摘要
目的了解不同文化层次住院脑卒中患者对疾病防治的知识和态度,为保证健康教育质量、开展干预治疗提供依据。方法采用自行设计问卷对台州市6家市级医院320例住院脑卒中患者进行脑卒中防治知识和态度调查。结果不同文化层次住院脑卒中患者对治疗原发病、及时就医治疗、按时服药方面的认知率比较,差异无统计学意义(P>0.05);而对经常测量血压、参加健康促进活动、减肥及控制体质量、定期体检接受健康教育方面的认知率差异有统计学意义(P<0.05),文化程度较高者,认知率也相对增加。防治态度方面,不同文化层次患者对调整饮食结构、戒烟的态度比较,差异无统计学意义(P>0.05);对改变活动方式、戒酒、参加体育运动、控制情绪等防治态度比较有统计学意义(P<0.05)。结论不同学历患者对脑卒中疾病防治知识认知有差异,低、中等学历人群知识缺乏突出;在愿意改变不良生活方式态度上有差异,低、中等学历人群态度不积极。应对住院患者及家属广泛开展健康教育和护理干预,尤其对低、中等学历人群进行重点指导。
Objective To investigate the knowledge and attitude of prevention and treatment among stroke patients with different education background. Methods The survey was performed among 320 stroke patients of 6 hospitals in Taizhou, using a self- designed questionnaire on the preventive and treating knowledge as well as their attitudes. Results In comparison of recognition rate of primary disease, timely treatment, punctual taking of medicine, there were no significant differences （P〉0.05）, but the differences were significant in terms of regular examination of blood pressure, participation in health-promoting activities, keeping fit and weight control, regular health examination （P〈0.05）. The higher their education level, the better their recognition rate. As for preventive attitude, the differences were insignificant in the adjustment of dieting and smoking-quitting for patients with difference education levels （P〉0.05）, but the differences were significant in view of changes of activity modes and insobriety-quitting, participation in physical exercises, control of emotions （P〈0.05）. Conclusion There are differences among stroke patients with different education backgrounds in recognition of stroke prevention and treatment and those at the medium or lower level of education background lack the knowledge at the most. There are differences in willingness to change poor style of life and those with middle or lower level of education are inactive. Comprehensive health education and nursing intervention are suggested for those inpatients, especially for those with medium or lower education background.
出处
《护理学报》
2008年第12期18-21,共4页
Journal of Nursing（China）
基金
温岭市"金桥工程"重点项目资金资助(20011)
关键词
脑卒中
文化程度
疾病防治
认知
态度
stroke
education level
prevention and treatment of disease
recognition
attitude
