反馈式健康管理在缺血性脑卒中康复期病人中的应用  

Application of feedback health management in patients with ischemic stroke in rehabilitation period

作　　者：赵肖 崔颖 赵振涛[3] ZHAO Xiao;CUI Ying;ZHAO Zhen-tao(Department of Rehabilitation Medicine,Bethune International Peace Hospital,The 980th Hospital of the Joint Service Support Force,Shijiazhuang Hebei 050000;School of Nursing and Rehabilitation,North China University of Technology,Tangshan Hebei 063000;Shijiazhuang Information Engineering Vocational College,Department of Computer,Shijiazhuang Hebei 050000,China)

机构地区：[1]解放军联勤保障部队第九八〇医院(白求恩国际和平医院)健康医学科,河北石家庄050000 [2]华北理工大学护理与康复学院,河北唐山063000 [3]石家庄信息工程职业学院计算机系,河北石家庄050000

出　　处：《蚌埠医学院学报》2021年第11期1520-1522,1526,共4页Journal of Bengbu Medical College

基　　金：河北省卫健委重点科技研究计划项目(20180741)。

摘　　要：目的:探讨反馈式健康管理在缺血性脑卒中康复期病人中的应用。方法:选取80例缺血性脑卒中康复期病人,随机分为对照组和观察组,各40例。对照组采取一般护理,观察组采取反馈式健康管理,比较2组病人干预后功能锻炼依从性、自我管理量表评分和生活质量评分。结果:观察组病人功能锻炼依从性高于对照组(P<0.05)。观察组干预后自我管理量表各项评分(康复锻炼管理、情绪管理、饮食管理、用药管理、疾病管理、社会和人际管理、生活管理)均明显高于对照组(P<0.01)。观察组干预后生活质量综合评定问卷各项评分(物质生活、躯体功能、心理功能、社会功能)均明显高于对照组(P<0.01)。结论:采用反馈式健康管理模式可提高缺血性脑卒中康复期病人功能锻炼依从性和自我管理能力,从而促进机体各项功能恢复,提升生活质量水平,值得临床应用。Objective:To explore the application of feedback health management in patients with ischemic stroke in rehabilitation period.Methods:Eighty cases of ischemic stroke patients in rehabilitation period were selected and randomly divided into control group and observation group(40 cases in each group).The control group was given general nursing,and the observation group was given feedback health management.The compliance of functional exercise,self-management scale score and quality of life score were compared between the two groups after intervention.Results:The compliance of functional exercise in observation group was higher than that in control group(P<0.05).After the intervention,the scores of each item in self-management scale(rehabilitation exercise management,emotion management,diet management,medication management,disease management,social and interpersonal management,life management)in observation group were significantly higher than those in control group(P<0.01).After the intervention,the scores of each item in comprehensive quality of life questionnaire(material life,physical function,psychological function,social function)in observation group were significantly higher than those in control group(P<0.01).Conclusions:The feedback health management mode can improve the compliance of functional exercise and self-management ability of patients with ischemic stroke in rehabilitation period,so as to promote the recovery of various functions and improve the quality of life,which is worthy of clinical application.

关 键 词：缺血性脑卒中 反馈式健康管理 依从性 自我管理能力 生活质量 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R473[医药卫生—临床医学]