罗利俊，笱玉兰，杨洁，姚汉云，刘敏珍，陈晓光，周冰凌.健康教育对脑卒中高危人群心理健康以及生活质量的影响[J].中华物理医学与康复杂志,2017,39(8):595-598
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| 健康教育对脑卒中高危人群心理健康以及生活质量的影响 |
| Effects of health education on the mental health and life quality of people at high risk of stroke |
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| DOI： |
| 中文关键词: 健康教育 脑卒中高危人群 心理健康 生活质量 |
| 英文关键词: Health education Stroke risk Mental health Life quality |
| 基金项目:武汉市卫计委科研项目(WG15C11) |
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| 中文摘要: |
| 目的 观察研究健康教育对脑卒中高危人群心理健康以及生活质量的影响。 方法 选择武汉市硚口区下属某社区≥40岁的常住居民3092人作为脑卒中筛查对象，将经筛查确认的脑卒中高危人群392例作为研究对象，并对其进行规范的健康教育。于入选时和健康教育干预1年后（干预后）记录脑卒中高危人群的健康行为（包括合理饮食、适当运动、遵医用药、不吸烟4各方面），同时进行抑郁自评量表（SDS）、焦虑自评量表（SAS）和Spitzer生活质量指数量表（QLI）评估。 结果 干预后，脑卒中高危人群392例的合理饮食、适当运动、遵医用药、不吸烟较干预前均显著改善，差异均有统计学意义（P<0.05)。干预后，脑卒中高危人群392例的抑郁状态和焦虑状态较干预前均显著改善，差异均有统计学意义（P<0.01）；干预后，脑卒中高危人群392例的SDS和SAS评分分别为（47.35±14.32）分和（44.32±16.18）分，较干预前的（56.72±16.87）分和（53.64±19.27）分均显著降低，QLI评分则较干预前显著升高，差异均有统计学意义（P<0.01）。 结论 健康教育可显著改善脑卒中高危人群健康行为、心理状态和生活质量。 |
| 英文摘要: |
| Objective To observe the effect of health education on the mental health and life quality of people at high risk of stroke. Methods Totally 3092 residents of Wuhan aged over 40 were screened for stroke risk. Of those, 392 cases were assessed as at high risk of stroke and were chosen as the study′s subjects. They were given a 1-year course of standard health education. Before and after the intervention, their diet, exercise, compliance with medication and smoking habits were recorded. They were also assessed using the self-rating depression scale (SDS), the self-rating anxiety scale (SAS) and the Spitzer quality of life index (QLI). Results Significant improvement in healthy behavior was observed after the intervention. The average SDS score and SAS score had decreased significantly, and the average QLI score was significantly higher than before the intervention. Conclusion Health education can improve the healthy behavior, mental state and life quality of people at high risk of stroke. |
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