基于健康管理师为主导的认知行为干预在脑卒中高危人群中的应用效果

Application effect of cognitive behavioral intervention based on health managers in the high-risk groups of stroke

目的探讨基于健康管理师为主导的认知行为干预对脑卒中高危人群脑卒中防治知识认知水平及健康行为的影响。方法选择2019年9月至2020年3月解放军联勤保障部队第九八七医院收治的脑卒中高危人群124例,采用随机数字表法分为干预组和对照组各62例。对照组给予常规健康教育,观察组给予基于健康管理师为主导的认知行为干预。随访6个月,比较两组脑卒中防治知识认知水平、健康行为、血压水平。结果随访6个月,两组脑卒中防治认知水平评分高于干预前,且干预组高于对照组,差异有统计学意义(P<0.05)。随访6个月,两组健康行为评分高于干预前(P<0.05),干预组人际关系、营养、个人目标、健康责任、运动锻炼评分高于对照组,差异有统计学意义(P<0.05)。随访6个月,观察组体重指数(BMI)、收缩压(SBP)、舒张压(DBP)、血糖(Glu)、三酰甘油(TG)低于干预前,对照组BMI、SBP、Glu、TG低于干预前,干预组BMI、SBP、Glu低于对照组,差异有统计学意义(P<0.05)。结论基于健康管理师为主导的认知行为干预有助于提高脑卒中高危人群脑卒中防治知识认知水平,改善健康行为,控制脑卒中发生危险因素。

Objective To explore the impact of cognitive behavioral intervention based on health managers-led on the cognitive level of stroke prevention knowledge and health behaviors of people at high-risk groups of stroke.Methods A total of 124 high-risk groups of stroke patients admitted to the 987th Hospital of the Joint Service Support Unit of the Chinese People’s Liberation Army from September 2019 to March 2020 were selected and divided into an intervention group and a control group with 62 cases each by random number table method.The control group was given regular health education,and the observation group was given cognitive behavioral intervention based on health managers.Follow-up for six months,the cognitive level of stroke prevention knowledge,health behavior,blood pressure level of two groups were compared.Results After six months of follow-up,the scores of the cognitive level of stroke prevention knowledge in the two groups were higher than those before the intervention,and the intervention group was higher than the control group,and the differences were statistically significant(P<0.05).Follow-up for six months,the health behavior scores of the two groups were higher than those before the intervention(P<0.05),and the interpersonal relationship,nutrition,personal goals,health responsibility,and exercise scores of the intervention group were higher than those of the control group,and the differences were statistically significant(P<0.05).Follow-up for six months,body mass index(BMI),systolic blood pressure(SBP),diastolic blood pressure(DBP),glucose(Glu)and triacylglycerol(TG)of the observation group were lower than before the intervention,the BMI,SBP,Glu,and TG of the control group were lower than those before the intervention,the BMI,SBP,and Glu of the intervention group were significantly lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Cognitive behavior intervention led by health managers can help raise the knowledge level of stroke prevention and treatment in high-risk populations,improve healthy behaviors,and control risk factors for stroke.