国际老年医学杂志2024,Vol.45Issue(5) :588-592.DOI:10.3969/j.issn.1674-7593.2024.05.014

基于奥伦自理学说理念的健康教育对老年急性缺血性脑卒中患者康复效果的影响

Impacts of Health Education Based on the Concept of Oren's Self-care Theory on Elderly Patients with Acute Ischemic Stroke

王晓莹 胡芳 叶秋桠 吕学海 刘翠翠
国际老年医学杂志2024,Vol.45Issue(5) :588-592.DOI:10.3969/j.issn.1674-7593.2024.05.014

基于奥伦自理学说理念的健康教育对老年急性缺血性脑卒中患者康复效果的影响

Impacts of Health Education Based on the Concept of Oren's Self-care Theory on Elderly Patients with Acute Ischemic Stroke

王晓莹 1胡芳 1叶秋桠 1吕学海 1刘翠翠1
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作者信息

  • 1. 邯郸市中心医院,邯郸 056000
  • 折叠

摘要

目的 探讨基于奥伦自理学说理念的健康教育在老年急性缺血性脑卒中患者中的干预效果.方法 选取2021年11月—2023年11月邯郸市中心医院收治的138例老年急性缺血性脑卒中患者作为研究对象,根据随机数字表法分为两组,各69例,对照组给予常规健康教育,研究组在对照组的基础上实施基于奥伦自理学说理念的健康教育.比较两组的康复依从性、自理能力、肢体功能、10米步行时间测试(10MWT)、计时起立-行走测试(TUGT)、健康行为、自护能力.结果 研究组的依从率高于对照组(P<0.05).干预后,两组改良巴氏指数、上肢及下肢Fugl-Meyer评估量表评分、自护能力量表各维度评分、健康行为量表各维度评分均大于干预前(P<0.05),且研究组各指标均大于对照组(P<0.05);两组的10MWT、TUGT小于干预前(P<0.05),且研究组各指标均小于对照组(P<0.05).结论 基于奥伦自理学说理念的健康教育可改善老年急性缺血性脑卒中患者的康复依从性、自理能力、肢体功能、自护能力,缩短10MWT、TUGT时间,促进健康行为.

Abstract

Objective To explore the intervention effect of health education based on the concept of Oren's self-care theory in elderly patients with acute ischemic stroke.Methods A total of 138 elderly acute ischemic stroke patients admitted to Handan Central Hos-pital from November 2021 to November 2023 were selected and randomly separated into two groups using a random number table method,each had 69 cases.The control group received routine health education,while the research group received health education based on the concept of Oren's self-care theory on the top of control group.Rehabilitation compliance,self-care ability,limb function,10-meter walk test(10MWT),Timed up and go test(TUGT),healthy behavior,and self-care ability were compared between two groups.Results The com-pliance rate of research group was higher than that in control group(P<0.05).After the intervention,the scores of the modified Barthel index,upper limb and lower limb Fugl-Meyer assessment scale,exercise of self-care agency and health promotion lifestyle profile scale in both groups were higher than before the intervention(P<0.05),and the indicators of the research group were higher than those in the con-trol group(P<0.05).After intervention,the 10MWT and TUGT of both groups were lower than before intervention(P<0.05),and the indicators of the research group were lower than those in the control group(P<0.05).Conclusion Health education based on the concept of Oren's self-care theory can improve the rehabilitation compliance,self-care ability,limb function,and self-care ability of elderly acute is-chemic stroke patients,reduce 10MWT and TUGT,and promote healthy behavior.

关键词

奥伦自理学说/健康教育/急性缺血性脑卒中/康复依从性/自理能力

Key words

Oren's self-care theory/Health education/Acute ischemic stroke/Rehabilitation compliance/Self-care ability

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基金项目

邯郸市科学技术研究与发展计划项目(22422083027ZC)

出版年

2024
国际老年医学杂志
吉林大学

国际老年医学杂志

CSTPCD
影响因子:0.435
ISSN:1674-7593
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