| Research Purpose:In this study,ADOPT mode and health education were applied to caregivers of first-episode stroke patients to verify the effects of ADOPT mode on caregivers’ care readiness,anxiety,comprehensive care ability and health education satisfaction,in order to provide ideas and reference for related research on health education of caregivers of stroke.Research Methods:From January to December 2021,A non-concurrent experimental study design was used to select 86 pairs of patients and caregivers from the department of Neurology of a Grade A general hospital in Zhejiang Province strictly according to the admission,discharge and withdrawal criteria.Since there was only one neurology ward in our hospital,in order to avoid the interaction between the two groups of nursing staff and the subjects,43 eligible subjects from January to June were divided into control group,Routine health education programmes are implemented.From July to December,43 eligible subjects were divided into the intervention group and adopted ADOPT mode health education.Before intervention（when patients were admitted）and after intervention（one month after patients were discharged）,the two groups were given questionnaires to evaluate the effects,including the general data,caregivers’ care readiness,anxiety,comprehensive care ability and health education satisfaction.After the questionnaire was collected,it was input into Excel and imported into IBM SPSS Statistics 22.0 and Graph Pad Prism 9.2.0 for data statistical analysis and graph analysis.Research Results:Finally,a total of 80 cases completed this study（40 cases in the intervention group and 40 cases in the control group）,with a total loss rate of 7.0%.（1）before intervention,there was no significant difference in general data of patients and caregivers,caregiver care preparation,anxiety standard score,anxiety grading degree and comprehensive care ability baseline between the two groups（P>0.05）.（2）compared with the two groups before and after intervention,the total score of care preparation and each item score of caregivers increased significantly（P<0.05）,and the score of anxiety decreased significantly（P<0.01）.The total score and each dimension score of comprehensive care ability increased significantly（P<0.01）.（3）After intervention,The difference between the two groups was statistically significant（P<0.05）;the number of cases of caregivers with mild and moderate anxiety was significantly reduced,and the intervention group improved more than the control group,and the difference was statistically significant（P<0.05）;the total score of comprehensive caregiving ability and the scores of each dimension were higher in the intervention group than in the control group,and the difference was statistically significant（P<0.01）.The total score of caregiving ability and the scores of each dimension in the intervention group were higher than those in the control group,and there was a significant difference（P<0.01）;the difference of the total score of caregiving ability and the scores of "caregiving skills","self-management" and "coping strategies" in the intervention group were higher than those in the control group.There was a statistically significant difference in the difference between the scores of "caregiving skills," "self-management," and "coping strategies" dimensions（P<0.01）,but there was no statistically significant difference in the difference of "disease knowledge" dimensions（P>0.05）;the scores of overall satisfaction with health education,correction of emotional experience,form of education,individualized satisfaction,content of education,and behavior change(for There was a statistically significant difference（P<0.05）between the two groups in terms of overall satisfaction with health education,correction of emotional experience,form of education,individualization,content of education,and behavior change（for patients and for themselves）,and the intervention group scored better than the control group,while there was no statistically significant difference between the two groups in terms of timeliness and comprehensiveness of education content（P>0.05）.Research Conclusion:For caregivers of first-episode stroke patients,ADOPT model based health education can improve caregivers’ care readiness,reduce anxiety during care,enhance comprehensive care ability,and improve overall satisfaction with health education compared with conventional education.This has promoted the benign role of caregivers in the treatment and rehabilitation of patients with first stroke,and can be used as a reference for health education of caregivers of stroke. |
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