基于信息知识信念行为模式的健康教育对脑梗死后遗症期患者失眠状况及生活质量的影响研究  

The Influence of Health Education Based on Information Knowledge and Belief Behavior Pattern on Insomnia Status and Quality of Life in Patients with Sequelae of Cerebral Infarction

作　　者：黄晴晴[1] 万香莲 余晶[1] HUANG Qing-qing;WAN Xiang-lian;YU Jing(The First Department of Neurology,Jiujiang First People's Hospital,Jiujiang 332000,Jiangxi Province,China)

机构地区：[1]九江市第一人民医院神经内一科,江西九江332000

出　　处：《罕少疾病杂志》2024年第1期21-23,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的研究基于信息知识信念行为模式的健康教育运用于脑梗死后遗症期患者中的价值。方法选择我院2020年6月-2021年9月纳入的脑梗死后遗症期患者94例,按随机数字表法分成两组各47例,研究组开展基于信息知识信念行为模式的健康教育,对照组实施常规健康教育,干预后评价两组依从性,干预前后测评两组睡眠质量、简易智力状态(MMSE)、运动功能(FMA)、神经功能缺损(NIHSS)、语言功能、生活质量(SF-36),比较两组干预结果。结果研究组依从性91.49%高出对照组72.34%(P<0.05)。干预前两组睡眠质量无差异(P>0.05),干预后研究组睡眠质量、睡眠时间、睡眠障碍、睡眠效率评分低于对照组(P<0.05)。干预前两组MMSE、FMA、NIHSS、语言功能无差异(P>0.05),干预后研究组MMSE、FMA、语言功能高出对照组,但NIHSS低于对照组(P<0.05)。干预前两组SF-36无差异(P>0.05),干预后研究组评分均高出对照组(P<0.05)。结论基于信息知识信念行为模式的健康教育效果更为显著,能够提升患者依从性,增强其认知能力以及语言功能,促进运动能力恢复,同时改善睡眠质量,生活质量明显提升。Objective To study the value of health education based on information knowledge and beliefs in patients with sequelae of cerebral infarction.Methods Select 94 patients with cerebral infarction sequelae in September 2020-2021,divided into two groups according to the random number table method,the study group to carry out health education based on information knowledge belief behavior pattern,the control group routine health education,after-intervention evaluation of compliance,intervention assessment two groups of sleep quality,simple mental status(MMSE),motor function(FMA),neurological deficit(NIHSS),language function,quality of life(SF-36),compare the intervention results of the two groups.Results The compliance of the study group was 91.49%and 72.34%higher than that of the control group(P<0.05).There was no difference in sleep quality before the intervention(P>0.05),and the sleep quality,sleep duration,sleep disturbance and sleep efficiency scores of the study group were lower than that of the control group(P<0.05).There was no difference in MMSE,FMA,NIHSS,and language function between the two groups before intervention(P>0.05),while after intervention,MMSE,FMA had higher language function than the control group,but NIHSS was lower than the control group(P<0.05).There was no difference in SF-36 between the two groups before the intervention(P>0.05),and the score of the study group was higher than that of the control group(P<0.05).Conclusion The health education based on information,knowledge and belief behavior mode has a more significant effect,which can improve patients'compliance,enhance their cognitive ability and language function,promote the recovery of motor ability,improve the quality of sleep,and significantly improve the quality of life.

关 键 词：生活质量 信息知识信念行为模式 脑梗死后遗症期 健康教育 

分 类 号：R743[医药卫生—神经病学与精神病学]