Routine Health Education Research Articles

Effects of health education pathway in patients with liver cirrhosis complicated with upper gastrointestinal hemorrhage

Objective To explore the effects of health education pathway on the quality of life, mental status, nursing satisfaction, hemostasis time, hospitalization duration and hospitalization expenses in patients with liver cirrhosis complicated with upper gastrointestinal hemorrhage. Methods From January to December 2016, a total of 140 patients with cirrhosis and upper gastrointestinal hemorrhage in the Second Affiliated Hospital of Wenzhou Medical University were enrolled by convenience sampling method, and divided into observation group and control group with 70 cases in each group according to the random number table method. The patients in the control group were given routine health education, while the patients in the observation group were educated with health education path. The quality of life, the scores of Self-Rated Anxiety Scale (SAS) and Self-Rated Depression scale (SDS) , the nursing satisfaction, hemostasis time, hospitalization duration and hospitalization expenses of both groups were collected and compared before and after intervention. Results Before intervention, there were no significant differences in the quality of life, the score of SAS and SDS between the two groups (P>0.05) . After intervention, the scores of 8 aspects of the quality of life of the observation group were all higher than those of the control group. Meanwhile, the scores of SAS and SDS were lower than those of the control group. All the differences were statistically significant (P<0.01) . The hemostasis time, hospitalization time and hospitalization expenses of the observation group were all lower than those of the control group, while the nursing satisfaction of the observation group was higher than that of the control group, and all the differences were statistically significant (P<0.01) . Conclusions Health education pathways can improve the quality of life, anxiety and depression in patients with cirrhosis complicated with upper gastrointestinal hemorrhage and improve the therapeutic effect. Key words: Health education; Liver cirrhosis; Quality of life; Anxiety; Depression; Upper gastrointestinal hemorrhage

The Impact of Combined Music and Tai Chi on Depressive Symptoms Among Community-Dwelling Older Persons: A Cluster Randomized Controlled Trial

ABSTRACTBackground: The effectiveness of pharmacological treatment may be limited in older persons. Several studies using Tai Chi or music therapy separately confirmed positive effects in the reduction of depressive symptoms. We conducted a cluster randomized controlled trial to evaluate the possible synergistic effect of combined music and Tai Chi on depressive symptoms. Methods: One hundred and seven older adults with mild to moderate depressive symptoms were recruited from Ya'an city. Fifty-five participants were cluster randomized to combined music and Tai Chi group for three months, while the other fifty-two individuals were randomized to the control group that entailed routine health education delivered monthly by community nurses. The primary outcome of depressive symptoms was measured with the Geriatric Depression Scale (GDS) at baseline and monthly for three months. Results: At three-month follow-up, a statistically significant improvement in depressive symptoms was found in the intervention group compared with control group (F(3,315) = 69.661, P < 0.001). Following adjustments for socio-demographic data, the true effect of intervention on depressive symptoms was significant (F = 41.725, P < 0.01, ηp2 = 0.574). Conclusions: Combined music and Tai Chi reduced depressive symptoms among community-dwelling older persons. This represents an economically viable solution to the management of depression in highly populous developing nations.

Application of APP in continuing care of discharged patients with condylar fracture after operation

Objective To investigate the application effect of APP in continuing care of discharged patients with condylar fracture after operation. Methods By convenience sampling, from September 2016 to March 2017 in a ward of oral and maxillofacial surgery and received surgical treatment of condylar fracture patients 81 cases, randomly divided into observation group (41 cases) and control group (40 cases). On the basis of routine health education, the observation group carried out continuous care by APP, while the control group received routine health education. The opening type, opening degree, occlusion relation and temporomandibular joint pain in two groups were compared at 6 months after discharge. Results The results of 6 months, the patients in the observation group were open type, occlusion and TMJ pain were better than the control group, the opening degree of the observation group was (35.51 ± 4.34) mm, control group was (31.28 ±4.57) mm, the difference between the two groups was statistically significant (t=-4.28, P 0.05). Conclusions APP can improve the open type, opening and occlusal relation and temporomandibular joint pain in patients with condylar fracture after operation. Key words: APP; Condylar fracture; Continuing care

Application of diet intervention in diabetic patients with stroke based on action research

