基于电话随访的社区延续健康教育在农村空巢老年脑卒中患者中的应用效果  

The Application Effect of Community Continuous Health Education Based on Telephone Follow-up in Rural Empty Nest Elderly Stroke Patients

作　　者：许亚婷 张英[1] 陶微微 张益 Xu Yating;Zhang Ying;Tao Weiwei;Zhang Yi(Taizhou Hospital of Zhejiang Province,Taizhou Zhejiang 317000,China)

机构地区：[1]浙江省台州医院,浙江台州317000

出　　处：《医疗装备》2023年第17期134-136,139,共4页Medical Equipment

摘　　要：目的探讨基于电话随访的社区延续健康教育在农村空巢老年脑卒中患者中的应用效果。方法2021年5月选取曾就诊于浙江省台州医院的233例农村空巢老年脑卒中患者作为研究对象,按照随机数字表法分为对照组(116例)和观察组(117例)。自2021年6月开始,对照组实施常规健康教育,观察组在对照组基础上实施基于电话随访的社区延续健康教育。比较两组干预前及干预3、6个月时的生活质量[采用脑卒中专用生活质量量表(SS-QOL)评估]、疾病自我管理能力(采用脑卒中自我管理行为评定量表评估)及服药依从性[采用8项Morisky服药依从性量表(MMAS-8)评估]。结果干预3、6个月时,观察组SS-QOL评分、脑卒中自我管理行为评定量表评分均高于对照组,服药依从性优于对照组,差异均有统计学意义(P<0.05)。结论基于电话随访的社区延续健康教育可显著提高农村空巢老年脑卒中患者的生活质量、疾病自我管理能力及服药依从性,符合农村实际且简便易行。Objective The application effect of community continuous health education based on telephone follow-up for elderly patients with empty nest stroke in rural areas was explored.Methods In May 2021,with selection of 233 rural empty nest elderly stroke patients who had been treated in Taizhou Hospital of Zhejiang Province as the research subjects,the patients were divided into the control group(116 cases)and the observation group(117 cases),by using the random number table method.Starting from June 2021,the routine health education was implemented in the control group,and the community continuing health education based on telephone follow-up was implemented on the basis of the control group,in the observation group.The quality of life(assessed using the Stroke Specific Quality of Life Scale(SS-QOL)),self-management ability for disease(assessed using the Stroke Self Management Behavior Assessment Scale),and medication adherence(assessed using the 8-item Morisky Medication Adherence Scale(MMAS-8))were compared between the two groups before and at 3 and 6 months of intervention.Results At 3 and 6 months of intervention,the scores of SSQOL and stroke self-management behavior assessment scale in the observation group were higher than those in the control group,and the medication adherence was better than that in the control group,with statistically significant differences(P<0.05).Conclusion Community continuous health education based on telephone follow-up can significantly improve the quality of life,self-management ability for disease,and medication compliance of elderly stroke patients in rural empty nest areas,which conforms rural reality and is simple and easy to implement.

关 键 词：社区延续健康教育 电话随访 农村 空巢老人 脑卒中 

分 类 号：R473[医药卫生—护理学]