Cameron教育模式对脑卒中患者康复效果和照顾者心理状况的影响

目的观察通过Cameron教育模式提高脑卒中患者家庭照顾者的知识和技能,对其不良心理状况和患者康复效果的改善作用。方法干预组38例脑卒中住院患者,对家庭照顾者采用Cameron模式,分阶段进行针对性的知识教育和技能培训;对照组36例脑卒中住院患者,对家庭照顾者采用常规健康教育。干预前及干预3个月后,对患者进行ESS、MMSE、Fugl-Meyer、MBI评定,对照顾者进行GHQ-12评定。结果干预后,干预组患者ESS、Fugl-Meyer、MBI评分高于对照组(P<0.05),照顾者GHQ-12及其部分项目评分低于对照组(P<0.05)。多重线性回归分析发现,干预后,干预组照顾者的GHQ-12、注意力评分与患者的MBI呈负相关(P值分别<0.05、0.01),紧张感评分与患者的ESS呈负相关(P<0.05)。结论 Cameron教育模式能有效减轻家庭照顾者的不良心理状态,进而提高患者的康复效果。

Effect of Cameron education mode on rehabilitation of stroke patients and psychological status of family caregivers

Objective To carry out Cameron education mode among stroke patient families to improve their knowledge and skills, and evaluate its effect on adverse psychological of caregivers and rehabilitation of stroke patients. Methods 38 of hospitalized stroke patients were in the intervention group, and targeted education and skills training were given to their family caregivers based on Cameron education mode periodically. 36 patients in the control group and regular health education were given to their family caregivers. Before the intervention and three months after the intervention, stroke patients were e- valuated by ESS, MMSE, Fugl-Meyer, MBI, and the caregivers were evaluated by GHQ - 12. Results After interven- tion, the scores of ESS, Fugl-Meyer, MBI of patients in the intervention group were higher than that in the control group （ all P 〈 O. 05 ）. The scores of GHQ - 12 and some of items in the intervention group family caregivers were lower than that of the control group （P 〈 0. O1 or P 〈 0. 05, respectively）. Multiple linear regression analysis found that the scores of GHQ - 12, attention in intervention group family caregivers were negative correlation to the scores of MBI （P 〈0. 05 or P 〈0. 01, respectively） of patients. The scores of tension of their caregivers were negative correlation to the scores of ESS of the patients （P 〈0. 05）. Conclusion Cameron education mode could effectivdy reduce family caregivers＇ adverse psychological status and improve patient＇s rehabilitation.