知信行健康教育模式对脑卒中吞咽功能障碍患者的影响  

Effects of Zhixinxing health education mode on patients with dysphagia after stroke

作　　者：杨坤兰 YANG Kun-lan(Department of rehabilitation medicine,Maoming agricultural reclamation hospital,Guangdong Province,Maoming 525200,China)

机构地区：[1]广东省茂名农垦医院康复医学科,广东茂名525200

出　　处：《吉林医学》2022年第6期1709-1711,共3页Jilin Medical Journal

摘　　要：目的:探讨知信行健康教育模式对脑卒中吞咽功能障碍患者的影响效果。方法:选择脑卒中吞咽功能障碍患者68例作为研究对象,随机分为试验组和对照组各34例,对照组采取常规健康宣教,试验组采取知信行健康教育,比较两组患者危险因素知晓情况及吞咽功能、生活质量。结果:与健康教育干预前比较,两组患者危险因素知晓情况问卷调查得分均明显升高,且试验组明显高于对照组,差异有统计学意义(P<0.05)。试验组健康教育后洼田饮水试验WTDWT级别低于同期对照组,且两组分别与干预前比较明显降低,差异均有统计学意义(P<0.05)。两组患者生活质量评分(SF-36)评分在健康教育前比较差异无统计学意义(P>0.05);健康教育后两组患者SF-36评分均比教育前升高,且试验组明显高于对照组,差异均有统计学意义(P<0.05)。结论:在脑卒中吞咽障碍患者健康教育中应用知信行健康教育模式,可以提高患者危险因素知晓情况,改善患者吞咽障碍,提高生活质量。Objective To explore the effect of health education mode of knowledge,faith and action on patients with dysphagia after stroke.Method 68 cases of stroke patients with swallowing dysfunction were selected as the research object,they were randomly divided into the experimental group and control group,34 cases in each group.The patient of control group adopted routine health education,the patient of experimental group adopted nobuyuki health education,the awareness of risk factors,swallowing function and quality of life were compared between the two groups.Results Compared with before health education intervention,the score of risk factor awareness questionnaire was significantly improved in both groups,and the experimental group was significantly higher than the control group,the difference was statistically significant(P<0.05).The WTDWT level of the experimental group after health education was lower than that of the control group at the same time,and the two groups were significantly lower than that before intervention,with statistical significance(P<0.05).There was no significant difference in THE SF-36 score of quality of life between the two groups before health education(P>0.05),but the SF-36 score of the two groups improved after health education,and the experimental group was significantly higher than the control group,the difference was statistically significant(P<0.05).Conclusion The application of knowledge,faith and action health education model in health education of stroke patients with dysphagia can improve the awareness of risk factors,improve the dysphagia and improve the quality of life.

关 键 词：脑卒中 吞咽功能障碍 知信行健康教育 洼田饮水试验 生活质量 

分 类 号：R473.74[医药卫生—护理学]