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反馈式健康教育结合心理疏导在脑血管疾病护理中的应用
康颖,王熙燕,赵慧,张晶,李鑫
0
(首都医科大学附属北京天坛医院国际部)
摘要:
目的 探讨反馈式健康教育结合心理疏导在脑血管疾病护理中的应用效果。 方法 选取2017年6月~2018年12月我院收治的94例脑血管疾病患者为研究对象,按照随机数字表法分为对照组和观察组,每组47例。对照组给予常规护理和心理疏导,观察组在此基础上再给予反馈式健康教育。比较两组患者护理前后对脑血管疾病的认知水平、心理状态、自我管理能力和日常生活活动能力。 结果 护理前,两组患者对脑血管疾病的认知水平、心理状态、自我管理能力和日常生活活动能力比较均无显著差异(P>0.05)。护理后,观察组对脑血管疾病的认知水平(基础知识、影响因素、用药注意事项、饮食与休息、康复锻炼评分)均高于对照组(P<0.05);观察组焦虑自评量表(SAS)与抑郁自评量表(SDS)评分均低于对照组(P<0.05);观察组自我效能及自我管理行为评分均高于对照组,健康状况评分低于对照组(P<0.05);观察组Barthel指数(BI)和日常生活能力量表(ADL)评分均高于对照组(P<0.05)。 结论 反馈式健康教育结合心理疏导可提高患者对脑血管疾病的认知水平,有效调节其心理状态,改善患者自我管理能力和日常生活活动能力。
关键词:  反馈式健康教育  心理疏导  脑血管疾病  认知水平  自我管理能力
DOI:
基金项目:
Application of feedback health education combined with psychological counseling in the nursing of cerebrovascular diseases
KANG Ying,WANG Xiyan,ZHAO Hui,ZHANG Jing,LI Xin
(International Department, Beijing Tiantan Hospital, Capital Medical University)
Abstract:
Objective To explore the application effects of feedback health education combined with psychological counseling in the nursing of cerebrovascular diseases. Methods 94 patients with cerebrovascular diseases in our hospital were divided into control group and observation group according to the random number table method. The two groups were given routine nursing and psychological counseling, and observation group was given feedback health education on this basis. The cognitive level of cerebrovascular diseases, psychological states, selfmanagement ability and activities of daily living were compared between the two groups before and after nursing. Results In terms of cognitive level of cerebrovascular diseases, the scores of basic knowledge, influencing factors, medication precautions, diet and rest and rehabilitation exercise in observation group after nursing were higher than those in control group (P<0.05). As for psychological states, the scores of selfrating anxiety scale (SAS) and selfrating depression scale (SDS) in observation group after nursing were lower than those in control group (P<0.05). In terms of selfmanagement ability, the scores of selfefficacy and selfmanagement behavior in observation group after nursing were higher than those in control group (P<0.05) while the health status score was lower than that in control group (P<0.05). In terms of activities of daily living, the Barthel index (BI) and ability of daily living scale (ADL) score in observation group after nursing were higher than those in control group (P<0.05). Conclusion Feedback health education combined with psychological counseling can improve cognition level of cerebrovascular diseases, effectively adjust psychological states, and improve the selfmanagement ability and activities of daily living.
Key words:  Feedback health education  Psychological counseling  Cerebrovascular diseases  Cognitive level  Self management ability

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