function and living ability is promoted, which is worth promoting in clinical use.