Objective To investigate the effect of diet intervention based on action research method on dietary knowledge and blood glucose level in diabetic patients with stroke. Methods From April to June 2016, a total of 64 patients with diabetes mellitus combined with stroke were selected and divided into control group and intervention group by random number table method. The patients in the control group were given routine health education. In the intervention group, the action research method based diet intervention was implemented on the basis of the control group, including plan, action, observation, and reflection, 4 steps in total. Diet cognitive level, fasting blood glucose, 2 hours postprandial blood glucose were compared between two groups before and after the intervention. Results There were no significant differences in diet cognitive level, fasting blood glucose, 2 hours postprandial blood glucose between the two groups before the intervention (P>0.05) . After the intervention, patients' diet cognitive level, fasting blood glucose, 2 hours postprandial blood glucose in the intervention group were all better than those in the control group, and the differences were statistically significant (P<0.05) . Conclusions Dietary intervention based on action research method can improve the cognitive level of diet management and improve the blood glucose level of diabetic patients with stroke. Key words: Diabetes mellitus; Stroke; Action research method; Diet intervention

Effects of continuous nursing care on postoperative urinary incontinence in patients with prostate cancer

Objective To explore the effects of continuous nursing on postoperative urinary incontinence in patients with prostate cancer, so as to provide clinical evidence to improve the quality of postoperative and extended nursing care. Methods A total of 120 patients with prostate cancer underwent radical prostatectomy in the First Affiliated Hospital of Wenzhou Medical University from January 2016 to January 2017, who met the inclusion criteria were recruited in the research. The patients were randomly divided into experimental group and control group by sortition randomization method, with 60 cases in each. The patients in control group were given routine discharge health education, and the experimental group received continuous nursing on the basis of routine discharge nursing. Three months after discharge, the incidence, duration, frequency and quantity of urinary incontinence in the two groups were recorded by the International Consultation on Incontinence Questionnaire Short Form (ICI-Q-SF) . A self-designed prostate cancer postoperative-related knowledge questionnaire, which evaluated the patients understanding prostate cancer care, was completed by the patients of the two groups. A self-designed satisfaction questionnaire was used to evaluate and compare the satisfaction of the two groups of patients to the quality of nursing. Results The incidence rate and the duration of postoperative urinary continence in the experimental group [16.7%, (4.1±2.8) d] were significantly lower than those in the control group (χ2=9.076, t=-2.630; P<0.05) . After 3 months of discharge, the score of related knowledge and the satisfaction of nursing work in the experimental group were both higher than those of the control group, and the differences were statistically significant (P<0.05) . Conclusions Continuous nursing care for discharged patients after prostatectomy can enhance patients' knowledge of disease, effectively reduce the incidence of postoperative incontinence, reduce urinary incontinence duration, and improve patients' satisfaction with nursing quality. Key words: Prostatic neoplasms; Urinary incontinence; Postoperative complications; Health education; Continuous nursing care

Effects of multidisciplinary cooperative continuous nursingon psychological state and life quality of patients with breast cancer

Objective To explore the effects of multidisciplinary cooperative continuous nursing on psychological state and life quality of patients with breast cancer. Methods A total of 105 patients with breast cancer who were to be discharged within February to June 2016 were selected and divided into observation group (n=54) and control group (n=51) randomly. The control group received only routine discharge health education, while the observation group received the multidisciplinary cooperation continuous nursing performed by nurses, doctors, psychologists and nutritionist through wechat, QQ software, telephone interview and patients' clubs. After follow-up for 12 weeks, patients of the two groups were evaluated by self-rating anxiety scale (SAS) , self-rating depression scale (SDS) and function assessment of cancer therapy-breast cancer (FACT-B) . Results The scores of SAS and SDS in the observation group were (34.18±5.34) , (35.73±4.26) , and (56.35±7.12) , (49.36±6.32) in the control group respectively. The differences were statistically significant (t=21.890, 18.340; P<0.01) . The total score of life quality of the observation group and the control group was (87.21±6.53) and (82.65±5.34) respectively, with statistical significance (t=3.330, P<0.01) . Conclusions Implementing of multidisciplinary cooperative continuous nursing in patients with breast cancer can reduce anxiety and depression, improve patients' psychological state and quality of life. Key words: Breast neoplasms; Quality of life; Continuous nursing; Multidisciplinary cooperative; Psychological state

Effects of mindfulness training on diabetes-related distress and quality of life in patients with type 2 diabetes mellitus

