摘要
目的根据知信行理论原则,结合健康信念管理模式,研究脑卒中快速识别知信行模式在医院-社区联动管理中对社区居民的效果。方法选取2017年1月至2019年1月本社区有高血压病的180例患者,以随机抽取的方式将患者平均分为对照组(90例,管理过程中行常规管理方法)和研究组(90例,运用脑卒中快速识别知信行模式,实行医院-社区联动管理,),经过1年后的管理,对比两组患者预防知识问卷(SPKQ)得分、脑卒中健康行为问卷(SPBQ)得分、日常生活能力评分(ADL)及脑卒中发病率。结果经过1年医院-社区联动管理的数据研究后得知,研究组患者SPKQ为(72.5±15.7)分、SPBQ为(3.3±0.4)分、ADL为(87.6±6.6)分,对照组SPKQ为(55.7±14.2)分、SPBQ为(2.5±0.3)分、ADL为(71.5±10.8)分,研究组得分均高于对照组(均P<0.05);研究组患者脑卒中发病率为7.78%(7/90),对照组为18.89%(17/90),研究组明显低于对照组,差异有统计学意义(P<0.05)。结论在医院-社区联动管理过程中,通过对脑卒中易发人群实行脑卒中快速识别知信行模式及相关健康宣教,可以大大地提高此类人群对脑卒中的认知、信念和防控行为,从而减少了社区居民脑卒中的发病率。
Objective Based on the theory of knowledge,attitude/belief,and practice(KAP)and on the health belief management(HBM),to investigate the effect of rapidly recognizing stroke patients using KAP in the hospital-community linkage management of community residents.Methods One hundred and eighty hypertension patients treated at our community from January,2017 to January,2019 were selected and randomly divided into a control group and a study group,with 90 cases in each group.The control group were routinely managed;and the study group were managed by hospital-community interaction and rapid recognition for preventing stroke based on KAP.After 1-year management,the scores of Stroke-Prevention Knowledge Questionnaire(SPKQ),Stroke-Prevention Behavior Questionnaire(SPBQ),and Activity of Daily Living(ADL),as well as the incidences of stroke were compared between the two groups.Results After 1-yearmanagement,the scores of SPKQ,SPBQ and ADL were higher and the incidence of stroke was lower in the study group than in the control group[(72.5±15.7)vs.(55.7±14.2),(3.3±0.4)vs.(2.5±0.3),(87.6±6.6)vs.(71.5±10.8),and 7.78%(7/90)vs.18.89%(17/90);all P<0.05].Conclusion In health management of hospital-community interaction,rapid recognition of stroke based on KAP and HBM and health propaganda and education for people highly susceptible to stroke can significantly strengthen their knowledge,belief,and prevention of stroke,decreasing the incidence of stroke in community residents.
作者
饶婷
李坷娜
胡小连
江燕煊
Rao Ting;Li Kena;Hu Xiaolian;Jiang Yanxuan(ICU,Houjie Hospital,Dongguan 523960,China)
出处
《国际医药卫生导报》
2021年第3期376-378,共3页
International Medicine and Health Guidance News
基金
东莞市社会科技发展项目(201950715083487)。
关键词
脑卒中
快速识别
知信行模式
医院-社区联动管理
健康宣教
Stroke
Rapid recognition
Knowledge,belief,and behavior mode
Hospital-community linkage management
Health education
