Evaluation of Effects of Health Education Pathway Intervention on the Mental Status and Coping Capacity in Family Members of Brain Injury Patients_West China Medical Journal

Authors：

 LiaoYing , YeLing , LiuXiuzhu , LiRong

Department of Neurosurgery, Mianyang Central Hospital, Mianyang, Sichuan, 621000, P. R. China;

Corresponding?author：

Keywords：

Health education pathway intervention; Brain injury; Mental status; Coping capacity

DOI：

10.7507/1002-0179.201600480

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Objective To investigate the effects of health education pathway intervention on the mental status and coping capacity in family members of brain injury patients receiving surgery. Methods One hundred and eighty-eight family members were randomly divided into control group (n=93) and intervention group (n=95) between September 2013 and October 2014. The control group received conventional health education only, while the intervention group was given health education pathway intervention. The mental status and coping capacity of family members in the two groups on admission and at discharge were surveyed and compared based on symptom checklist 90 (SCL-90) and coping styles questionnaire (CSQ). The hospitalization stay and expenditure and the satisfaction degree were also compared. Results There was no significant differences in mental status and coping capacity in family members between the two groups on admission (P > 0.05). After health education pathway intervention, the positive rate of SCL-90 in the control group was significantly higher than that in the intervention group, and the total score and score for each factor were also obviously higher (P < 0.05). As for coping capacity, the scores of self-blaming, avoidance, fancy and rationalization of CSQ in the control group were significantly higher than those in the intervention group, and the scores of appealing help and resolving problems were obviously lower (P < 0.05). Furthermore, the hospitalization stay and expenditure were significantly shorter or lower in the intervention group than those in the control group, and the satisfaction degree on nursing service was obviously higher (P < 0.05). Conclusion The health education pathway intervention can greatly improve mental status and coping capacity in family members of brain injury patients.

Citation： LiaoYing, YeLing, LiuXiuzhu, LiRong. Evaluation of Effects of Health Education Pathway Intervention on the Mental Status and Coping Capacity in Family Members of Brain Injury Patients. West China Medical Journal, 2016, 31(10): 1747-1751. doi: 10.7507/1002-0179.201600480 Copy

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12.	Wilz G, Barskova T. Evaluation of a cognitive behavioral group intervention program for spouses of stroke patients[J]. Behav Res Ther, 2007, 45(10): 2508-2517.
13.	Karahan AY, Kucuksen S, Yilmaz H, et al. Effects of rehabilitation services on anxiety, depression, care-giving burden and perceived social support of stroke caregivers[J]. Acta Medica (Hradec Kralove), 2014, 57(2): 68-72.
14.	劉艮英, 龔純, 李明鳳.靜脈采血患者的情緒體驗和心理測評及護理對策[J].華西醫學, 2015, 30(10): 1962-1964.
15.	Hung JW, Huang YC, Chen JH, et al. Factors associated with strain in informal caregivers of stroke patients[J]. Chang Gung Med J, 2012, 35(5): 392-401.
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21.	Mayor MS, Ribeiro O, Paúl C. Satisfaction in dementia and stroke caregivers: a comparative study[J]. Rev Lat Am Enfermagem, 2009, 17(5): 620-624.

1. Faul M, Coronado V. Epidemiology of traumatic brain injury[J]. Handb Clin Neurol, 2015, 127: 3-13.
2. 趙成之.急性顱腦損傷的流行病學研究進展[J].國際神經病學神經外科學雜志, 2005, 32(5): 427-430.
3. Tang WK, Lau CG, Mok V, et al. Burden of Chinese stroke family caregivers: the Hong Kong experience[J]. Arch Phys Med Rehabil, 2011, 92(9): 1462-1467.
4. Godwin KM, Ostwald SK, Cron SG, et al. Long-term health-related quality of life of stroke survivors and their spousal caregivers[J]. J Neurosci Nurs, 2013, 45(3): 147-154.
5. Cameron JI, Stewart DE, Streiner DL, et al. What makes family caregivers happy during the first 2 years post stroke?[J]. Stroke, 2014, 45(4): 1084-1089.
6. Ostwald SK, Godwin KM, Cron SG, et al. Home-based psychoeducational and mailed information programs for stroke-caregiving dyads post-discharge: a randomized trial[J]. Disabil Rehabil, 2014, 36(1): 55-62.
7. Woodford J, Farrand P, Watkins ER, et al. Supported cognitive-behavioural self-help versus treatment-as-usual for depressed informal carers of stroke survivors (CEDArS): study protocol for a feasibility randomized controlled trial[J]. Trials, 2014(15): 157.
8. 王玚, 張恩華, 黃葉莉, 等.重型顱腦損傷患者入院3 d內直接護理項目及時數分析[J].南方護理學報, 2004, 11(12): 6-8.
9. Forster A, Smith J, Young J, et al. Information provision for stroke patients and their caregivers[J]. Cochrane Database Syst Rev, 2001(3): CD001919.
10. King RB, Hartke RJ, Lee J, et al. The stroke caregiver unmet resource needs scale: development and psychometric testing[J]. J Neurosci Nurs, 2013, 45(6): 320-328.
11. 任正華, 謝彩霞.青年重型腦傷患者昏迷期其雙親心理狀況調查及護理對策[J].現代預防醫學, 2005, 32(8): 1021-1022.
12. Wilz G, Barskova T. Evaluation of a cognitive behavioral group intervention program for spouses of stroke patients[J]. Behav Res Ther, 2007, 45(10): 2508-2517.
13. Karahan AY, Kucuksen S, Yilmaz H, et al. Effects of rehabilitation services on anxiety, depression, care-giving burden and perceived social support of stroke caregivers[J]. Acta Medica (Hradec Kralove), 2014, 57(2): 68-72.
14. 劉艮英, 龔純, 李明鳳.靜脈采血患者的情緒體驗和心理測評及護理對策[J].華西醫學, 2015, 30(10): 1962-1964.
15. Hung JW, Huang YC, Chen JH, et al. Factors associated with strain in informal caregivers of stroke patients[J]. Chang Gung Med J, 2012, 35(5): 392-401.
16. Saban KL, Sherwood PR, Devon HA, et al. Measures of psychological stress and physical health in family caregivers of stroke survivors: a literature review[J]. J Neurosci Nurs, 2010, 42(3): 128-138.
17. 李娜, 銀燕.精神科護理人員心理健康影響因素調查分析[J].華西醫學, 2014, 29(11): 2163-2165.
18. Qiu Y, Li S. Stroke: coping strategies and depression among Chinese caregivers of survivors during hospitalisation[J]. J Clin Nurs, 2008, 17(12): 1563-1573.
19. Chow SK, Wong FK, Poon CY. Coping and caring: support for family caregivers of stroke survivors[J]. J Clin Nurs, 2007, 16(7B): 133-143.
20. 付琴, 陳啟花, 郭曉璐, 等.兩種健康教育方式對腎穿刺活體組織檢查術后患者的影響[J].華西醫學, 2015, 30(8): 1523-1525.
21. Mayor MS, Ribeiro O, Paúl C. Satisfaction in dementia and stroke caregivers: a comparative study[J]. Rev Lat Am Enfermagem, 2009, 17(5): 620-624.

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Evaluation of Effects of Health Education Pathway Intervention on the Mental Status and Coping Capacity in Family Members of Brain Injury Patients

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