目的 探讨健康教育格林模式对缺血性脑卒中偏瘫患者健康行为和自我感受负担的干预效果。方法 2017年6月至2018年1月，缺血性脑卒中偏瘫住院患者76例按入院顺序分为对照组和试验组，各38例。对照组住院期间接受常规护理，试验组采用格林模式进行干预。出院后电话随访5周。干预前后采用健康行为量表和自我感受负担量表对患者进行测评。结果 对照组36例、试验组37最终完成试验。健康行为总分、健康责任、压力应对干预主效应显著，试验组患者高于对照组(F > 5.160, P < 0.05)，自我感受负担水平干预主效应显著，试验组低于对照组(F = 5.895, P < 0.05)。结论 格林模式能提高缺血性脑卒中偏瘫患者健康行为水平，降低自我感受负担，对疾病的恢复和预后有促进作用。
Objectives To explore the effect of Green Model for health education on health behaviors of ischemic stroke patients with hemiplegia.Methods From June, 2017 to January, 2018, 76 patients with ischemic stroke were assigned into control group and experimental group equally in chronological order. The control group received routine care. The experimental group received Green Model. Both groups were followed up by telephone for five weeks. They were assessed with Health-Promoting Lifestyle Profile (HPLP) and Self-Perceived Burden Scale (SPBS) before, two and seven weeks after intervention. Results There were 36 cases of the control group and 37 of the experimental group finishing the trial. The main effects of intervention were significant in scores of total, health responsibility and stress coping of HPLP, while the experimental group was more (F > 5.160, P < 0.05). The main effect of intervention was significant in score of SPB, while the experimental group was less (F = 5.895, P < 0.05). Conclusions Green Model can improve the healthy behaviors and relieve self-perceived burden in ischemic stroke patients with hemiplegia, which may promote the recovery.
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