| Objective: To provide targeting health education for patients whom were suffered from the first onset of cerebral infarction with hemiplegic paralysis,and family members in hospital,observation of patient's adherence,and the ability of daily life,and further provide a reliable basis clinical health education and secondary prevention of stroke in the future.Methods: In total,285 patients with the first onset of acute ischemic stroke hemiplegia,from December 2015 to December 2016 at the Affiliated Hospital of Yan'an University,Department of Neurology,Neurology and Rehabilitation Center.,were selected strictly in accordance with the inclusion criteria and exclusion criteria,These 285 patients were randomly divided into group ?group(n = 95),group ?(n = 97),group ?(n = 93)and group ?'s caregivers(n = 93).The three groups of patients and the corresponding families were investigated by the self-made cerebral infarction questionnaires in a face-to-face manner within 48 hours,within 48 hours before discharge.group ?was given routine health education alone,group ??group ? and their family members were given targeting health education on the basis of routine health education according to the survey results in a face-to-face manner within 48 hours,the second week of admission,the third week of admission.The three groups of patients were investigated by the Barthel index(BI)rating scale within 48 hours of hospitalization?within 48 hours before the discharge and 3 months after the discharge.The three groups of patients were assessed by the stroke Behavior ChangeInventory(SBCI)for 3 months after the discharge of hospital.Result:1.The general demographic date:There were no statistically significant difference in gender ? marital status ? educational level?occupation?hospitalization payment method?limb side hemiplegic site and age between patients of three groups.(P> 0.05).2.Objective to compare the knowledge score of the patients with cerebral infarction:2.1 The three groups were significantly different compared with before admission,respectively(P <0.05).2.2 There was no significant difference in the scores of cerebral infarction among the three groups before admission(P> 0.05).After the 30 days of health education and targeting health education,the scores of the three groups were significantly different(P <0.05).Contrastingly,no significant difference between group ? and group ? was found(P> 0.05).3.Three groups of patients before and after stroke compliance changes:3.1 According to the changes of risk factors before and after the stroke,the three groups of patients in the lifestyle,antihypertensive drugs,stroke medication compliance was significantly improved(P <0.05).The subjects in group ? had significant changes in 12 risk factors.3.2 There was a significant difference in change of the risk factors related to lifestyle and medication compared with the condition of pre-stroke(P <0.05),and the change of group ? was more obvious than that of the other two groups4.Quantitative evaluation of Barthel Index:4.1 The three groups were significantly different compared with that of before admission in the Barthel index within 48 hours before discharge(P <0.05);There was a significantly difference between the three groups compared with the condition before the admission in the Barthel index 3 months after the discharge(P <0.05).4.2 No difference in Barthel index between the three groups within 48 hours before the discharge was found(P> 0.05);There was a difference in Barthel index between the three groups in the 3 months after the discharge(P <0.05);Group?and group? has no difference in Barthel index in the 3 months after the discharge(P> 0.05).Conclusion:1.Targeting health education for patients and their family members could improve patient compliance,especially medication adherence changes significantly.2.Targeting health education for patients and their families could contribute to patients recover their ability of daily life as soon as possible.3.Compared with routine health education,the targeting health education can improve the patient's cognition of stroke-related knowledge. |
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