基于“知信行”模式下的健康管理对脑卒中患者自我管理能力及再住院率的影响分析

Analysis of the Influence of Health Management Based on the“Knowledge,Attitude,Belief and Practice”Model on the Self-management Ability and Readmission Rate of Stroke Patients

目的:分析基于“知信行”(knowledge,attitude,belief,practice)模式下的健康管理对脑卒中患者自我管理能力及再住院率的影响。方法:选取2018年1月1日—2019年6月30日广西梧州市红十字会医院收治的65例脑卒中患者作为研究对象,随机分为对照组33例和观察组32例,对照组采用常规健康管理模式,观察组采用基于“知信行”模式下的健康管理模式。比较两组患者的护理效果。结果:管理前,两组患者日常生活管理、疾病医学管理、情绪管理和康复锻炼管理等方面比较,差异无统计学意义(t=0.521、0.329、0.265、0.336,P>0.05)。管理后,观察组日常生活管理、疾病医学管理、情绪管理和康复锻炼管理评分均高于对照组,差异有统计学意义(t=5.116、4.824、7.551、4.991,P<0.05)。观察组31d再住院率、6个月再住院率均低于对照组,差异有统计学意义(χ^(2)=4.012、4.158,P<0.05)。结论:针对脑卒中患者采用基于“知信行”模式下的健康管理有利于提高患者自我管理能力,降低其再住院率,值得临床应用与推广。

Objective:To analyze the influence of health management based on “knowledge, attitude, belief and practice”model on self-management ability and readmission rate of stroke patients.Methods:A total of 65 stroke patients admitted to the hospital from January 1, 2018 to June 30, 2019 were selected as the research objects. They were randomly divided into the control group of 33 cases, who adopted the conventional health management model, and the observation group of 32 cases, which adopted the health management model based on the “knowledge, attitude, belief and practice” model. The nursing effect of the two groups was compared.Results:Before management, there was no statistically significant difference in daily life management,disease medical management, emotional management, rehabilitation exercise management between the two groups(t=0.521, 0.329,0.265, 0.336, P>0.05). After management, the scores of daily life management, disease medical management, emotional management, and rehabilitation exercise management in the observation group were higher than those in the control group, and the differences were statistically significant(t=5.116, 4.824, 7.551, 4.991, P<0.05). The 31-day readmission rate and 6-month readmission rate of the observation group were lower than those of the control group, and the difference was statistically significant(χ^(2)=4.012, 4.158, P<0.05).Conclusion:The use of health management based on the “knowledge, attitude, belief and practice”model for stroke patients is conducive to improving patients’ self-management ability and reducing their readmission rate, which is worthy of clinical application and promotion.