目的：研究电话随访实施健康教育对提高脑卒中患者满意度的影响。方法采用随机对照研究的方法,选取2013年7月1日~9月30日在陕西省宝鸡市某三甲医院神经内科接受治疗的97例脑卒中患者作为研究对象,其中研究组48例,对照组49例。研究组患者出院后接受护士电话随访,对照组患者出院后未接受护士电话随访。3个月后进行患者满意度调查。通过问卷调查,将两组患者后遗症治疗的认知与态度特征指标进行字2检验,分别计算两组患者用药指导、康复锻炼、生活护理、复诊指导、心理护理五个维度上患者满意度得分,并将两组资料从每个维度上进行成组设计资料的t检验。结果研究组中认为需要坚持长期后遗症治疗的患者占95.83%,而对照组的比例是81.63%,两组比较差异有统计学意义(字2=4.863,P<0.05)。研究组中认为患者家庭应该参与后遗症治疗方案制订的患者占97.92%,而对照组的比例是79.59%,两组比较差异有高度统计学意义(字2=8.098,P<0.01)。研究组患者满意度得分在用药指导、康复锻炼、生活护理、复诊指导、心理护理五个维度上分别为(96.21±13.15)、(94.01±16.82)、(95.84±10.19)、(92.79±9.53)、(95.74±12.75)分,而对照组分别为(85.64±9.87)、(81.10±13.62)、(82.03±11.75)、(80.20±11.03)、(80.23±16.93)分,两组比较差异均有高度统计学意义(均P<0.01)。结论通过有效的电话随访实施护理健康教育,更加深了患者对脑卒中长期治疗的信念,也提高了家庭的支持力度,降低疾病复发和再住院率,促进脑卒中疾病治疗及康复的发展。%Objective To study the satisfaction of telephone follow-up health education on the improvement of the re-habilitation of stroke patients. Methods 97 patients with stroke in Neurology Department from aⅢ-A hospital in Baoji City of Shaanxi Province were randomly divided into two groups. 48 patients discharged from hospital in the experimen-tal group were received one telephone follow-up call from a nurse, while 49 patients in the control group were not giv-en nurse telephone follow-up calls. Patients satisfaction survey was conducted three months later through question-naires. Following treatment and phone calls, cognitive attitude indicators of the two groups were investigated using χ²-tests. Five dimensions to patient satisfaction were testedmedication guidance, rehabilitation exercise, life care, referral guidance, psychological nursing. Data of two groups were investigated in two groups by independent sample t-test. Re-sults In the experimental group, patients believed treatment with long-term sequelae accounted for 95.83%, while the proportion in the control group was 81.63%. The rate in two groups had statistically significant difference (χ²=4.863, P<0.05). Patients in the experimental group believed the family should be involved in the sequelae program development accounted for 97.92%, while the proportion in the control group was 79.59%. The rate in two groups had statistically significant difference (χ²=8.098, P < 0.01). Satisfaction scores in experimental group on five dimensions which were medication guide, rehabilitation exercises, life care, referral guidance, psychological care were (96.21±13.15), (94.01±16.82), (95.84±10.19), (92.79±9.53), (95.74±12.75) scores, while scores in control group were (85.64±9.87), (81.10±13.62), (82.03±11.75), (80.20±11.03), (80.23±16.93) scores. Scores in two groups had statistically significant differences (all P<0.01). Conclusion Implementing health education through nurses and telephone follow-up can provide more confidence to stroke patients regarding their long-term treatment, enhance the quality of family support, reduce disease recurrence and rehos-pitalization rate, and improve the chances of rehabilitation.
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