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目的观察多元化健康教育模式预防一氧化碳中毒患者迟发脑病的效果。方法 2011年8月-2015年2月选择在某院急诊的一氧化碳中毒患者130例,根据随机数字表法分为试验组与对照组各65例,所有患者都给予高压氧结合药物治疗,治疗周期为30 d,对照组在治疗期间给予患者进行常规健康教育,试验组则基于对照组安排的护理工作,根据患者实际情况开展多元化的健康教育。结果试验组与对照组的迟发脑病发生率分别为6.2%和24.6%,试验组明显少于对照组(P<0.05)。护理后试验组的遵医嘱用药、饮食管理、运动管理、自我监测等评分都明显高于对照组(P<0.05)。护理后试验组的抑郁与焦虑评分都明显低于对照组(P<0.05)。试验组的生理功能、躯体疼痛、总体健康、活力、社会功能、心理健康评分都明显高于对照组(P<0.05)。结论多元化健康教育模式能预防一氧化碳中毒患者迟发脑病的发生,提高患者的自我管理能力,缓解心理障碍,提高生活质量,有很好的应用价值。
Objective To observe the effect of diversified health education on the prevention of delayed encephalopathy in patients with carbon monoxide poisoning. Methods From August 2011 to February 2015, 130 patients with carbon monoxide poisoning in a hospital emergency department were randomly divided into experimental group and control group (n = 65) according to the random number table method. All patients were given hyperbaric oxygen therapy and the treatment cycle For 30 days. Patients in the control group were given routine health education during the treatment period. The experimental group was based on the nursing work arranged by the control group, and diversified health education was conducted according to the actual situation of the patients. Results The incidence of delayed encephalopathy in experimental group and control group were 6.2% and 24.6% respectively, which was significantly lower in experimental group than in control group (P <0.05). After nursing, the test group's prescription medication, diet management, exercise management, self-monitoring score were significantly higher than the control group (P <0.05). After treatment, the scores of depression and anxiety in the experimental group were significantly lower than those in the control group (P <0.05). The physical function, body pain, general health, vitality, social function and mental health of the experimental group were significantly higher than those of the control group (P <0.05). Conclusions Diversified health education model can prevent the occurrence of delayed encephalopathy in patients with carbon monoxide poisoning, improve self-management ability of patients, alleviate psychological disorders and improve quality of life, and have good application value.