疾病档案共享模式对脑卒中患者溶栓后健康行为及服药依从性的影响  

Effect of Shared Disease Record Model on Health Behavior and Medication Adherence after Thrombolysis in Stroke Patients

作　　者：王孟飞 刘莉 金倩楠 Wang Mengfei;Liu Li;Jin Qiannan(Department of Neurology,Zhumadian Central Hospital,Zhumadian,Henan,463000,China)

机构地区：[1]驻马店市中心医院神经内科,河南驻马店463000

出　　处：《黑龙江医学》2023年第20期2550-2554,共5页Heilongjiang Medical Journal

摘　　要：目的:探究疾病档案共享模式对脑卒中患者溶栓后健康行为及服药依从性的影响,为日后护理提供经验。方法:选取2017年1月—2021年1月驻马店市中心医院院收治的116例脑卒中患者作为研究对象,采用随机数表法分为常规组和参与组,每组各58例。常规组患者采用常规护理,参与组患者在常规组的基础上采用疾病档案共享模式护理。比较治疗前后两组患者的健康行为[健康促进生活方式(HPLP-Ⅱ)评分]、自我护理能力[自我护理能力测定量表(ESCA)评分]、生活质量[脑卒中专用生活质量量表(SS-QOL)评分]、获益感(疾病获益感量表评分)情况;对比干预后两组患者服药依从性(Morisky量表)情况。结果:干预后,两组患者的HPLP-Ⅱ中健康责任感、饮食、运动锻炼维度评分均较干预前显著升高,且参与组患者高于相同时间的常规组患者,差异有统计学意义(t=3.234、2.501、3.426,P<0.05);两组患者的ESCA中自我护理责任感、健康知识掌握情况、自我护理能力维度得分均较干预前显著升高,差异有统计学意义(t=3.047、3.581、2.713,P<0.05);两组患者的SS-QOL中体力活动、思维能力、人际关系维度评分均较干预前显著升高,差异有统计学意义(t=2.689、2.845、2.911,P<0.05);两组患者疾病获益感量表疾病接受度、家庭支持、自身成长、社会支持、健康行为5个维度评分均较干预前显著升高,差异有统计学意义(t=2.995、2.276、2.620、2.726、2.368,P<0.05)。参与组依从率显著高于常规组,差异有统计学意义(χ^(2)=2.154,P<0.05)结论:疾病档案共享模式能确保脑卒中患者溶栓后的健康行为,提高其自护能力,改善其生活质量,同时还可提高患者服药依从性,对其预后康复有积极意义。Objective:To investigate the effect of a shared disease record model on health behaviors and medication adherence in stroke patients after thrombolysis,and to provide lessons for future care.Methods:116 stroke patients attending the hospital from January 2017 to January 2021 were selected and divided into conventional group and participating group using the random number table method,with 58 cases in each group.The conventional group used routine care,and the participant group used the disease profile sharing model of care on this basis.The health behaviors(Health Promotion Lifestyle[HPLP-II]),self-care ability(Self-Care Ability Scale[ESCA]),quality of life(Stroke-Specific Quality of Life Scale[SS-QOL]),sense of benefit(Sense of Benefit of Illness Scale)and medication adherence(Morisky Scale)were compared between the two groups before and after treatment.Re⁃sults:After the intervention,the HPLP-II health responsibility,diet,and exercise scores were significantly higher in both groups than before the intervention,and the participation group was significantly higher than the conventional group at the same time,with statistically significant differences(t=3.234,2.501,3.426,P<0.05).The scores of ESCA self-care responsibility,health knowledge mastery,and self-care ability dimensions were significantly higher in both groups than before the intervention,with statistically sig⁃nificant differences(t=3.047,3.581,2.713,P<0.05).The scores of the five dimensions of disease acceptance,family support,self-growth,social support,and health behavior on the Sense of Benefit Scale were significantly higher in both groups than before the intervention,with statistically significant differences(t=2.995,2.276,2.620,2.726,2.368,P<0.05).The compliance rate was significantly higher in the participation group than in the conventional group,with a statistically significant difference(χ^(2)=2.154,P<0.05).Conclusion:The disease record sharing model can ensure the health behavior of stroke patients after thrombolysis,en⁃hance their self

关 键 词：疾病档案共享模式 脑卒中 健康行为 药物口服依从性 

分 类 号：R473.74[医药卫生—护理学]