Application of health education based on symptom management strategies in patients with hypertensive cerebral hemorrhage
Objective To analyze the application effect of health education based on symptom management strategies in patients with hypertensive cerebral hemorrhage.Methods This study was a randomized controlled trial.A total of 116 patients with hypertensive cerebral hemorrhage in Shangqiu Central Hospital from January 2021 to January 2022 were divided into two groups by the random number table method with 58 cases in each group.In the control group,there were 34 males and 24 females,aged 33-64(47.13±6.34)years,and the time from onset to treatment was 1-18(11.32±1.30)h.In the observation group,there were 32 males and 26 females,aged 31-65(46.65±6.20)years,and the time from onset to treatment was 1-19(11.44±1.13)h.The control group was given routine clinical intervention,and the observation group was given health education intervention based on symptom management strategies for a total of 6 months.The negative emotion scores,psychological resilience scores,health-related behavior scores,and hope level scores 3 days before intervention and within 3 days after intervention and symptom distress level within 3 days after intervention were compared between the two groups.Independent sample ttest,x2 test,and rank sum test were used.Results After intervention,the scores of Self-rating Anxiety Scale(SAS)[(36.45±4.41)points]and Self-rating Depression Scale(SDS)[(35.78±3.98)points]of the observation group were lower than those of the control group[(46.38±5.12)points and(49.38± 1.69)points](both P＜0.05).After intervention,the scores of toughness[(44.16±5.56)points],self-reliance[(26.85±4.23)points],and optimism[(13.64±1.31)points]and total score of psychological resilience[(84.65±10.21)points]of the observation group were higher than those of the control group[(39.25±5.32)points,(23.52±4.16)points,(11.05±1.24)points,and(73.82± 9.45)points](all P＜0.05).After intervention,the scores of emotional control[(8.45±0.94)points],medication adherence[(12.65±1.34)points],dietary management[(16.32±2.45)points],exercise management[(16.06±2.41)points],and self-monitoring[(9.55±0.75)points]and total score of health-related behaviors of the observation group[(63.03±7.12)points]were higher than those of the control group[(7.21±1.12)points,(9.34±1.52)points,(13.74±1.56)points,(14.49±2.12)points,(7.36±1.25)points,and(52.14±7.25)points](all P＜0.05).After intervention,the scores of positive attitudes[(11.89±2.15)points],positive actions[(11.74±2.46)points],and intimate relationships[(12.47±2.42)points]and total score of hope level of the observation group[(35.71±4.14)points]were higher than those of the control group[(9.45±3.07)points,(10.08±2.54)points,(10.84± 3.26)points,and(32.65±4.28)points](all P＜0.05).Conclusion Health education intervention based on symptom management strategies can improve the negative emotions of hypertensive intracerebral hemorrhage patients,enhance their psychological resilience,improve the health related behaviors and hope level,and alleviate the symptoms.
国家科技期刊平台
NSTL
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