Study On The Intervention Of Network Interactive Health Education To Young And Middle-aged People At High Risk Of Stroke

Objective?1?To investigate the current status of early warning symptoms,risk factors,self-efficacy and health promoting lifestyle of young and middle-aged stroke high-risk groups,and analyze the influencing factors of health promoting lifestyle of young and middle-aged stroke high-risk groups.?2?To explore the intervention effect of network interactive health education on early warning symptoms and risk factors,self-efficacy,health promoting lifestyle and intervention risk factors?such as body mass index,blood pressure,fasting blood glucose and blood lipid?of young and middle-aged stroke high-risk population,so as to provide reference for the prevention of young and middle-aged stroke high-risk groups.Methods?1?From March to September 2017,400 middle-aged and young people at high risk of stroke were selected from a top three hospital in Changsha City,Hunan Province.Using the basic situation table,stroke early warning symptoms and risk factors knowledge questionnaire,chronic disease self-efficacy scale,Health Promoting Lifestyle Scale II as research tools,to understand the early warning symptoms and risk factors level,self-efficacy,health promoting lifestyle status,and to analyze the influencing factors of health promoting lifestyle.?2?From October to December 2017,108 middle-aged and young people at high risk of stroke in the stroke center of a top three hospital in Changsha City,Hunan Province were selected as the study objects.The patients were randomly divided into the experience group?53 people?and the control group?55 people?by using the random number table method.According to the characteristics of risk factors,the network interactive health education program was developed.The control group received routine health education,and the experience group received network interactive health education on the basis of routine health education.The differences of early warning symptoms and risk factors,self-efficacy,health promoting lifestyle and intervention risk factors?such as body mass index,blood pressure,fasting blood glucose and blood lipid?between the two groups were compared at baseline,3 and 6months after intervention.SPSS 22.0 was used for data analysis and frequency,percentage?%?,mean±standard deviation???were used for statistical description.Single factor analysis of variance,t/t'test,c² test,Pearson correlation analysis,multiple regression analysis,repeated measurement analysis of variance were used for statistical analysis,P<0.05,indicating statistical significance.Results?1?The total score of knowledge level of early warning symptoms and risk factors of middle-aged and young people with high risk of stroke was7.14±2.63.The total score was 0.36±0.13.The total score of health self-efficacy was 45.53±6.31.The total score of health self-efficacy was7.59±1.05.It belonged to the middle level.?2?The total score of health-promoting lifestyle of middle-aged and young people at high risk of stroke was 114.77±16.89,and the total score was2.21±0.32,which belonged to the general level.The scores of each dimension from high to low were:self-realization,interpersonal support,nutrition,stress management,exercise,health responsibility.?3?Early warning symptoms and risk factors,self-efficacy were positively correlated with health promoting lifestyle,the difference was statistically significant?P<0.05?.Self efficacy,early warning symptoms and risk factors,family history,income,payment method,education level and marital status were the main factors that affected the health promotion lifestyle of young and middle-aged stroke high-risk groups,which could explain the47%variation of lifestyle level.?4?The results of repeated measurement analysis of variance showed that the scores and total scores of early warning symptoms and risk factors in the experience group were higher than those in the control group(F_{between groups}=12.82,P<0.001;F_{between groups}=16.98,P<0.001;F_{between groups}=27.61,P<0.001).The scores and total scores of early warning symptoms and risk factors were affected by time factors(F_time=16.31,P<0.001;F_time=21.90,P<0.001;F_time=35.38,P<0.001),which increased significantly with the observation time.The total score of early warning symptoms and risk factors and the score of each dimension in the experience group increased with time higher than that in the control group(F_interactive=4.09,P=0.046;F_interactive=4.22,P=0.042;F_interactive=12.35,P=0.005).?5?The results of repeated measurement analysis of variance showed that the scores and total scores of all dimensions of self-efficacy in the experience group were higher than those in the control group(F_{between groups}=9.48,P<0.001;F_{between groups}=6.02,P=0.003;F_{between groups}=13.66,P<0.001).The scores of all dimensions of self-efficacy and the time factor of total scores were significant(F_time=23.71,P<0.001;F_time=17.03,P<0.001;F_time=35.97,P<0.001),which was significantly improved with the shift of observation time.Moreover,the increase of self-efficacy scores and total scores of experience group with time was higher than that of control group(F_interactive=4.15,P=0.044;F_interactive=4.07,P=0.046;F_interactive=7.55,P=0.007).?6?The results of repeated measurement analysis of variance showed that the scores and total scores of health promoting lifestyle in experience group were higher than those in control group(F_{between groups}=15.17,P<0.001;F_{between groups}=15.59,P<0.001;F_{between groups}=11.02,P<0.001;F_{between groups}=5.37,P=0.006;F_{between groups}=16.00,P<0.001;F_{between groups}=18.98,P<0.001;F_{between groups}=58.86,P<0.001).There was a significant difference in the scores of all dimensions of health promoting life style and the time factor of total scores(F_time=26.31,P<0.001;F_time=24.79,P<0.001;F_time=21.89,P<0.001;F_time=12.08,P<0.001;F_time=24.76,P<0.001;F_time=29.16,P<0.001;F_time=104.02,P<0.001),which increased significantly with the time point of observation.And the increase of the scores and total scores of health promoting lifestyle in the experience group were higher than that in the control group(F_interactive=4.38,P=0.039;F_interactive=5.97,P=0.016;F_interactive=5.05,P=0.027;F_interactive=4.00,P=0.048;F_interactive=4.02,P=0.048;F_interactive=4.65,P=0.033;F_interactive=11.41,P=0.001).Conclusions?1?The early warning symptoms,risk factors and self-efficacy of young and middle-aged people at high risk of stroke are all in the middle level,and the health promoting lifestyle belongs to the general level,and the health promoting lifestyle belonged to the general level.?2?Self efficacy,early warning symptoms and risk factors,family history,income,payment mode,education level,marriage status were the main factors influencing the health promotion of life style of young and middle-aged stroke high-risk groups.?3?Network interactive health education can improve the knowledge level and self-efficacy of early warning symptoms and risk factors,improve body mass index,blood pressure,fasting blood glucose and lipids,and improve the health and life style of patients.