文章摘要

基于个人与家庭自我管理理论的健康教育在脑血管介入治疗患者中的应用

作者: 1张卉, 1牛振娥, 1吴忠慧, 1程敏
1 安徽皖北煤电集团总医院神经内科,安徽 宿州 234000
通讯: 张卉 Email: 64383614@qq.com
DOI: 10.3978/j.issn.2095-6959.2021.04.018

摘要

目的:探讨基于个人与家庭自我管理理论的健康教育在脑血管介入治疗患者中的应用。方法:选择2019年1月至2020年6月在安徽皖北煤电集团总医院接收行脑血管检查及介入治疗的150例缺血性脑卒中患者作为研究对象,采取随机数表法均分为两组。对照组行常规护理,观察组在此基础上联合基于个人与家庭自我管理理论的健康教育护理,比较两组护理前后Barthel指数、罗森伯格自尊量表(Rosenberg Self-Esteem Scale,RSS)、自护能力评分、汉密尔顿抑郁自评量表(Hamilton Depression Scale,HAMD)和汉密尔顿焦虑自评量表(Hamilton Anxiety Scale,HAMA)评分情况,以及护理后脑血管病健康知识掌握情况。结果:观察组患者健康知识掌握率高于对照组[93.33% (70/75) vs 82.67% (62/75),P<0.05]。护理后3个月,观察组健康知识水平、自我护理能力、自我概念、自护责任感评分均高于对照组(P<0.05)。观察组RSS评分、Barthel指数均高于对照组,HAMD、HAMA评分均低于对照组(P<0.05)。结论:基于个人与家庭自我管理理论的健康教育有利于提高脑血管介入治疗患者对健康知识的掌握,加强其日常自理能力和自护能力,改善其情绪及自尊状态评分。
关键词: 脑血管病;自我管理;介入治疗;自护能力;希望水平

Application of health education based on personal and family self-management theory in patients undergoing cerebrovascular intervention therapy

Authors: 1ZHANG Hui, 1NIU Zhen’e, 1WU Zhonghui, 1CHENG Min
1 Department of Neurology, General Hospital of Anhui Wanbei Coal and Electricity Group, Suzhou Anhui 234000, China

CorrespondingAuthor: ZHANG Hui Email: 64383614@qq.com

DOI: 10.3978/j.issn.2095-6959.2021.04.018

Abstract

Objective: To explore the application of health education based on personal and family self-management theory in patients undergoing cerebrovascular intervention therapy. Methods: A total of 150 patients with ischemia stroke who received cerebrovascular examination and intervention therapy in General Hospital of Anhui Wanbei Coal and Electricity Group from January 2019 to June 2020 were enrolled as the research objects. They were divided into the control group (routine nursing) and the observation group (routine nursing combined with health education nursing based on personal and family self-management theory) through random number table method, with 75 cases in each group. Barthel index, scores of Rosenberg Self-Esteem Scale (RSS), self-care ability, Hamilton Depression Scale (HAMD) and Hamilton Anxiety Scale (HAMA) before and after nursing, mastery to health knowledge of cerebrovascular diseases after nursing were compared between the two groups. Results: The mastery rate of health knowledge in the observation group was higher than that in the control group [93.33% (70/75) vs 82.67% (62/75), P<0.05]. After 3 months of nursing, level of health knowledge, scores of self-care ability, self-concept and self-care responsibility in the observation group were higher than those in the control group (P<0.05). RSS score and Barthel index in observation group were higher than those in control group, while scores of HAMD and HAMA were lower than those in the control group (P<0.05). Conclusion: Health education based on personal and family self-management theory is beneficial to improve the mastery to health knowledge in patients undergoing cerebrovascular intervention therapy, strengthen their daily self-care ability and self-care ability, improve their mood and increase scores of self-esteem status.
Keywords: cerebrovascular disease; self-management; intervention therapy; self-care ability; hope level

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