摘要
目的:探讨基于知识宣教的健康促进干预对脑出血血肿清除术患者依从性的影响。方法:选取脑出血血肿清除术患者118例,采用随机数字表法分为研究组和对照组各59例,对照组采用常规护理,研究组在对照组基础上采用基于知识宣教的健康促进干预,采用功能独立性评定(FIM)量表标准评定生活自理能力,比较2组治疗依从性、术后并发症发生率、生活自理能力与护理满意度的差异。结果:研究组的治疗依从率明显高于对照组,术后并发症发生率明显低于对照组,差异具有统计学意义(P<0.05)。2组护理前FIM评分比较差异无统计学意义(P>0.05),2组护理后FIM评分明显高于护理前(P<0.05),研究组FIM评分明显高于对照组,差异具有统计学意义(P<0.05)。研究组的护理满意度明显高于对照组,差异具有统计学意义(P<0.05)。结论:基于知识宣教的健康促进干预可明显改善脑出血血肿清除术患者依从性,降低术后并发症发生风险,改善生活自理能力,提升护理质量。
Objective： To study the influence of compliance by knowledge education based health promotion intervention for pa- tients with cerebral hemorrhage hematoma removal. Methods： A total of 118 patients with cerebral hemorrhage hematoma removal were selected and divided into research group and control group randomly, 59 cases in each group. The control group was given by routine nursing, while the research group was given knowledge education based health promotion intervention in the basis of the con- trol group. Living self-care ability was assessed by Functional Independence Measure （FIM） scale standard. The differences of treat- ment compliance, postoperative complications incidence, living self-care ability and nursing satisfaction between two groups were compared. Results： The treatment compliance rate of the research group was significantly higher than that of the control group, while postoperative complications incidence rate was lower than that of the control group, with statistically significant difference （P〈 0.05）. Before nursing, there was not statistically significant difference of FIM score （P〉0.05） between two groups, and after nursing, FIM score of all patients were significantly higher pre-nursing, FIM score of the research group was significantly higher than that of the control group, compared with statistically significant differences （P〈0.05）. Nursing satisfaction of the research group was signif- icantly higher than that of the control group, with statistically significant difference （P〈0.05）. Conclusion： Knowledge education based health promotion intervention can significantly improve compliance, reduce postoperative complications risk, and improve their living self-care ability and nursing quality for patients with cerebral hemorrhage hematoma removal. It is worthy of clinical popularization and application.
作者
张婧竹
ZHANG Qianzhu(The First Affiliated Hospital of China Medical University, Shenyang, Liaoning 110002, Chin)
出处
《康复学报》
2018年第1期55-59,共5页
Rehabilitation Medicine
基金
辽宁省自然科学基金项目(2014021066)
关键词
脑出血
血肿清除术
知识宣教
健康促进干预
依从性
cerebral hemorrhage
hematoma removal
knowledge education
health promotion interventions
compliance
