中西医结合护理 (Dec 2022)
Effect of teach-back education on exercise compliance and quality of life in elderly patients with hemiplegia after stroke (回授式教育对老年脑卒中后偏瘫患者锻炼依从性和生活质量的影响)
Abstract
Objective To explore the effect of teach-back method on exercise compliance and quality of life in elderly patients with hemiplegia after stroke. Method Using the convenient sampling method, a total of 80 elderly patients with hemiplegia after stroke were randomly divided into control group (n = 40) and intervention group (n = 40). The control group adopted the routine health education method, and the intervention group adopted the teach-back method on the basis of routine care. After a 3-month follow-up, the rehabilitation exercise compliance scale, National Institutes of Health Stroke Scale (NIHSS) score, Fugl-Meyer Assessment (FMA), Modified Barthel Index scale (MBI) and Stroke Specific Quality of Life Scale (SS-QOL) were used to compare the effects of exercise compliance, neurological function, limb motor function, self-care ability and quality of life between the two groups. Results The compliance rate was 85. 00%(34/40)in the intervention group, which was significant higher than 72. 50%(29/40)in the control group(P＜0. 01). The NIHSS score decreased in both two groups after intervention, and NIHSS score in the intervention group were significantly lower than that in the control group (P＜0. 01). Scores of FMA and MBI increased in both two groups after intervention, and scores of FMA and MBI in the intervention group were significantly higher than those in the control group (P＜0. 01). The total score of SS-QOL in the intervention group was significantly higher than that in the control group after intervention(P＜0. 05). Conclusion The application of teach-back method in health education is potentially effective to improve the patients’ compliance with limb exercise, promote healthy behavior and improve the quality of life of elderly patients with hemiplegia after stroke. (目的 探讨回授式教育对老年脑卒中后偏瘫患者锻炼依从性和生活质量的影响。方法 采用方便抽样法, 选取2020年9月—2021年2月医院收治的80例老年脑卒中后偏瘫患者为研究对象, 按照入院先后顺序给予编号, 随机分为对照组和干预组, 每组40例。对照组采用常规健康教育方法, 干预组在常规基础上, 结合回授法进行教育。通过3个月的随访, 采用康复锻炼依从性量表、美国国立卫生院卒中量表(NIHSS)、Fugl-Meyer运动功能量表(FMA)、Barthel指数量表(MBI)、脑卒中生活质量量表(SS-QOL), 比较两组患者锻炼的依从性、神经功能、肢体运动功能、自理能力及生活质量的影响。结果 干预组锻炼依从率85. 00%(34/40), 高于对照组的72. 50%(29/40), 差异有统计学意义(P＜0. 01)。干预后, 两组患者NIHSS评分均较干预前降低, 且干预组NHISS评分低于对照组(P＜0. 01)。两组FMA评分和MBI得分较干预前提高, 且干预组高于对照组, 差异有统计学意义(P＜0. 01); 干预组生活质量(SS-QOL)总分高于对照组, 差异有统计学意义(P＜0. 05)。结论 将回授式教育运用到患者健康教育中, 对提高老年脑卒中后偏瘫患者肢体锻炼的依从性、促进健康行为和提高生活质量水平具有重要的临床意义和推广价值。)
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