自我管理教育课程对社区脑卒中患者的效果  

Effect of self-management teaching program on stroke patients in a community

作　　者：刘秀梅[1] 于潇漪 朱夏媛 范晓红 薛武更[1] 吴瑕[1] 赵琪 LIU Xiu-Mei;YU Xiao-Yi;ZHU Xia-Yuan;FAN Xiao-Hong;XUE Wu-Geng;WU Xia;ZHAO Qi(Fangzhuang Community Health Service Center,Beijing 100078,China)

机构地区：[1]北京市丰台区方庄社区卫生服务中心,北京100078

出　　处：《中华老年多器官疾病杂志》2018年第9期652-655,共4页Chinese Journal of Multiple Organ Diseases in the Elderly

基　　金：丰台区卫生计生系统科研项目(2016-06)~~

摘　　要：目的研究自我管理教育课程对社区脑卒中患者自我管理情况的改善。方法入选2012年1月到2016年12月北京市丰台区方庄社区卫生服务中心脑卒中患者115例,随机数字表法分为研究组57例和对照组58例。对照组接受常规门诊健康教育,研究组听取自我管理教育课程,1次/周,共听6周课,课程结束后比较2组患者慢性病自我效能情况。采用统计软件SPSS 19.0对数据进行分析,组间比较采用t检验或χ2检验。结果相比干预前,研究组患者干预后自我效能得分明显提高,差异具有统计学意义(P<0.05)。研究组干预后相比对照组规律锻炼[(7.89±1.12)vs(6.31±0.53)分],获取疾病信息[(9.09±0.37)vs(5.23±1.93)分],获取社区、家庭和朋友的帮助[(8.28±0.06)vs(5.17±1.61)分],和医生沟通[(9.13±0.78)vs(6.24±0.46)分],疾病总体管理[(8.12±1.77)vs(6.16±0.22)分],做家务[(9.13±0.69)vs(6.18±1.70)分]等方面得分明显提高,差异具有统计学意义(P<0.05)。结论自我管理教育课程可有效改善脑卒中患者自我管理情况。Objective To assess improvement of the self-management in the stroke patients after attending teaching program. Methods A total of 115 stroke patients were enrolled at Fangzhuang Community Health Service Center from January 2011 to December 2016. The patients were randomly divided into study group （n=57） and control group （n=58）. The control group were given routine outpatient health education, while the study group attended a self-management course once a week for 6 weeks. A comparison was made using Chronic Diseases Self-efficacy Scale on the completion of the course. SPSS statistics 19.0 was used for data analysis, and Student＇s t test or Chi-square test for comparison. Results The self-efficacy scores after intervention were significantly higher in the study group than in the control group （P〈0.05）. Compared with control group after intervention, the study group had higher scores in regular exercise[（7.89±1.12）vs（6.31±0.53）], geting information on disease[（9.09±0.37） vs （5.23±1.93）], obtaining help from community, family and friends [（8.28±0.06） vs （5.17±1.61）], communicating with physician[（9.13±0.78） vs （6.24±0.46）], managing disease in general[（8.12±1.77） vs （6.16±0.22）]and doing chores[（9.13±0.69） vs （6.18±1.70）]. Conclusion Self-management teaching program can effectively improve self-management of the stroke patients.

关 键 词：脑卒中 自我管理 教育课程 

分 类 号：R743.3[医药卫生—神经病学与精神病学]