健康教育对脑卒中患者生活质量影响研究.docVIP

健康教育对脑卒中患者生活质量影响研究[摘要] 目的 分析健康教育对脑卒中患者生活质量的影响。 方法 选择2008年9月～2011年10月本院收治的脑卒中康复患者，所有患者在药物治疗、心理干预的基础上给予积极健康教育方法。 结果 120例脑卒中康复期的患者共有65例有抑郁症状，发病率为54.2%；抑郁患者的NIHSS评分明显高于非抑郁患者（P 0.05），而BI评分明显低于非抑郁患者（P 0.05）。健康教育后，本组患者的生活质量有了明显改善，其中在躯体化、抑郁、焦虑、偏执方面教育前后差异有统计学意义（P 0.05）。 结论 脑卒中患者多伴随有抑郁状况，严重影响患者的神经功能与日常生活能力，积极的健康教育能够提高生活质量，值得推广应用。 [关键词] 脑卒中；健康教育；抑郁；生命质量 [中图分类号] R743.3 [文献标识码] C [文章编号] 1674-4721（2012）07（c）-0176-02 The influence analysis of health education on the quality of life of stroke patients GAN Haiying ZHAO Jiang WANG Qiaoru CHEN Xiaoju Shipai Hospital of Dongguan City in Guangdong Province, Dongguan 523330, China [Abstract] Objective To analyze the influence of health education on the quality of life of stroke patients. Methods Stroke rehabilitation patients from September 2008 to October 2011 in our hospital, all patients were given healthy and active educational methods on the basis of medication, psychological intervention. Results One hundred and twenty cases of stroke rehabilitation of the patients, 65 cases of depressive symptoms, the incidence rate of 54.2%; Depression in patients with NIHSS were significantly higher than non-depressed patients (P 0.05) and BI scores were significantly lower than non-patients with depression (P 0.05). Health education, quality of life for this group of patients had been significantly improved, which before and after education in terms of somatization, depression, education, paranoid significant difference (P 0.05). Conclusion Multi-stroke patients with depression status, seriously affecting the patient′s neurological function and activities of daily living, active health education to improve quality of life should be widely applied. [Key words] Stroke; Health education; Depression; Quality of life 近年来，随着生活水平的提高，人们的健康水平也在逐渐提高，人群疾病谱发生了重大变化。各种“富贵病”越来越多[1]。“三高”-高血压、高血糖、高脂血症成为威胁21世纪人类健康的首要危险因素，也促使了脑卒中的发病率越来越高，它影响患者的生活质量，给家庭和社会带来沉重的负担，严重影响患者的康复疗效和预后，因此对它的健康教育越来越受到临床医生的重视[2]。本文为此具体探讨了健康教育对脑卒中患者生活质量的影响，现报道如下： 1 资料