中国卒中杂志2025，Vol.20Issue(2)：171-180,10.DOI:10.3969/j.issn.1673-5765.2025.02.007
基于患者指南的健康教育对缺血性卒中患者二级预防用药依从性的影响
Effects of Health Education Based on the Patient Version of Guidelines on Medication Compliance in Secondary Prevention among Patients with Ischemic Stroke
王瑞香 1朱思静 1梁嘉贵 2晏利姣 3蓝远霞1
作者信息
- 1. 深圳 518000 香港大学深圳医院神经内科
- 2. 暨南大学护理学院
- 3. 中国中医科学院中医临床基础医学研究所
- 折叠
摘要
Abstract
Objective To verify whether health education interventions based on the patient version of guidelines for secondary prevention of ischemic stroke(abbreviated as patient version of guidelines)formulated by the research group can enhance the medication compliance of ischemic stroke patients in secondary prevention.
Methods A prospective randomized controlled trial design was used to select patients with first ischemic stroke who were admitted to the University of Hong Kong-Shenzhen Hospital from June 2021 to August 2022 as the study objects,and they were divided into the intervention group and the control group by random number table method.The control group adopted the conventional health education program,and the intervention group implemented the health education program based on the patient version of guidelines on the basis of the control group,including two forms of pocket books and educational videos.Secondary prevention medication compliance and mRS scores of the two groups were collected at 1 month,3 months,6 months,and 1 year after intervention.The scores of disease knowledge and post-intervention nursing satisfaction of the two groups were collected before and after intervention.
Results A total of 200 patients(100 patients each in the intervention group and the control group)with ischemic stroke were included.The results of generalized estimating equation showed that the medication compliance of secondary prevention in the intervention group was better than that in the control group at 1 month,3 months,and 6 months,and the difference was statistically significant(P＜0.05).The results of Mann-Whitney U test showed that the disease knowledge score and nursing satisfaction in the intervention group were significantly improved(P＜0.05).The mRS scores of the intervention group and the control group showed a decreasing trend at each evaluation time point(P＜0.05),but there was no statistical significance between groups(P＞0.05).
Conclusions The health education program based on the patient version of guidelines can significantly improve the 6-month medication compliance with secondary prevention,and increase the score of disease knowledge and nursing satisfaction.However,there is no statistical effect on the 6-month mRS score of patients with mild ischemic stroke.关键词
患者指南/缺血性卒中/二级预防/健康教育/用药依从性Key words
Patient version of guidelines/Ischemic stroke/Secondary prevention/Health education/Medication compliance分类
临床医学引用本文复制引用
王瑞香,朱思静,梁嘉贵,晏利姣,蓝远霞..基于患者指南的健康教育对缺血性卒中患者二级预防用药依从性的影响[J].中国卒中杂志,2025,20(2):171-180,10.
