CAJ | 학술논문

目的：观察脑梗死辨证施护在临床路径健康教育中的应用效果。方法将130例脑梗死患者随机分为2组。对照组69例用临床路径健康教育。观察组61例在临床路径健康教育下进行辨证施护。通过开展患者满意度调查、测定脑血管病危险因素控制指标（血压、血糖、血脂），分析辨证施护在脑梗死临床路径健康教育中的应用效果。结果观察组满意度较对照组高（P＜0．05）。干预6个月后，观察组血糖、血压、血脂四项的改善情况均优于对照组，比较差异有统计学意义（P＜0．05）。结论将辨证施护应用于脑梗死的临床路径健康教育中，能显著提高患者的满意度，降低脑梗死的危险因素，对于降低脑梗死患者复发具有一定临床意义。
목적：관찰뇌경사변증시호재림상로경건강교육중적응용효과。방법장130례뇌경사환자수궤분위2조。대조조69례용림상로경건강교육。관찰조61례재림상로경건강교육하진행변증시호。통과개전환자만의도조사、측정뇌혈관병위험인소공제지표（혈압、혈당、혈지），분석변증시호재뇌경사림상로경건강교육중적응용효과。결과관찰조만의도교대조조고（P＜0．05）。간예6개월후，관찰조혈당、혈압、혈지사항적개선정황균우우대조조，비교차이유통계학의의（P＜0．05）。결론장변증시호응용우뇌경사적림상로경건강교육중，능현저제고환자적만의도，강저뇌경사적위험인소，대우강저뇌경사환자복발구유일정림상의의。
Objective To discuss the effect of dialectical care on clinical path health education in patient with cerebral infarction .Methods 130 cases of cerebral infarction were randomly divided into two groups .Control group received the clinical path health education ,the patients in the observation group was applied by dialectical care on the basis of clinical path health education .The effect of dialectical care on clinical path health education in patient with cerebral infarction was analyzed ,through the patient satisfaction survey ,determination of cerebrovascular disease risk factors control indicators ( blood pressure、blood sugar、blood fat ) .Result The patient satisfaction in observation group was higher than that in control group (P<0.05).The improvement of blood pressure、blood sugar、blood fat in observation group were superior to those in control group (P<0.05).Conclusion Dialectical care is applied in cer-ebral infarction clinical path in health education can reduce the dangerous factors of cerebral infarction and improve the satisfaction of patients .It can reduce the recurrence of patients with cerebral infarction has certain clinical signifi -cance.