摘要
目的:探讨基于“问、想、做、评”(ATDE)模式的健康教育对脑梗死患者康复期医学行为及心理弹性的影响。方法:选取2018年10月—2021年12月郑州市第二人民医院就诊的102例脑梗死患者作为研究对象,按照随机抽签法将其分为实验组和对照组,每组各51例。对照组采用常规健康教育法干预,实验组采用ATDE模式的健康教育法干预,对脑梗死患者干预1个月后,通过欧洲卒中量表(ESS)得分情况评估患者的神经功能,通过比较两组患者干预前后日常生活活动能力(ADL)量表的水平变化分析患者康复情况,通过应对量表的水平变化评估患者的医学行为,通过心理弹性量表(ER89)的评分情况分析患者的心理弹性。结果:干预1个月后,两组患者ESS、ADL评分均显著增加,且实验组ESS、ADL评分显著高于对照组,差异有统计学意义(t=4.901、5.029,P<0.05)。干预1个月后,两组患者积极应对(PC)分值均明显上升,且实验组显著高于对照组,差异有统计学意义(t=6.923,P<0.05);两组患者消极应对(NC)分值均明显下降,且实验组显著低于对照组,差异有统计学意义(t=9.589,P<0.05)。两组患者ER89评分均明显上升,且实验组显著高于对照组,差异有统计学意义(t=6.041,P<0.05)。结论:ATDE模式的健康教育可有效提高脑梗死患者康复期的日常生活能力及神经功能,并有效改善其应对方式及心理弹性能力。
Objective:To investigate the effects of health education based on the“Ask,Think,Do,Evaluate”(ATDE)model on the medical behavior and psychological resilience of patients with cerebral infarction during rehabilitation.Methods:102 pa⁃tients with cerebral infarction attending the hospital from October 2018 to December 2021 were selected as the study subjects and divided into experimental group and control group according to the random draw method,with 51 cases in each group.The control group adopted the conventional health education method,and the experimental group adopted the health education method of ATDE model.After 1 month of intervention in patients with cerebral infarction,patients’neurological function was assessed by the European Stroke Scale(ESS)score.The patients’recovery was analyzed by comparing the changes in the levels of the Activity of Daily Living(ADL)scale before and after the intervention in the two groups,the patients’medical behavior was assessed by the changes in the levels of the Coping Scale,and the patients’psychological resilience was analyzed by the scores of the Psychologi⁃cal Resilience Scale(ER89).Results:After 1 month of intervention,ESS and ADL scores increased significantly in both groups,and ESS and ADL in the experimental group were significantly higher than those in the control group,with statistically significant differences(t=4.901,5.029,P<0.05).After 1 month of intervention,positive coping(PC)scores increased significantly in both groups,and the experimental group was significantly higher than the control group,with statistically significant differences(t=6.923,P<0.05).Negative coping(NC)scores decreased significantly in both groups,and the experimental group was significantly lower than the control group,with statistically significant differences(t=9.589,P<0.05).ER89 scores increased significantly in both groups and was significantly higher in the experimental group than in the control group,with a statistically significant dif⁃ference(t=6.041,P<0.05).Conclusion:The ATDE model of health education is effective in improving the daily living ability and neurological function of patients with cerebral infarction during the rehabilitation period,and in improving their coping style and psychological resilience.
作者
周倩倩
何慧芳
冯文青
Zhou Qianqian;He Huifang;Feng Wenqing(The Second Ward of Neurology,Zhengzhou Second People’s Hospital,Zhengzhou,Henan,450000,China)
出处
《黑龙江医学》
2023年第19期2370-2372,2376,共4页
Heilongjiang Medical Journal
关键词
“问、想、做、评”模式
健康教育
脑梗死
心理弹性
“Ask,Think,Do,Evaluate”model
Health education
Cerebral infarction
Psychological resilience
