个性化健康宣教对独居老年脑出血患者认知、行为及依从性的影响  

Effects of individualized health education on cognition,behavior and compliance of elderly patients with cerebral hemorrhage living alone

作　　者：夏秋娟 冯小娟 来海欧 XIA Qiujuan;FENG Xiaojuan;LAI Haiou(No.215 Hospital of Shaanxi Nuclear Industry,Xianyang 712000;Xianyang Hospital of Yan'an University,Xianyang 712000,China)

机构地区：[1]陕西省核工业二一五医院,陕西咸阳712000 [2]延安大学咸阳医院,陕西咸阳712000

出　　处：《临床医学研究与实践》2024年第29期167-170,共4页Clinical Research and Practice

摘　　要：目的探究个性化健康宣教在独居老年脑出血患者中的应用效果。方法选取2021年7月至2022年7月接收的300例独居老年脑出血患者作为研究对象,以随机数字表法将其分为对照组与研究组,每组150例。对照组接受常规护理,研究组在对照组基础上接受个性化健康宣教。比较两组的干预效果。结果研究组的遵医用药、作息规律、血压监测、合理饮食、科学锻炼、情绪稳定依从性占比显著高于对照组(P<0.05)。干预后,研究组的心力衰竭自我护理指数量表(SCHFI)各维度评分高于对照组(P<0.05)。干预后,研究组的欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)各维度评分显著高于对照组(P<0.05)。干预后,研究组的认知、行为评分均高于对照组(P<0.05)。结论个性化健康宣教能够提高独居老年脑出血患者的遵医行为依从性,提升其自护能力与生活质量,值得推广。Objective To explore the application effect of individualized health education in elderly patients with cerebral hemorrhage living alone.Methods A total of 300 elderly patients with cerebral hemorrhage who lived alone from July 2021 to July 2022 were selected as the research objects.The patients were divided into control group and study group by random number table method,with 150 cases in each group.The control group received routine nursing,and the study group received individualized health education on the basis of the control group.The intervention effects of the two groups were compared.Results The proportions of compliance with medical drugs,work and rest rules,blood pressure monitoring,reasonable diet,scientific exercise and emotional stability in the study group were significantly higher than those in the control group(P<0.05).After intervention,the scores of each dimension of the Self-Care of Heart Failure Index(SCHFI)in the study group were higher than those in the control group(P<0.05).After intervention,the scores of each dimension of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire(EORTC QLQ-C30)in the study group were significantly higher than those in the control group(P<0.05).After intervention,the cognitive and behavioral scores of the study group were higher than those of the control group(P<0.05).Conclusion Individualized health education can improve the compliance behavior of elderly patients with cerebral hemorrhage living alone,and promote the self-care ability and quality of life of patients,which is worthy of promotion.

关 键 词：脑出血 独居 个性化健康宣教 依从性 

分 类 号：R473[医药卫生—护理学]