摘要
目的:探讨以脑心健康管理师为主导的健康管理对中青年缺血性脑卒中患者自我管理行为及服药依从性的影响。方法:中青年缺血性脑卒中患者112例,分为对照组55例和干预组57例。对照组给予常规管理和随访,干预组实施以脑心健康管理师为主导的健康管理。干预前及干预3月后采用青年脑卒中患者自我管理行为量表及8项服药依从性量表评价效果。结果:干预后,干预组自我管理行为总分及疾病管理、日常生活管理、饮食自我管理、康复锻炼管理及资源利用管理五个维度的分数显著高于对照组(P<0.01),干预组服药依从性亦高于对照组(P<0.01)。结论:以脑心健康管理师为主导的健康管理改善了中青年缺血性脑卒中患者的自我管理行为,同时提高了其服药依从性。
Objective:To explore effect of brain and heart health manager-led health management on self-management behavior and medication compliance of young and middle-aged patients with ischemic stroke.Methods:Young and middle-aged patients(n=112)with ischemic stroke were divided into the control group(55 cases)and intervention group(57 cases).The control group was given routine management and follow-up,and the intervention group was given brain and heart health manager-led health management.The effect of intervention was evaluated by the youth stroke patient self-management behavior scale and 8-item medication compliance scale before intervention and 3 months after intervention.Results:After intervention,the total score of self-management behavior and the scores of disease management,daily life management,diet self-management,rehabilitation exercise management,and resource utilization management in the intervention group were significantly higher than those in the control group(P<0.01).The compliance of the intervention group was also higher than that of the control group(P<0.01).Conclusion:Brain and heart health manager-led health management improves the self-management behavior of young and middle-aged patients with ischemic stroke,and also improves their medication compliance.
作者
何易
梅菁
黄桂玲
许阳
王紫颖
HE Yi;MEI Jing;HUANG Gui-ling;XU Yang;WANG Zi-ying(Departmeng of Neurology,Zhongnan Hospital of Wuhan University,Wuhan 430062,China;Department of Nursing,Zhongnan Hospital of Wuhan University,Wuhan 430062,China)
出处
《神经损伤与功能重建》
2022年第11期636-639,共4页
Neural Injury and Functional Reconstruction
基金
武汉大学中南医院优势学科项目(No.ZNXKPY2020027)。
关键词
中青年
脑卒中
小程序
健康管理
自我管理
服药依从性
young and middle-aged
stroke
mini-program
health management
self-management
medication compliance