Effect of Comprehensive Reminder System on Health Knowledge, Belief and Behaviors, and Clinical Outcomes for Stroke Patients Six Months after Discharge
10.3969/j.issn.1006-9771.2020.07.023
- VernacularTitle:综合提醒系统对脑卒中患者出院6个月知信行和临床结局的效果
- Author:
Meng-jie SHEN
1
;
Xiao WANG
1
;
Ju-xiang TAN
2
;
Shao-zhou WANG
3
;
Ying-mei ZHANG
4
;
Li-hong WAN
1
Author Information
1. School of Nursing, Sun Yat-sen University, Guangzhou, Guangdong 510089, China
2. The Third Affiliated Hospital of Sun Yat-sen University-Lingnan Hospital, Guangzhou, Guangdong 510530, China
3. Department of Neurology, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong 510630, China
4. Guangdong Traditional Chinese Medical Hospital, Guangzhou, Guangdong 510120, China
- Publication Type:Research Article
- Keywords:
stroke;
Comprehensive Reminder System Based on Health Belief Model;
health education;
knowledge;
belief;
behavior
- From:
Chinese Journal of Rehabilitation Theory and Practice
2020;26(7):856-862
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of Comprehensive Reminder System Based on Health Belief Model (CRS-HBM) on health knowledge, belief, behaviors, utilization of health services and clinical outcomes in stroke patients after discharge. Methods:From February, 2015 to March, 2016, 174 stroke patients with hypertension were divided into control group (n = 87) and intervention group (n = 87). The control group received routine stroke health education, and the intervention group received the CRS-HBM program in addition. They were investigated with Stroke Knowledge Questionnaire (SKQ), Short Form Health Belief Model Scale for Stroke Patients (SF-HBMS-SP), Health Behavior Scale for Stroke Patients (HBS-SP), and the utilization of health services and clinical outcomes (emergency, re-hospitalization, recrudescence and death) were recorded six months after discharge. Results:A total of 75 cases in the control group and 76 in the intervention group finished the research. The total scores of SKQ (U = 903.000), SF-HBMS-SP (t = -9.099) and HBS-SP (t = -7.786) were more in the intervention group than in the control group (P < 0.001). The outpatient re-visit rate was more in the intervention group (97.37%) than in the control group (76.00%) (P < 0.001). The incidence of emergency, re-hospitalization, recrudescence and death were not significantly different between the two groups (P > 0.05). Conclusion:The application of CRS-HBM can improve the health knowledge, belief, behaviors for stroke patients after discharge, but there are not enough effects on clinical outcomes.
