脑卒中二级预防干预模式应用体会  

Experience of application of secondary prevention of stroke

作　　者：冯慧[1] 冯桂梅[1] 

机构地区：[1]枣庄市立医院,山东枣庄277102

出　　处：《齐鲁护理杂志》2007年第7期7-8,共2页Journal of Qilu Nursing

摘　　要：目的:探讨脑卒中二级预防干预模式的实施效果。方法:将180例脑卒中患者随机分为观察组和对照组各90例,两组均建立健康档案,应用自行设计的脑卒中复发危险因素评估表对出院患者进行评估。观察组根据评估结果进行个体化强化教育和行为干预,对照组实施常规治疗和基本知识健康教育,分别在干预前和干预后3个月、6个月收集两组相关资料进行评价。结果:干预后观察组患者在疾病知识掌握正确率、不良生活方式改善情况及治疗依从性方面明显高于干预前及对照组(P<0.01),观察组患者脑卒中复发率显著低于对照组(P<0.05)。结论:二级预防干预模式可有效降低脑卒中复发,提高患者生活质量。Objective: To explore the effectiveness of secondary prevention of stroke.Methods: One hundred and eighty patients with stroke were divided into observation group(n=90) and control group(n=90) at random.Health records were set up and self designed scale for assessment of risk factors of recurrence of stroke was used to assess the patient's general conditions.Individual intensified education and behavior intervention were carried out based on the evaluation in observation group;routine therapy and essential health education were given to patients in control group.The general evaluation of the collected data was made respectively in 3 months and 6 months.Results: The exactitude of mastering knowledge of diseases and correction of bad habit and compliance were evidently higher after intervention than that before intervention in observation group and also than that in control group(P<0.01);the rate of recurrence of stroke was lower in observation group than that in control group(P<0.05).Conclusion: Secondary prevention can effectively reduce the recurrence of stroke and improve quality of life of patient.

关 键 词：脑卒中 二级预防 干预模式 护理 

分 类 号：R473.5[医药卫生—护理学]