基于症状管理策略下的健康教育对脑梗死恢复期患者的影响

Effect of Health Education Based on Symptom Management Strategy on Convalescent Patients with Cerebral Infarction

目的探究基于症状管理策略下的健康教育模式对于提高脑梗死恢复期患者康复训练依从性、自尊水平及运动功能的影响效果。方法选取滑县人民医院2019年5月至2021年5月收治的104例脑梗死恢复期患者为研究对象,按照随机数表法将其分为研究组与对照组(各52例)。对照组采用常规健康教育模式,研究组在其基础上采用基于症状管理策略下的健康教育模式。对干预前及干预1个月后,两组患者神经功能、康复训练依从性、自尊水平及运动功能差异进行比较。结果干预前,两组患者神经功能缺损评分(NIHSS)、康复训练依从性、自尊水平及沃尔夫运动功能测试(WMFT)评分比较,差异无统计学意义(P>0.05)。干预1个月后,两组患者NIHSS评分均低于干预前,且研究组NIHSS评分明显低于对照组,差异有统计学意义(P<0.05)。干预1个月后,两组患者康复训练依从性、自尊水平及WMFT评分明显高于干预前,且研究组各项评分明显高于对照组,差异有统计学意义(P<0.05)。结论应用基于症状管理策略下的健康教育模式能够有效促进脑梗死恢复期患者康复神经功能恢复,提高其训练依从性及自尊水平,对于促进其运动功能恢复具有积极作用。

Objective To explore the effect of a health education model based on symptom management strategy on improving rehabilitation training compliance,self-esteem level,and motor function of cerebral infarction convalescent patients.Methods A total of 104 patients with cerebral infarction in the recovery stage admitted to the People's Hospital of Huaxian from May 2019 to May 2021 were selected as the research objects.According to the random number table method,they were divided into the study group and the control group(52 cases in each group).The control group adopted the conventional health education mode,and the study group adopted the health education mode based on a symptom management strategy.Neurological function,compliance with rehabilitation training,self-esteem,and motor function were compared between the two groups before intervention and one month after intervention.Results Before the intervention,there was no significant difference in neurological deficit score(NIHSS),rehabilitation training compliance,self-esteem level,and Wolfe motor function test(WMFT)score between the two groups(P>0.05).After one month of intervention,the NIHSS scores of the two groups were lower than those before the intervention,and the NIHSS score of the study group was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).After one month of intervention,the rehabilitation training compliance,selfesteem level,and WMFT score of the two groups were significantly higher than those before the intervention,and the scores of the study group were significantly higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion The application of a health education mode based on a symptom management strategy can effectively promote the recovery of neurological function,improve the level of training compliance and self-esteem of cerebral infarction convalescent patients,and has a positive effect on the recovery of motor function.