目的 探究健康教练技术对首发脑卒中患者脑卒中知识水平和脑卒中自我管理行为的效果。方法 将在邵阳市某三级甲等医院住院的70例首发脑卒中患者按照随机数字表分为对照组和试验组(各35例),对照组采用常规的健康教育方法,试验组实施健康教练技术,该技术主要包括接触、观察、强化、澄清、帮助、鼓励、教育和引导。干预6个月后,比较两组脑卒中知识、自我管理行为得分。结果 干预6个月后,试验组脑卒中知识、自我管理行为得分分别为(32.0±3.1)分、(172.9±14.5)分,对照组为(25.9±4.7)分、(154.9±19.1)分,两组比较差异均有统计学意义(t=6.380、4.433,P<0.001)。结论 实施健康教练技术能有效提高首发脑卒中患者脑卒中知识水平和脑卒中自我管理行为。

Objective To explore the effects of the health coaching on knowledge level and self-management of patients with first stroke. Methods Seventy patients who experienced stoke the first time in a tertiary hospital in Shaoyang were randomly divided into the control group and the experimental group,with 35 cases in each group. Patients in the control group received regular education. Patients in the experimental group received health coaching including contact,observe,affirm,clarify,help,inspire,nurture,and guide. The scores of stroke knowledge and self-management behavior were compared before and after 6 months of the intervention. Results After 6 months of the intervention,the scores of stroke knowledge and self-management behavior of patients in the experimental group were(32.0±3.1) and (172.9±14.5) respectively,both of which were higher than those of patients in the control group(25.9±4.7) and (154.9±19.1),respectively(t=6.380,4.433,P<0.001). Conclusion Heath coaching can effectively improve the knowledge level and self-management behavior of patients with first stroke.