问卷考核式健康教育在青中年脑卒中患者早期康复中的应用效果

Application effects of questionnaire assessment-based health education in early rehabilitation of young and middle-aged patients with stroke

目的探讨问卷考核式健康教育在青中年脑卒中患者早期康复中的应用效果。方法选取我院2017年9月~2019年3月收治的60例青中年脑卒中患者作为研究对象,按照随机数字表法分为研究组(30例)与对照组(30例)。对照组采用常规健康教育方法,研究组采用问卷考核式健康教育方法。比较干预前及干预4周后两组患者的依从性、肢体功能、生活质量评估变化。结果两组患者干预前的脑卒中功能锻炼依从性(EAQ)评分比较,差异无统计学意义(P>0.05);研究组干预后的EAQ评分高于对照组,差异有统计学意义(P<0.05);两组患者干预前的症状自评量表(SCL-90)评分比较,差异无统计学意义(P>0.05);两组干预后的SCL-90评分低于干预前,差异有统计学意义(P<0.05);研究组干预后的SCL-90评分低于对照组,差异有统计学意义(P<0.05);两组患者干预前的改良Barthel指数(MBI)、Fugl-Meyer量表(FMA)、脑卒中患者生活质量量表(SS-QOL)各项评分比较,差异无统计学意义(P>0.05);两组干预后的MBI、FMA、SS-QOL各项评分高于干预前,差异有统计学意义(P<0.05);研究组干预后的MBI、FMA、SS-QOL评分高于对照组,差异有统计学意义(P<0.05)。结论问卷考核式健康教育应用于青中年脑卒中患者,可有效提高早期康复锻炼依从性,改善患者肢体功能、心理状态及生活质量。

Objective To explore the application effects of questionnaire assessment-based health education in early rehabilitation of young and middle-aged patients with stroke.Methods A total of 60 young and middle-aged patients with stroke admitted to our hospital from September 2017 to March 2019 were selected as research subjects,and they were divided into the study group(30 cases)and the control group(30 cases)according to the random number table method.The control group was given routine health education,and the study group was given questionnaire assessment-based health education.Before intervention and after 4 weeks of intervention,the compliance,limb function and quality of life were compared between the two groups.Results There was no statistically significant difference in the exercise adherence questionnaire(EAQ)score between the two groups before intervention(P>0.05).The score of EAQ in study group after intervention was higher than that in control group,the difference was statistically significant(P<0.05).There was no statistically significant difference in the SCL-90 score between the two groups before intervention(P>0.05).The SCL-90 scores in the two groups after intervention were lower than those before intervention,the differences were statistically significant(P<0.05).The SCL-90 score in the study group after intervention was lower than that in control group,the difference was statistically significant(P<0.05).There were no statistically significant differences in the scores of Modified Barthel Index(MBI)and Fugl-Meyer Assessment(FMA)and the scores of items of stroke specific quality of life(SS-QOL)between the two groups before intervention(P>0.05).The scores of MBI and FMA and scores of items of SS-QOL in the two groups after intervention were higher than those before intervention,the differences were statistically significant(P<0.05).The scores of MBI and FMA and scores of items of SS-QOL in the study group after intervention were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion Questionnaire assessment-based health education can effectively improve the compliance of early rehabilitation exercise and enhance the limb function,psychological status and quality of life of young and middle-aged patients with stroke.