Objective To evaluate the effects of mindfulness training on diabetes-related distress and quality of life in patients with type 2 diabetes mellitus, so as to provide evidence for nursing interventions. Methods A total of 90 inpatients with type 2 diabetes mellitus were randomly assigned to a control group and an observation group of 45 cases. The control group received routine health education, while the observation group received mindfulness training by the mindfulness training team composed of seven members including psychological counselors and nurse educators. Both groups were followed up for 6 months, and the scores of diabetes-related distress and quality of life were measured before and 6 months after the intervention. t-test was adopted to compare the difference between the two groups. Results After the intervention, the total score and scores of each dimension of diabetes-related distress in the observation group were (1.81±0.40) , (1.99±0.45) , (1.45±0.20) , (2.01±0.27) , and (1.51±0.21) respectively. Correspondingly, the scores of the control group were (2.07±0.24) , (2.21±0.40) , (1.61±0.19) , (2.57±0.25) and (2.20±0.23) , which were all higher than the observation group, with statistical differences (t=3.54, 2.32, 3.69, 9.68, 14.11; P<0.05) . The scores of quality of life in disease dimension, physiological dimension, psychological dimension, social dimension and satisfaction dimension were (28.41±5.40) , (21.05±4.16) , (21.08±5.16) , (19.04±3.30) and (22.84±3.79) in the observation group, which were all lower than those in the control group respectively [ (36.08±5.20) , (23.80±5.00) , (24.11±5.22) , (21.34±3.47) , (24.64±3.50) ], the differences were statistically significant (t=6.51, 2.69, 2.63, 3.06, 2.22; P<0.05) . Conclusions Mindfulness training can reduce the degree of diabetes-related distress and improve the quality of life in patients with type 2 diabetes mellitus. Key words: Diabetes mellitus, type 2; Quality of life; Mindfulness training; Diabetes-related distress

Awareness about Symptoms and Role of Diet in Renal Stones among General Population of Albaha City

Background: nephrolithiasis is an extremely common disorder in Saudi Arabia. Certain dietary changes and practices can influence the development of renal stones. Aim of the work: the aim of this study was to evaluate the awareness about the symptoms and proper diet of renal stones among general population of Albaha city in Saudi Arabia. Methods: a questionnaire was distributed among the general public in Albaha City, Saudi Arabia. The questionnaire was consisted of two sections: section 1 included personal data and section 2 explored the awareness and knowledge about the most common symptoms and complications of renal stones. Results: 417 participants were recruited. Most of the respondents were females, aged between 34 to 49 years, married and had high education. About one third of respondents had previous information about renal stones. Nearly half the respondents recognized only one risk factor and only one identified all the eight factors listed (0.2%). There was lack of knowledge about some symptoms and false beliefs about some foods (fish and sea food, greens and spinach). Conclusion: some misconceptions were revealed about risk factors and symptoms of renal stones. There was a lack of sufficient knowledge about the role of diet in medical management of renal stones. Educational programs should focus on these points of defect in knowledge and attitude. We recommended providing the health information concerning renal stone disease through the Internet (being the source of information used by most participants) and ensuring the inclusion of these information in the routine instructions and health education of patients.

Effect of emotional resilience group training on traumatic stress and resilience in patients with gastrointestinal cancer

Objective To observe the effect of emotional resilience group training on traumatic stress and level of resilience in patients with gastrointestinal cancer. Methods A total of 183 patients with gastrointestinal cancer were divided into experimental group(n=89) and control group(n=89) according to the random number table.The two groups were given routine health education and psychological care.In addition, the experimental group was given emotional resilience group training once a week for 8 weeks.The effects of intervention were evaluated by the PTSD Checklist-Civilian Version (PCL-C) and Connor-Davidson resilience scale(CD-RISC). Results After 8 weeks of emotional resilience group training, the PCL-C score of the experimental group decreased from (39.78±4.71) to (33.61±5.12), and the difference was statistically significant(P<0.05). The CD-RISC score of the experimental group increased from (54.36±5.44) to (58.33±5.71), and the difference was statistically significant(P <0.01). After the intervention, the PCL-C score of the experimental group(33.61±5.12) was lower than that of the control group(39.23±3.58)(P<0.01), while the CD-RISC score of the experimental group(58.33±5.71)was higher than that of the control group(53.96±5.62)(P<0.01). Conclusion Emotional resilience group training can effectively improve traumatic stress symptom and the level of resilience in patients with gastrointestinal cancer. Key words: Gastrointestinal cancer; Emotion; Stress; Resilience

Application effect of doctor-nurse health education in women with cervical cancer undergoing chemotherapy

Objective To explore the application effect of doctor-nurse health education in women with cervical cancer undergoing chemotherapy. Methods Totals of 214 women with cervical cancer who received chemotherapy from November 2014 to November 2016 were collected in this study. According to the random number table, the participants were divided into control group and observation group, 107 cases in each group. The control group received routine health education while the observation group received the combined health education from both doctors and nurses. The health behavior scale and questionnaire were used to investigate their health behaviors and satisfaction level at six months after the intervention. The self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to evaluate their anxiety and depression status before and after the intervention. Results After the intervention, the observation group had a significantly higher score of health behavior compared with the control group [ (122.6±5.1) vs. (94.1±4.6) ; t=2.416, P=0.014]. The satisfaction level was significantly higher in the observation group compared with the control group (79.4% vs. 45.8%; χ2=4.893, P=0.031) . Conclusions The combined health education from both doctors and nurses can effectively promote the health behaviors and satisfaction level in patients with cervical cancer undergoing chemotherapy. Key words: Uterine cervical neoplasms; Health education; Combination of doctors and nurses; Chemotherapy

