多元化健康教育对急性脑梗死静脉溶栓治疗患者知信行水平及遵医行为的影响  

The Effect of Diversified Health Education on the KAP Level and Compliance of Acute Cerebral Infarction Patients Treated by Intrave-nous Thrombolysis

作　　者：程丹丹 李翠华[1] CHENG Dandan;LI Cuihua(Rugao People's Hospital,Nantong 226500,China)

机构地区：[1]如皋市人民医院,江苏南通226500

出　　处：《中国急救复苏与灾害医学杂志》2021年第2期193-196,共4页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：江苏省自然科学基金面上基金项目(编号:BK201618019)。

摘　　要：目的探讨多元健康教育对急性脑梗死静脉溶栓治疗患者知信行水平及遵医行为的影响。方法选择2017年7月-2018年6月收治的急性脑梗死静脉溶栓治疗患者85例为研究对象,根据溶栓治疗时间分为实验组45例、对照组40例。实验组实际完成随访43例,对照组实际完成随访37例。对照组给予常规健康教育,实验组联合应用多元化健康教育。随访12个月,比较两组知信行水平、遵医行为、复发率。结果实验组患者知识维度、行为维度、知信行水平评分明显高于对照组(81.12±10.23 vs 72.45±9.45,28.24±4.54 vs 22.30±4.23,142.81±15.12 vs 128.53±14.21)(P<0.05);遵医用药、合理饮食、健康行为、康复锻炼评分明显高于对照组(13.24±1.42 vs 10.50±2.21,25.12±3.24 vs 21.24±3.36,16.12±2.45 vs 14.21±1.42,21.36±2.24 vs 18.45±2.36)(P<0.05);复发率2.33%明显低于对照组16.22%(P<0.05)。结论多元化健康教育有助于提高急性脑梗死静脉溶栓治疗患者知信行水平,促进遵医行为的养成,降低复发率。Objective To investigate the effect of diversified health education on the KAP level and compliance of acute cerebral infarction(ACI)patients treated by intravenous thrombolysis.Methods 85 ACI patients treated by intra-venous thrombolysis from July 2017 to June 2018 were selected as the research objects,and divided into experimental group(45 cases)and control group(40 cases)according to the thrombolytic treatment time.There were respectively 43 and 37 patients actually fllowed up in the experimental group and the control group.Patients in the control group were performed routine health education,in addition to this,those in the experimental group were also performed diversified health education.After 12 months of follow up visit,the KAP level,compliance and recurrence rate were compared be-tween the two groups.Results The scores of knowledge dimension,behavior dimension and KAP level in the experi-mental group were significantly higher than those in the control group(81.12±10.23 vs 72.45±9.45,28.24±4.54 vs 22.30±4.23,142.81±15.12 vs 128.53±14.21)(P<0.05);the scores of compliance with medication,reasonable diet,healthy behavior and rehabilitation exercise were significantly higher than those in the control group(13.24±1.42 vs 10.50±2.21,25.12±3.24 vs 21.24±3.36,16.12±2.45 vs 14.21±1.42,21.36±2.24 vs 18.45±2.36)(P<0.05);the recur-rence rate was 2.33%and significantly lower than 16.22%in the control group(P<0.05).Conclusion Diversified health education is conductive to improving the KAP level of ACI patients treated by intravenous thrombolysis,promot-ing the development of compliance behavior and reducing the recurrence rate.

关 键 词：急性脑梗死 溶栓 多元化健康教育 知信行 遵医行为 

分 类 号：R743.3[医药卫生—神经病学与精神病学]