MDT模式下健康教育对老年缺血性脑卒中患者心理状态及生活方式的影响  

Study on the influence of multidisciplinary team-based health education on mental state and lifestyle of elderly patients with ischemic stroke

作　　者：黄弋潇[1] 何芳[2] 罗远玲[2] 李玉梅[2] 邓伟虹[3] HUANG Yixiao;HE Fang;LUO Yuanling(Department of Cardiovascular Medicine,the Second People's Hospital of Qinzhou,Guangxi,Qinzhou 535000,China;不详)

机构地区：[1]广西壮族自治区钦州市第二人民医院心血管内科,535000 [2]广西壮族自治区钦州市第二人民医院护理部,535000 [3]广西壮族自治区钦州市第二人民医院脑血管病科,535000

出　　处：《河北医药》2025年第3期448-451,455,共5页Hebei Medical Journal

基　　金：钦州市科学研究与技术开发计划项目(编号:20223625)。

摘　　要：目的分析多学科团队协作模式(MDT)下健康教育对老年缺血性脑卒中患者心理状态及生活方式影响。方法采取方便抽样法选取2022年11月至2023年11月广西钦州市第二人民医院心血管内科就诊的老年缺血性脑卒中患者78例,以电脑随机数表法为依据分组,对照组39例采用常规健康教育干预方案,研究组39例展开MDT模式下健康教育,比较2组疾病认知水平、心理状态、健康行为水平及生活方式。结果干预后,研究组患者缺血性脑卒中疾病认知水平评分(91.03±8.92)分,对照组(80.46±10.53)分,研究组更高,差异有统计学意义(P<0.05);研究组的激惹、抑郁和焦虑自评量表(IDA)分数为(12.86±2.85)分,对照组为(21.59±3.35)分,研究组更低(P<0.05);研究组健康行为能力量表(SRAHP)得分(69.02±8.32)分,对照组(63.00±7.68)分,研究组更高,差异有统计学意义(P<0.05);研究组的健康促进生活方式量表(HPLP)得分(167.25±22.43)分,对照组(149.59±21.44)分,研究组更高,差异有统计学意义(P<0.05)。结论MDT模式下健康教育应用于老年缺血性脑卒中患者中可取得满意效果,有助于增强其疾病认知水平,改善心理状态,而且还可以提高患者的健康行为水平,促进其健康生活方式增强。Objective To analyze the influence of multidisciplinary team(MDT)-based health education on mental state and lifestyle of elderly patients with ischemic stroke.Methods A total of 78 elderly patients with ischemic stroke who were admitted to the Department of Cardiovascular Medicine,the Second People's Hospital of Qinzhou from November 2022 to November 2023 were selected by convenient sampling method.They were randomly grouped according to the computer random number table method into the control group(conventional health education),and study group(MDT-based health education),with 39 cases per group.The cognitive level of disease,mental state,health behavior level and lifestyle of the two groups were compared.Results After intervention,the cognitive score of ischemic stroke was significantly higher in the study group than the control group([91.03±8.92]points vs[80.46±10.53]points,P<0.05).The Irritability,Depression,and Anxiety(IDA)score was significantly lower in the study group than the control group([12.86±2.85]points vs[21.59±3.35]points,P<0.05).The Self-Rated Abilities for Health Practices Scale(SRAHP)score was significantly higher in the study group than the control group([69.02±8.32]points vs[63.00±7.68]points,P<0.05).The Health-Promoting Lifestyle Profile(HPLP)score was significantly higher in the study group than the control group([167.25±22.43]points vs[149.59±21.44]points,P<0.05).Conclusion The application of MDT-based health education in elderly patients with ischemic stroke can achieve satisfactory results,which can help to enhance their disease cognition level,mental state,health behavior level,and health promoting lifestyle.

关 键 词：多学科团队协作模式 健康教育 老年 缺血性脑卒中 心理状态 生活方式 

分 类 号：R743.33[医药卫生—神经病学与精神病学]