电话随访实施健康教育对提高脑卒中患者满意度的研究  

Study on the telephone follow-up health education for improvement of sat-isfaction among patients with stroke

作　　者：邢麟[1] 余洋[1] 张燕[1] 王奕[1] 余丽君[2] 

机构地区：[1]宝鸡职业技术学院医学分院,陕西宝鸡721013 [2]陕西省宝鸡市中心医院护理部,陕西宝鸡721013

出　　处：《中国医药导报》2015年第3期151-154,共4页China Medical Herald

基　　金：宝鸡职业技术学院院级科研课题(编号2014014Z)

摘　　要：目的研究电话随访实施健康教育对提高脑卒中患者满意度的影响。方法采用随机对照研究的方法 ,选取2013年7月1日～9月30日在陕西省宝鸡市某三甲医院神经内科接受治疗的97例脑卒中患者作为研究对象,其中研究组48例,对照组49例。研究组患者出院后接受护士电话随访,对照组患者出院后未接受护士电话随访。3个月后进行患者满意度调查。通过问卷调查,将两组患者后遗症治疗的认知与态度特征指标进行χ2检验,分别计算两组患者用药指导、康复锻炼、生活护理、复诊指导、心理护理五个维度上患者满意度得分,并将两组资料从每个维度上进行成组设计资料的t检验。结果研究组中认为需要坚持长期后遗症治疗的患者占95.83%,而对照组的比例是81.63%,两组比较差异有统计学意义（χ2=4.863,P〈0.05）。研究组中认为患者家庭应该参与后遗症治疗方案制订的患者占97.92%,而对照组的比例是79.59%,两组比较差异有高度统计学意义（χ2=8.098,P〈0.01）。研究组患者满意度得分在用药指导、康复锻炼、生活护理、复诊指导、心理护理五个维度上分别为（96.21±13.15）、（94.01±16.82）、（95.84±10.19）、（92.79±9.53）、（95.74±12.75）分,而对照组分别为（85.64±9.87）、（81.10±13.62）、（82.03±11.75）、（80.20±11.03）、（80.23±16.93）分,两组比较差异均有高度统计学意义（均P〈0.01）。结论通过有效的电话随访实施护理健康教育,更加深了患者对脑卒中长期治疗的信念,也提高了家庭的支持力度,降低疾病复发和再住院率,促进脑卒中疾病治疗及康复的发展。Objective To study the satisfaction of telephone follow-up health education on the improvement of the rehabilitation of stroke patients. Methods 97 patients with stroke in Neurology Department from a Ⅲ-A hospital in Baoji City of Shaanxi Province were randomly divided into two groups. 48 patients discharged from hospital in the experimental group were received one telephone follow-up call from a nurse, while 49 patients in the control group were not given nurse telephone follow-up calls. Patients satisfaction survey was conducted three months later through questionnaires. Following treatment and phone calls, cognitive attitude indicators of the two groups were investigated using χ2-tests. Five dimensions to patient satisfaction were tested： medication guidance, rehabilitation exercise, life care, referral guidance, psychological nursing. Data of two groups were investigated in two groups by independent sample t-test. Results In the experimental group, patients believed treatment with long-term sequelae accounted for 95.83%, while the proportion in the control group was 81.63%. The rate in two groups had statistically significant difference（χ2=4.863, P 〈0.05）. Patients in the experimental group believed the family should be involved in the sequelae program development accounted for 97.92%, while the proportion in the control group was 79.59%. The rate in two groups had statistically significant difference（χ2=8.098, P〈 0.01）. Satisfaction scores in experimental group on five dimensions which were medication guide, rehabilitation exercises, life care, referral guidance, psychological care were（96.21 ±13.15）,（94.01 ±16.82）,（95.84±10.19）,（92.79±9.53）,（95.74±12.75） scores, while scores in control group were（85.64±9.87）,（81.10±13.62）,（82.03±11.75）,（80.20±11.03）,（80.23±16.93） scores. Scores in two groups had statistically significant differences（all P 〈0.01）.Conclusion Implementing health education through nurses and telephone follow-up can provid

关 键 词：电话随访 健康教育 脑卒中 满意度 

分 类 号：R473.5[医药卫生—护理学]