脑梗死患者应用跨理论健康教育模式的效果

Effect of cross-theoretical health education model applied to cerebral infarction patients

目的探讨脑梗死患者应用跨理论健康教育模式的可行性。方法选取徐州医科大学附属医院2019年3月至2022年3月神经内科收治的脑梗死患者100例,以随机数字表法将其分至对照组和观察组各50例。对照组实施常规健康教育护理模式,观察组实施跨理论健康教育护理模式。对两组患者护理前后3个月的自我护理能力量表(Exercise of Self Care Agency Scale,ESCA)、Fugl-Meyer评定量表(Fugl-Meyer motor function assessment,FMA)以及脑卒中专用生活质量量表(QOL)进行比较。结果护理前,两组患者ESCA评分比较、Fugl-Meyer及SS-QOL评分比较差异均无统计学意义(均P>0.05);护理后,观察组患者ESCA各维度评分、Fugl-Meyer及SS-QOL各维度评分均显著高于对照组,差异均有统计学意义(均P<0.05)。结论脑梗死患者应用跨理论健康教育模式在提高患者自护能力,改善肢体运动功能和强化生活质量方面效果更佳。

Objective To explore the feasibility of applying the intertheoretical health education model for patients with cerebral infarction.Methods A total of 100 patients with cerebral infarction admitted to the this hospital from March 2019 to March 2022 were selected and divided into control group and observation group with 50 cases in each group by random number table method.The control group implemented the conventional health education and nursing mode,and the observation group implemented the cross-theoretical health education and nursing mode.The scores of Exercise of Self Care Agency Scale(ESCA),Fugl-Meyer Motor Function Assessment(FMA)and stroke specific Quality of Life Scale(QOL)were compared between the two groups 3 months before and after care.Results There was no significant difference in ESCA,Fugl-Meyer and SS-QOL scores between the two groups before nursing(P>0.05).After nursing,ESCA scores,Fugl-Meyer scores and SS-QOL scores in observation group were significantly higher than those in control group,and the differences were statistically significant(P<0.05).Conclusions The application of cross-theoretical health education model in patients with cerebral infarction has better effects on improving patients'self-care ability,improving limb motor function and strengthening quality of life.