中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2015年
19期
2337-2340
,共4页
卒中%高校附属医院城市社区授权教育%健康状况
卒中%高校附屬醫院城市社區授權教育%健康狀況
졸중%고교부속의원성시사구수권교육%건강상황
Stroke%Empowerment education in urban community by affiliated hospitals of medical colleges%Health status
目的：了解高校附属医院城市社区授权教育对首发脑卒中患者的干预效果。方法选取2012年10月—2013年9月在敬业社区卫生服务中心（辽宁医学院附属第一医院与锦州古塔区政府联合主办）建立健康档案的脑卒中患者120例。采用随机数字表法，将其分为干预组和对照组各60例。对照组患者采用常规健康教育；干预组患者采用高校附属医院城市社区授权教育。干预时间均为6个月，比较两组患者干预前后的收缩压、舒张压、简明生活质量量表（SF-36）得分、焦虑自评量表（SAS）得分及抑郁自评量表（SDS）得分。结果干预前两组患者收缩压和舒张压比较，差异无统计学意义（P>0.05）；干预后两组患者收缩压和舒张压比较，差异有统计学意义（P<0.05）；干预后，两组患者的收缩压和舒张压与干预前比较，差异有统计学意义（ P<0.05）。干预前两组患者SF-36、SAS及SDS得分比较，差异无统计学意义（ P>0.05）；干预后两组患者SF-36、SAS及SDS得分比较，差异有统计学意义（P<0.05）。结论高校附属医院城市社区授权教育可以帮助患者有效控制血压，改善患者生活质量，缓解患者焦虑、抑郁状况，值得被广泛应用。
目的：瞭解高校附屬醫院城市社區授權教育對首髮腦卒中患者的榦預效果。方法選取2012年10月—2013年9月在敬業社區衛生服務中心（遼寧醫學院附屬第一醫院與錦州古塔區政府聯閤主辦）建立健康檔案的腦卒中患者120例。採用隨機數字錶法，將其分為榦預組和對照組各60例。對照組患者採用常規健康教育；榦預組患者採用高校附屬醫院城市社區授權教育。榦預時間均為6箇月，比較兩組患者榦預前後的收縮壓、舒張壓、簡明生活質量量錶（SF-36）得分、焦慮自評量錶（SAS）得分及抑鬱自評量錶（SDS）得分。結果榦預前兩組患者收縮壓和舒張壓比較，差異無統計學意義（P>0.05）；榦預後兩組患者收縮壓和舒張壓比較，差異有統計學意義（P<0.05）；榦預後，兩組患者的收縮壓和舒張壓與榦預前比較，差異有統計學意義（ P<0.05）。榦預前兩組患者SF-36、SAS及SDS得分比較，差異無統計學意義（ P>0.05）；榦預後兩組患者SF-36、SAS及SDS得分比較，差異有統計學意義（P<0.05）。結論高校附屬醫院城市社區授權教育可以幫助患者有效控製血壓，改善患者生活質量，緩解患者焦慮、抑鬱狀況，值得被廣汎應用。
목적：료해고교부속의원성시사구수권교육대수발뇌졸중환자적간예효과。방법선취2012년10월—2013년9월재경업사구위생복무중심（료녕의학원부속제일의원여금주고탑구정부연합주판）건립건강당안적뇌졸중환자120례。채용수궤수자표법，장기분위간예조화대조조각60례。대조조환자채용상규건강교육；간예조환자채용고교부속의원성시사구수권교육。간예시간균위6개월，비교량조환자간예전후적수축압、서장압、간명생활질량량표（SF-36）득분、초필자평량표（SAS）득분급억욱자평량표（SDS）득분。결과간예전량조환자수축압화서장압비교，차이무통계학의의（P>0.05）；간예후량조환자수축압화서장압비교，차이유통계학의의（P<0.05）；간예후，량조환자적수축압화서장압여간예전비교，차이유통계학의의（ P<0.05）。간예전량조환자SF-36、SAS급SDS득분비교，차이무통계학의의（ P>0.05）；간예후량조환자SF-36、SAS급SDS득분비교，차이유통계학의의（P<0.05）。결론고교부속의원성시사구수권교육가이방조환자유효공제혈압，개선환자생활질량，완해환자초필、억욱상황，치득피엄범응용。
Objective To evaluate the intervention effect of the empowerment education in urban community by affiliated hospitals of medical colleges on the patients with first stroke attack. Methods We enrolled 120 patients with stroke who had health records in Jingye Community Health Service Center ( jointly established by the First Affiliated Hospital of Liaoning Medical University and the government of Guta District)from October 2012 to September 2013. Using random number table,the subjects were divided into two groups:intervention group(n=60)and control(n=60). The control group was administrated with conventional health education,and the intervention was administrated with the empowerment education in urban community by affiliated hospitals of medical colleges. The intervention lasted for 6 months. The two groups were compared by systolic pressure, diastolic pressure,SF-36,SAS score and SDS score before and after intervention. Results Before intervention,the two groups were not significantly different(P>0. 05)in systolic and diastolic pressure;after intervention,the two groups were significantly different(P<0. 05)in systolic and diastolic pressrue. After intervention,the systolic pressure and diastolic pressure of the two groups were significantly different from those before intervention ( P <0. 05 ). Before intervention, the two groups were not significantly different(P>0. 05)in SF-36,SAS and SDS;after intervention,the two groups were significantly different in SF-36,SAS and SDS. Conclusion The empowerment education in urban community by affiliated hospital of medical colleges could effectively control blood pressure,improve the life quality of patients,and alleviate their axeity and depresion. The mode is worth wide application.
