Yang Xuelian, Zhao Qinghua, Yu Hua. Effects of enhancing caregiver health education on activities of daily living of discharged patients with traumatic brain injury[J]. Journal of Chongqing Medical University, 2015,40(12):1587-1592.
Yang Xuelian, Zhao Qinghua, Yu Hua. Effects of enhancing caregiver health education on activities of daily living of discharged patients with traumatic brain injury[J]. Journal of Chongqing Medical University, 2015,40(12):1587-1592. DOI: 10.13406/j.cnki.cyxb.000724.
同时比较2组照顾者的日常生活态度及知识。结果:出院时干预组和对照组患者日常生活能力评分(modified Barthel index
MBI)为43.50±16.14及42.40±13.64
无统计学差异(P=0.714)
出院2月后干预组和对照组患者MBI为82.60±24.99及70.70±22.88
具有统计学意义(P=0.015);2组照顾者日常生活态度及知识各维度得分在出院时无统计学差异(P
>
0.05)
出院2月时干预组照顾者日常生活态度及知识各维度得分均高于对照组
差异均有统计学意义(P
<
0.05)。结论:加强以日常生活能力为导向的延续性照顾者健康教育
能改善照顾者日常生活态度及知识
提高脑外伤后肢体功能障碍离院患者的日常生活能力。
Abstract
Objective:To explore the effect of enhancing caregiver health education on activities of daily living(ADL) of discharged traumatic brain injury patients with limb dysfunction. Methods:Totally 100 discharged traumatic brain injury patients with limb dysfunction were randomly divided into control group and intervention group according to their ward :50 patients from A ward in control group while 50 patients from B ward in intervention group. Caregivers in control group were given the routine health education 1 d before discharge and 1 week after discharge;caregivers in intervention group received the routine health education and the ADL oriented health education 2-3 d before discharged as well as the telephone follow-up health education at the first week
the third week and the fifth week after discharge in addition. The modified Barthel index(MBI) of patients
the ADL attitudes and knowledge of caregivers between the two groups were compared two months later. Results:MBI of intervention group and control group was 43.50±16.14 and 42.40±13.64 on the day before discharge
without significant differences(P=0.714). MBI of intervention group and control group increased to 82.60±24.99 and 70.70±22.88 at 2 months after discharge
with statistically significant differences between two groups(P=0.015). There was no difference in scores of caregivers’ attitudes and knowledge at discharge between two groups(P>0.05).The scores of caregivers’ attitudes and knowledge was higher in intervention group than in control group 2 months after discharge(P<0.05). Conclusion:The ADL oriented continuity caregiver health education can improve the daily living of discharged traumatic brain injury patients with limb dysfunction effectively
as well as caregivers’ attitudes and knowledge of ADL.
关键词
健康教育脑外伤日常生活能力
Keywords
health educationtraumatic brain injuryactivities of daily living