摘要
目的对国内健康教育路径应用于脑卒中的试验性研究文献进行分析，以全面了解健康教育路径在脑卒中疾病中的应用。方法检索时间限制为从建库起至2012年2月29日止，检索CNKI、维普、万方及万方学位论文4个数据库，以“健康教育路径and脑卒中”、“临床路径and健康教育and脑卒中”、“健康教育路径and中风”、“临床路径and健康教育and中风”分别作为关键词进行检索。应用文献计量法和内容分析法对检索结果进行文献分析。结果共纳入19篇文献，全部为运用健康教育路径作为干预措施的临床试验性研究。其中18篇分别收录于13种期刊中，1篇学位论文；健康教育对象为患者本人（12篇）、患者和照顾者（5篇）、照顾者（2篇）；只有6篇明确规定了路径执行时间；只有3篇提及中医健康教育内容，其余均为西医内容；6篇交代了健康教育方式；所有评价指标均为量性指标，无质性研究评价；只有7篇交代了健康教育路径的形成方法。结论脑卒中恢复期健康教育路径逐渐受到重视，但未能凸显中医特色；文献质量有待进一步提高；健康教育路径时问及层次性有待进一步明确且需建立完善的评价体系。
Objective To analyze domestic clinical research literature on health education pathway for stroke patients, in order to fully understand the application of health education pathway in stroke disease. Methods CNKI, VIP, Wanfang and Wanfang dissertation data base were searched from their establishment date to February 29th, 2012 and the keywords were ＂stroke＂ combined with ＂health education pathway＂ , or ＂clinical pathway＂ and ＂health education＂. Methods of bibliometric analysis and content analysis were used to analyze the search results. Results 19 literatures were included, all of which were clinical trials on health education path as intervention measures. Among them, 18 were included in 13 periodicals and 1 was dissertation. The objects of health education were patients （12 literatures ）, patients and caretakers （5 literatures） and caretakers （2 literatures）. Only 6 literatures specified the time of health education pathway. 3 mentioned Chinese medical health education and the rest were all about western medical health education. 6 talked about the mode of health education, all evaluation indexes were quantitative, none were qualitative. only 7 accounted for the formation of health education pathway. Conclusions Health education pathway for stroke patients is getting more and more attention, but highlights no characteristics of traditional Chinese Medicine. The quality of literature requires improvement, timeline as well as hierarchy of health education pathway has to be explicated, and a better evaluation system needs to be built.
出处
《中华现代护理杂志》
2012年第31期3773-3776,共4页
Chinese Journal of Modern Nursing
基金
北京中医药大学自主选题项目（JYB22-JS080）
关键词
卒中
健康教育路径
试验性研究
文献分析
Stroke
Health education pathway
Clinical trial
Literature analysis
