Effect of spouse synchronous feedback on rehabilitation compliance and health literacy of ischemic stroke hemiplegia patients

Abstract

Objective To explore the effect of spouse synchronous feedback on compliance of rehabilitation exercise and health literacy of ischemic stroke hemiplegic patients. Methods From June 2018 to October 2019, 80 ischemic stroke hemiplegic patients admitted in the ward were recruited in this study. They were divided into 2 groups, i.e. 40 cases in experimental group and 40 cases in control group randomly. The control group received routine health education, while the experimental group received spouse synchronous feedback health education based on routine health education. The rehabilitation compliance score, health literacy score, neurological deficit score, muscle strength score, limb function score, ability of daily living score and quality of life score of 2 groups were recorded for comparison. Results After health education intervention, the compliance of rehabilitation exercise (P =0.006), the compliance of monitoring the effect of rehabilitation exercise (P =0.000) and the compliance of actively seeking advice (P=0.000) scores, health knowledge (P=0.011), health belief (P=0.000), health behavior (P=0.000) and health skills (P=0.000) scores, MMT (P=0.000), FMA (P=0.000) and ADL (P=0.000) scores, as well as physiological dimension (P=0.000), psychological dimension (P=0.000), environmental dimension (P=0.000) and social relationship dimension (P=0.000) were higher than before intervention, while NIHSS score was lower than before intervention (P=0.000). Except NIHSS score was decreased in the experimental group (P=0.000), the other parameters were higher than those in the control group (P= 0.000, for all). Conclusions In the health education of ischemic stroke patients with hemiplegia, the method of spouse synchronous feedback can enhance the compliance of rehabilitation exercise and health literacy of the patients, help to reduce nerve function damage, improve muscle strength, limb function and daily living ability, and improve the quality of living.

DOI：10.3969/j.issn.1672⁃6731.2020.07.016