3S理念健康教育模式用于恢复期脑卒中患者对心理弹性及生活自理能力的影响  

Effects of 3S Concept Health Education Model on Mental Resilience and Self-Care Ability of Convalescent Stroke Patients

作　　者：张建丽[1] 张霞[2] ZHANG Jian-li;ZHANG Xia(Medical Teaching and Research Office of the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Department of Neurology,Nanyang Road Hospital,Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第二附属医院南阳路院区医教研办公室,河南郑州450000 [2]郑州大学第二附属医院南阳路院区神经内科,河南郑州450000

出　　处：《罕少疾病杂志》2023年第5期102-103,共2页Journal of Rare and Uncommon Diseases

基　　金：河南省医学科技攻关计划项目(2019092310)。

摘　　要：目的探讨3S理念健康教育模式用于恢复期脑卒中患者对心理弹性及生活自理能力的影响。方法收集2020年1月至2022年10月在本院就诊的恢复期脑卒中患者90例,采用随机数字表法分组,即对照组、观察组,均45例。对照组常规健康教育,观察组3S理念健康教育模式。统计两组心理弹性、日常生活活动能力(ADL)评分、汉密尔顿抑郁量表(HAMD)评分、美国国立卫生研究院卒中量表(NIHSS)评分、改良Rankin量表(mRS)评分、健康行为达标情况。结果干预前,两组心理弹性比较,P>0.05,干预后,两组心理弹性评分均上升,组间比较,观察组心理弹性评分高于对照组,P<0.05。干预前,两组ADL评分、HAMD评分比较,P>0.05,干预后,两组ADL评分均上升,HAMD评分均下降,组间比较,观察组ADL评分高于对照组,观察组HAMD评分低于对照组,P<0.05。干预前,两组NIHSS评分、mRS评分比较,P>0.05,干预后,两组NIHSS评分、mRS评分均下降,组间比较,观察组NIHSS评分、mRS评分低于对照组,P<0.05。干预前,两组健康行为达标率比较,P>0.05,干预后,两组健康行为达标率均上升,组间比较,观察组健康行为达标率高于对照组,P<0.05。结论3S理念健康教育模式可增强恢复期脑卒中患者心理弹性,减轻抑郁情绪,提高生活自理能力,促进神经功能恢复。Objective To explore the effect of 3S concept health education model on mental resilience and self-care ability of convalescent stroke patients.Methods 90 convalescent stroke patients admitted to our hospital from January 2020 to October 2022 were collected and divided by random number table method,i.e.,control group and observation group,with 45 cases in both.The control group received routine health education,while the observation group received 3S concept health education.The mental resilience,activity ability of daily living(ADL)score,Hamilton Depression Scale(HAMD)score,National Institutes of Health Stroke Scale(NIHSS)score,modified Rankin Scale(mRS)score and health behavior standards of the two groups were analyzed.Results Before intervention,the psychological resilience of the two groups was compared,P>0.05.After intervention,the psychological resilience score of the two groups was increased.Compared between groups,the psychological resilience score of the observation group was higher than the control group,P<0.05.Before intervention,the ADL score and HAMD score of the two groups were compared,P>0.05;after intervention,the ADL score of the two groups was increased,and the HAMD score of the two groups was decreased.Compared between groups,the ADL score of the observation group was higher than the control group,and the HAMD score of the observation group was lower than the control group,P<0.05.Before intervention,the NIHSS score and mRS Score of the two groups were compared,P>0.05;after intervention,the NIHSS score and mRS Score of the two groups were both decreased;compared between groups,the NIHSS score and mRS Score of the observation group were lower than that of the control group,P<0.05.Before intervention,the rate of health behavior reaching the standard was compared between the two groups(P>0.05).After intervention,the rate of health behavior reaching the standard was increased between the two groups.Compared between groups,the rate of health behavior reaching the standard in the observation group was

关 键 词：3S理念健康教育模式 恢复期 脑卒中 心理弹性 生活自理能力 

分 类 号：R193[医药卫生—卫生事业管理]