脑卒中偏瘫恢复期患者健康教育路径研究设计

目的 提高脑卒中偏瘫恢复期患者的健康教育效果和最大程度地促进患者康复。方法 借鉴国外应用临床护理路径的经验，将临床护理路径用于脑卒中偏瘫恢复期患者的健康教育。56例脑卒中偏瘫恢复期患者分为实验组和对照组，实验组实施规范化康复护理，应用健康教育路径．对照组实施传统护理，传统健康教育方法。入选时、干预1、2个月后进行Barthel指数、简化Fugl—Meyer运动功能评分量表、脑卒中后抑郁多模式方法诊断、焦虑自评量表、并发症发生率评定。结果 2组患者Barthel指数、简化Fugl-Meyer运动功能评分均较前一阶段提高（P〈0．01）；1月后．实验组提高分高于对照组．但无显著性差异，2月后．实验组提高分高于对照组．有显著性差异（P〈0．01）。2组脑卒中后抑郁多模式方法诊断、焦虑自评分均较前一阶段显著性降低（P〈0．01）；焦虑自评分：1，2月后实验组降低分均显著大于对照组（P〈0．01），脑卒中后抑郁多模式方法诊断评分：1月后，实验组降低分大于对照组（P〈0．05）．2月后．试验组降低分显著大于对照组（P〈0．01）。实验组的并发症发生率低于对照组（P〈0．05）。结论 健康教育路径可提高健康教育质量，有助于患者整体康复。

Study design of the health education pathway for stroke patients in rehabilitation period

Objective To improve the effects of health education(HE) in hemiplegic patients with stroke in rehabilitation period,and accelerate the rehabilitation to the full extent.Methods Through learning foreign country's experiences in carrying out clinical nursing pathway,we applied the clinical nursing pathway to HE of hemiplegic patients with stroke in rehabilitation period.56 cases of hemiplegic patients with stroke in rehabilitation period were divided into the experimental group and the control group randomly.For the experimental group,we adopted standardization rehabilitation nursing and carried out the HE pathway.For the control group,we adopted the traditional nursing and traditional HE.In the beginning,1 and 2 months after the intervention,evaluations were done with the Barthel Index,Simplified Fugl-Meyer Motor Function Rating Scale,Multi-model Approach to Diagnosis of Post-Stroke Depression,Self Rating Anxiety Scale and incidence rate of complications.Results Scores of Barthel Index and Simplified Fugl-Meyer Motor Function Rating Scale in the two groups were higher than the former phase(P<0.01). The increased scores in the experimental group were higher than those in the control group without a significant statistical difference after one month, but a significant statistical difference after two months(P<0.01).Two groups' scores of Multi-model Approach to Diagnosis of Post-Stroke Depress and Self Rating Anxiety Scale were lower than the former phrase((P<0.01));Self Rating Anxiety Scale: 1,2 months later,the experimental group's declined scores were higher than those in the control group(P<0.01);Multi-model Approach to Diagnosis of Post-Stroke Depress: 1 month later,the experimental group's declining score was higher than that in the control group(P<0.05),2 months later,the experimental group's declining score was higher than that in the control group(P<0.01).Conclusions The health education pathway can improve the quality of health education,and accelerate the rehabilitation of patients.