摘要
目的探讨脑心健康管理师使用移动护理信息系统的掌上电脑(PDA)终端在伴高血压病的脑梗死患者行健康教育的应用效果。方法选择2020年7月—2021年10月本科收治的104例伴高血压病的脑梗死患者作为研究对象,采用随机数表法分为实验组和对照组两组,每组各52例。对照组按常规方式进行健康宣教,观察组为脑心健康管理师应用移动护理信息系统的PDA终端进行床旁健康宣教。比较两组患者的健康知识水平、生活自理能力、满意度、神经功能损害及预后情况。结果护理后,两组患者MRS评分比较,差异无统计学意义(P>0.05),但两组患者护理干预前后MRS评分比较,差异均具有统计学意义(P<0.05);护理后,两组患者NIHSS评分比较,差异无统计学意义(P>0.05),但两组患者护理干预前后NIHSS评分比较,差异均具有统计学意义(P<0.05);护理后,两组患者Barthel评分比较,差异无统计学意义(P>0.05),但两组患者护理干预前后Barthel评分比较,差异均具有统计学意义(P<0.05);干预后,两组患者的饮食知识、药物安全、生活起居、基本知识、康复知识及总分比较,差异具有统计学意义(P<0.05);实验组患者的满意度高于对照组,差异有统计学意义(P<0.05)。结论脑心健康管理师充分应用移动护理信息系统PDA终端行患者健康教育,可明显提升患者的满意度及健康素养,不仅为患者提供优质护理服务,也为出院后脑卒中二级预防提供依据。
Objective To explore the application of personal digital assistants(PDA)terminal of mobile nursing information system in health education for patients with cerebral infarction accompany by hypertension by a brain and heart health manager.Methods 104 cases of cerebral infarction patients complicated with hypertension who were admitted to our hospital from July 2020 to October 2021 were selected as study subjects.According to random number table method,these patients were randomly divided into the experimental group and the control group,with 52 cases in each group.The control group was given health education in a conventional way,bedside health education was conducted by a brain-heart health managers utilized the mobile nursing information system PDA terminal in the observation group.The health knowledge level,self-care ability,satisfaction degree,neurological impairment and prognosis were compared between the two groups.Results After nursing,there was no statistically significant difference in MRS scores between the two groups(P>0.05),but there were statistically significant differences in MRS scores before and after nursing intervention in both groups(P<0.05).After nursing,there was no statistically significant difference in NIHSS score between the two groups(P>0.05),but there was statistically significant difference in NIHSS score before and after nursing intervention in the two groups(P<0.05).After nursing,there was no significant difference in Barthel score between the two groups(P>0.05),but there was significant difference in Barthel score before and after nursing intervention in the two groups(P<0.05).After intervention,there were statistically significant differences in diet knowledge,drug safety,daily life,basic knowledge,rehabilitation knowledge and total score between the two groups(P<0.05).The satisfaction of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusions Brain-heart health managers make full use of mobile nursing information system PDA terminals to provide patient health education,which can significantly improve patients'satisfaction and health literacy,not only provide high-quality nursing services for patients,but also provide a basis for secondary prevention of stroke after discharge.
作者
谢冬梅
柯阳
梁敬红
韦晓全
章璇
Xie Dongmei;Ke Yang;Liang Jinghong;Wei Xiaoquan;Zhang Xuan(Department of Neurology,Liuzhou Workers'Hospital,Liuzhou,Guangxi 545000,China)
出处
《齐齐哈尔医学院学报》
2024年第5期497-500,F0003,共5页
Journal of Qiqihar Medical University
基金
区自筹科研项目(Z20200245)。
关键词
健康管理师
移动护理信息系统
脑梗死
高血压病
健康教育
Health manager
Mobile nursing information system
Cerebral infarction
Hypertension
Health education