基于知信行模式的健康教育视频在初发脑卒中患者中的应用效果  

Effects of health education video based on Knowledge, Attitude and Practice model in patients with initial stroke

作　　者：罗青[1] 纪玉桂[2] 王东亚[3] 侯玉娟[2] 周友田[4] 申艳[5] 聂玉平[1] Luo Qing, Ji Yugui, Wang Dongya, Hou Yujuan, Zhou Youtian, Shen Yan, Nie Yuping(Encephalopathy Center, General Hospital of Guangzhou Military Command of PLA, Guangzhou 510010, China ; Neurosurgical Department, General Hospital of Guangzhou Military Command of PLA, Guangzhou 510010, China ; the Fifth Cadre Ward, General Hospital of Guangzhou Military Command of PLA, Guangzhou 510010, China ; Neurology Department, General Hospital of Guangzhou Military Command of PLA , Guangzhou 510010, China ; Neurology Rehabilitation Department, General Hospital of Guangzhou Military Command of PLA, Guangzhou 510010, China)

机构地区：[1]广州军区广州总医院脑病中心,510010 [2]广州军区广州总医院神经外科,510010 [3]广州军区广州总医院干部病房五科,510010 [4]广州军区广州总医院神经疾病科,510010 [5]广州军区广州总医院神经康复科,510010

出　　处：《中华现代护理杂志》2018年第24期2892-2895,共4页Chinese Journal of Modern Nursing

基　　金：全军保健专项课题（16BJZ58）;广州市科技计划项目（201704020155）

摘　　要：目的探讨基于知信行模式的健康教育视频在初发脑卒中患者中的应用效果。方法选取2016年1—8月在广州军区广州总医院住院治疗的146例初发脑卒中患者，按患者所住病区随机分为对照组（n=74例）和观察组（n=72）。对照组给予常规健康教育，观察组在对照组的基础上每天在病房循环播放基于知信行模式制作的健康教育视频。干预前、出院时、出院后1个月测评两组患者的脑卒中相关疾病知识得分和Champion健康信念量表得分，出院后1个月测评两组患者的Morisky服药依从性量表得分，比较两组干预效果。结果出院时观察组患者的疾病知识得分（6．49±1．34）分，Champion健康信念量表得分（111．58±17．95）分，均高于对照组，差异有统计学意义（t值分别为4．448、6．695；P〈0．01）；出院后1个月观察组患者的Morisky服药依从性量表得分（6．05±1．43）分，高于对照组（4．50±1．06）分，差异有统计学意义（t=7．454，P〈0．01）。结论采用基于知信行模式的健康教育视频，能够提高初发脑卒中患者的疾病知识得分、健康信念和服药依从性。该视频强化了初发脑卒中患者的疾病知识，有利于患者形成正确的态度和行为，适合临床进一步推广。Objective To explore the effects of health education video based on Knowledge, Attitude and Practice （KAP） model in patients with initial stroke. Methods A total of 146 patients with initial stroke hospitalized in General Hospital of Guangzhou Military Command of PLA from January to August 2016 were selected and randomly divided into control group （n=74） and observation group （n=72） according to the hospitalized ward. The control group received routine health education. In the observation group, health education videos based on KAP mode were circulated daily in the ward on the basis of the control group. Before the intervention, at the time of discharge, and one month after discharge, the scores of the disease related knowledge and the Champion Health Belief Model Scale （CHBMS） were compared between the two groups. One month after discharge, the scores of the Morisky Medication Adherence Scale （MMAS-8） were compared between the two groups. Results At the time of discharge, the scores of disease related knowledge and CHBMS were （6.49 ± 1.34） and （111.58 ± 17.95） respectively, which were both higher than those of the control group, with statistical significance （t=4.448, 6.695 ; P 〈 0.01）. One month after discharge, the score of MMAS-8 was （6.05± 1.43）, which was higher than that of the control group （4.50 ± 1.06）, with statistical significance （t=7.454, P 〈 0.01）. Conclusions Health education video based on KAP model can improve the knowledge, health belief and medication compliance of patients with initial stroke. The video strengthens the knowledge of patients with initial stroke, which is conducive to the formation of the correct attitude and behavior of patients, suitable for further promotion in the future.

关 键 词：卒中 健康教育 知信行模式 视频 

分 类 号：R473.74[医药卫生—护理学]