自我管理教育课程对社区脑卒中患者的效果
作者:
作者单位:

(北京市丰台区方庄社区卫生服务中心,北京 100078)

作者简介:

通讯作者:

中图分类号:

R743.3

基金项目:

丰台区卫生计生系统科研项目(2016-06)


Effect of self-management teaching program on stroke patients in a community
Author:
Affiliation:

(Fangzhuang Community Health Service Center, Beijing 100078, China)

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的 研究自我管理教育课程对社区脑卒中患者自我管理情况的改善。方法 入选2012年1月到2016年12月北京市丰台区方庄社区卫生服务中心脑卒中患者115例,随机数字表法分为研究组57例和对照组58例。对照组接受常规门诊健康教育,研究组听取自我管理教育课程,1次/周,共听6周课,课程结束后比较2组患者慢性病自我效能情况。采用统计软件SPSS 19.0对数据进行分析,组间比较采用t检验或χ2检验。结果 相比干预前,研究组患者干预后自我效能得分明显提高,差异具有统计学意义(P<0.05)。研究组干预后相比对照组规律锻炼[(7.89±1.12) vs(6.31±0.53)分],获取疾病信息[(9.09±0.37) vs (5.23±1.93)分],获取社区、家庭和朋友的帮助[(8.28±0.06) vs (5.17±1.61)分],和医生沟通[(9.13±0.78) vs (6.24±0.46)分],疾病总体管理[(8.12±1.77) vs (6.16±0.22)分],做家务[(9.13±0.69) vs (6.18±1.70)分]等方面得分明显提高,差异具有统计学意义(P<0.05)。结论 自我管理教育课程可有效改善脑卒中患者自我管理情况。

    Abstract:

    Objective To assess improvement of the self-management in the stroke patients after attending teaching program. Methods A total of 115 stroke patients were enrolled at Fangzhuang Community Health Service Center from January 2011 to December 2016. The patients were randomly divided into study group (n=57) and control group (n=58). The control group were given routine outpatient health education, while the study group attended a self-management course once a week for 6 weeks. A comparison was made using Chronic Diseases Self-efficacy Scale on the completion of the course. SPSS statistics 19.0 was used for data analysis, and Student′s t test or Chi-square test for comparison. Results The self-efficacy scores after intervention were significantly higher in the study group than in the control group (P<0.05). Compared with control group after intervention, the study group had higher scores in regular exercise[(7.89±1.12)vs(6.31±0.53)], geting information on disease[(9.09±0.37) vs (5.23±1.93)], obtaining help from community, family and friends [(8.28±0.06) vs (5.17±1.61)], communicating with physician[(9.13±0.78) vs (6.24±0.46)], managing disease in general[(8.12±1.77) vs (6.16±0.22)]and doing chores[(9.13±0.69) vs (6.18±1.70)]. Conclusion Self-management teaching program can effectively improve self-management of the stroke patients.

    参考文献
    相似文献
    引证文献
引用本文

刘秀梅,于潇漪,朱夏媛,范晓红,薛武更,吴瑕,赵琪.自我管理教育课程对社区脑卒中患者的效果[J].中华老年多器官疾病杂志,2018,17(9):652~655

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2018-03-28
  • 最后修改日期:2018-04-11
  • 录用日期:
  • 在线发布日期: 2018-09-26
  • 出版日期: