【摘要】 [目的 ]通过对健康指导员干预南充市农村地区脑梗塞患者的效果进行评估,探讨农村地区实施健康指导员干预的可行性。[方法 ]采用方便抽样的方式抽取南充市农村地区脑梗塞患者450名,健康指导员对其进行健康干预,采用配对t检验比较干预前后脑梗塞患者健康素养和生活质量的变化情况。[结果 ]经健康指导员干预3个月后,南充市农村地区脑梗塞患者的健康知识得分为(10.5±2.69)分、健康行为得分为(7.1±1.65)分、健康技能得分为(3.1±0.77)分、健康素养总分为(20.7±3.09)分,以上4个方面得分均高于干预前,且差异均具有统计学意义(P <0.05)。在实施健康指导员干预前,南充市农村地区脑梗塞患者的生命质量各维度得分均低于四川省常模各维度得分,且差异均具有统计学意义(P <0.05);干预实施后,除生理功能、生理职能和总体健康3个维度得分外,其他各维度得分及总分均高于干预前,且差异具有统计学意义(P <0.05)。[结论 ]健康指导员干预可有效提高农村地区脑梗塞患者的健康素养和生活质量,健康指导员干预模式是有效的健康扶贫适宜技术。更多还原

【Abstract】 Objective To evaluate the effect through health educator intervention on health literacy of cerebral infarction patients in Nanchong rural area, and discuss the feasibility of health educator in rural area. Methods 450 cerebral infarction patients in Nanchong rural area were convenience sampling selected, health instructors conducted health education, and compared variation situation of cerebral infarction patients’ health literacy and life quality before and after the intervention by matches t test. Results After health instructor intervention for 3 months, the score of health knowledge of cerebral infarction patients in Nanchong rural area was(10.5 ± 2.69), the score of health behavior was(7.1 ± 1.65), the score of health skills was(3.1 ± 0.77) and health literacy total score was(20.75 ± 3.09), which above scores of 4 aspects were all higher than those before the intervention, and there was statistical significance in the difference(P<0.05). Before health instructor intervention, the score of each dimension of life quality in cerebral infarction patients in Nanchong rural area was lower than that of Sichuan norm, and there was statistical significance in the difference(P<0.05). After health instructor intervention, the scores of other dimensions and total score were higher than those before the intervention except the scores of physical functioning(PF), role limitation due to physical problems(RP) and general health(GH) dimensions, and there was statistical significance in the difference(P<0.05). Conclusions Health educator intervention could significantly improve health literacy and quality of life of cerebral infarction patients and this model is effective and appropriate technology in health poverty alleviation.更多还原