CAJ | 학술논문

目的：探讨首次住院脑卒中患者应用寓教于乐健康教育的方法及效果评价。方法采用随机数字表法将110例首次住院脑卒中患者按入院先后顺序随机分为对照组和观察组各55例，通过实施寓教于乐健康教育，观察两组患者自我效能感、神经功能、日常生活能力的变化。结果实施健康教育后，观察组患者在1个月、3个月自我效能感得分均高于对照组，差异有统计学意义（ P＜0.01）；观察组患者在神经功能缺损程度的得分及日常生活能力得分均高于对照组，1个月P＜0.01、3个月P＜0.05，差异有统计学意义。结论寓教于乐健康教育能引导首次住院脑卒中患者主动参与健康教育，提高患者自我效能感，促进神经功能及日常生活能力的恢复。
목적：탐토수차주원뇌졸중환자응용우교우악건강교육적방법급효과평개。방법채용수궤수자표법장110례수차주원뇌졸중환자안입원선후순서수궤분위대조조화관찰조각55례，통과실시우교우악건강교육，관찰량조환자자아효능감、신경공능、일상생활능력적변화。결과실시건강교육후，관찰조환자재1개월、3개월자아효능감득분균고우대조조，차이유통계학의의（ P＜0.01）；관찰조환자재신경공능결손정도적득분급일상생활능력득분균고우대조조，1개월P＜0.01、3개월P＜0.05，차이유통계학의의。결론우교우악건강교육능인도수차주원뇌졸중환자주동삼여건강교육，제고환자자아효능감，촉진신경공능급일상생활능력적회복。
Objective To explore the methods and results evaluation for the first hospitalized stroke patients with the entertaining health education modal.Methods The 110 patients were randomly divided into control group and observation group according to admission time.After the entertaining health education, the self-efficacy, recovery of neurological function, and activities of daily living ( ADL) changes of the two groups were observed.Results After the entertaining health education, patients'self-efficacy score ofobservation group was higher than that of control group at one and 3 month ( P<0.01) , the recovery of neurological function score and ADL score of the observation group were higher than those of control group at one month ( P<0.01 ) and 3 month ( P<0.05 ) .Conclusions With the enter-taining health education modal, the patients'self-efficacy should be improved, nerve function recovery and activities of daily living should be promoted by guiding the patient to actively participate in health education.