CAJ | 학술논문

目的探讨门诊健康教育对脑卒中高危人群危险因素的干预效果.方法将2010年6月至2012年6月在我院就诊的500名脑卒中高危患者分成两组,一组为对照组,未进行系统的健康教育,另一组为干预组,针对危险因素进行系统的健康教育.比较两组在血糖、血脂、血压方面的控制情况及两组脑卒中的发病率.结果干预组在接受系统的健康教育后,血糖为(6.5±1.2) mmol/1,血脂为(2.39±1.27)mmo]/l,收缩压为(135±18) mmHg,舒张压为(85±23) mmHg,脑卒中发病率为4.4％;未进行系统健康教育的对照组血糖为(7.5±1.3) mmol/1,血脂为(3.32±1.21) mmol/1,收缩压为(159±22) mmHg,舒张压为(95±31) mmHg,脑卒中发病率为7.2％,干预组对血糖、血脂、血压的控制情况优于对照组,脑卒中的发病率低于对照组.两组比较差异有统计学意义(P＜0.05).结论在门诊对脑卒中高危人群,针对其危险因素进行健康教育,可更好地控制血糖、血脂及血压,降低了脑卒中的发病率.
목적 탐토문진건강교육대뇌졸중고위인군위험인소적간예효과.방법 장2010년6월지2012년6월재아원취진적500명뇌졸중고위환자분성량조,일조위대조조,미진행계통적건강교육,령일조위간예조,침대위험인소진행계통적건강교육.비교량조재혈당、혈지、혈압방면적공제정황급량조뇌졸중적발병솔.결과 간예조재접수계통적건강교육후,혈당위(6.5±1.2) mmol/1,혈지위(2.39±1.27)mmo]/l,수축압위(135±18) mmHg,서장압위(85±23) mmHg,뇌졸중발병솔위4.4％;미진행계통건강교육적대조조혈당위(7.5±1.3) mmol/1,혈지위(3.32±1.21) mmol/1,수축압위(159±22) mmHg,서장압위(95±31) mmHg,뇌졸중발병솔위7.2％,간예조대혈당、혈지、혈압적공제정황우우대조조,뇌졸중적발병솔저우대조조.량조비교차이유통계학의의(P＜0.05).결론 재문진대뇌졸중고위인군,침대기위험인소진행건강교육,가경호지공제혈당、혈지급혈압,강저료뇌졸중적발병솔.
Objective To observe the effects of health education in out-patient department intervening to risk factors of cerebral apoplexy high risk group.Methods 500 patients of out-patient department in our hospital from June 2010 to June 2012 were recruited.They were divided into two groups.One was control group,which did not accept systematic health education.The other was treatment group,which accepted systematic health education for risk factors.Blood glucose,lipid,blood pressure and morbidity were observed.Results After accepted systematic health education in treatment group,blood glucose was (6.5 ± 1.2) mmol/1,lipid was (2.39 ± 1.27) mmol/1,systolic pressure was (135 ± 18) mmHg,diastolic pressure was (85 ± 23) mmHg,the morbidity of cerebral apoplexy was 4.4％; in the control group without systematic health education,blood glucose was (7.5 ± 1.3) mmol/l,lipid was (3.32 ± 1.21)mmol/l,systolic pressure was (159 ± 22) mmHg,diastolic pressure was (95 ± 31) mmHg,the morbidity of cerebral apoplexy was 7.2％,two groups were compared,and difference was statistically significant (P＜0.05).The level of blood glucose,lipid,blood pressure in treatment group were improved.The morbidity of cerebral apoplexy in treatment group was better than that in the control group.Conclusion In cerebral apoplexy high risk group,according to its risk factors health education can improve blood glucose,lipid,blood pressure and reduce the morbidity of cerebral apoplexy.