Application of health education pathway in hospitalized children with unintentional injury and their caregivers

Objective To explore the effect of health education pathway on hospitalized children with unintentional injury and their caregivers. Methods From January to December 2015, a total of 100 children with unintentional injuries and their caregivers admitted to ICU in a class Ⅲ grade A hospital were selected as the research objects. They were divided into the observation group and the control group according to the random number table, with 50 cases in each group. Patients and their caregivers in the control group received routine health education, while patients and their caregivers in the observation group were given the pathway of health education based on the control group. The health education knowledge, hospitalization expenses, hospitalization days, rehospitalization rate and nursing satisfaction of children and caregivers in the two groups before and after intervention were compared. Results The degree of mastery of health education knowledge of children and the caregivers was 98% , 98% in the observation group and 86% , 80% in the control group, and the differences were statistically significant (χ2=4.89, 9.55; P< 0.05) . The hospitalization expenses, hospitalization days and rehospitalization rate of the observation group were lower than those of the control group, the differences were statistically significant (t=2.56, 2.67, 9.82; P< 0.05) . The nursing satisfaction of the patients and the caregivers of the observation group was 94%, which was higher than 76% of the control group, the difference was statistically significant (χ2=15.78, P<0.05) . Conclusions The pathway of health education can reduce the hospitalization expenses, rehospitalization rate and improve the nursing satisfaction of hospitalized children with unintentional injury, worthwhile for clinical use. Key words: Children; Unintentional injury; Health education pathway; Caregivers

Effect of "321" health education model on uncertainty of disease in patients with diabetic retinopathy

Objective To explore the influence of 321 health education model on the quality of life, physiological and psychological treatment and uncertainty of disease in patients with diabetic retinopathy. Methods From January to December 2016, 104 patients with fundus surgery in the hospital for the treatment of diabetic retinopathy were selected as the research object. They were randomly divided into observation group and control group by the random number table method. Patients in the control group received routine health education and the patients in the observation group received the 321 model of health education. Patients in the two groups were tested with Mishel's uncertainty in illness scale (MUIS) before and after receiving education. The uncertainty of disease between two groups before and after education was compared, and two groups were assessed by using SF-36 scale and diabetes specific quality of life (DSQL) . Results Before the education, the scores of disease uncertainty in the control group and the observation group were (104.9±6.7) and (105.1±6.5) points, and the difference was not statistically significant (t=-0.154, P=0.878) ; After receiving education, the scores of disease uncertainty in the control group and the observation group were (92.6±6.2) and (82.2±6.1) points, and the difference was statistically significant (t=8.622, P<0.001) ; The scores of psychological/mental health and treatment were significantly different between the two groups after receiving education (P<0.05) . Conclusions The 321 health education model for diabetic retinopathy can significantly reduce the uncertainty of disease, and has positive significance for the psychological/mental health and treatment of the patients. Key words: Diabetic retinopathy; Health education; Uncertainty of disease

Effects of individualized health education by the form of one-day ward in patients with pregnancy-induced hypertension

Objective To apply the individualized health education by the form of one-day ward to nursing of patients with pregnancy-induced hypertension so as to reduce the blood pressure (BP) , anxiety, depression and the incidence of caesarean section. Methods A total of 194 patients with pregnancy-induced hypertension were randomly divided into observation group and control group with 97 patients in each group. Patients in the control group received routine inspection and health education in out-patient clinic. On the basis of nursing in the control group, patients in the observation group adopted individualized health education by the form of one-day ward. And then, the BP, mastery of health related knowledge, the anxiety, depression, mode of delivery, self-efficacy and satisfaction with nursing of patients between two groups were observed when they were admitted to groups and before discharge. Results After the intervention, the systolic pressure and the diastolic pressure [ (122.5±9.0) mmHg and (83.4±7.8) mmHg]of patients in the observation group was lower than those [ (136.3±10.7) mmHg and (95.1±8.3) mmHg]in the control group with significant differences (t=4.083, 3.769; P<0.001) . After the intervention, the scores of anxiety and depression of patients in the observation group were lower than those in the control group; the mastery of health related knowledge and the self-efficacy of patients in the observation group were higher than those in the control group; the incidence of caesarean section in the observation group was lower than that in the control group; the satisfaction with nursing in the observation group was higher than that in the control group; there were all statistically significant differences in them between two groups (P<0.05) . Conclusions The individualized health education by the form of one-day ward can significantly reduce the BP, anxiety, depression and the incidence of caesarean section, and improve the self-efficacy and satisfaction with nursing among patients with pregnancy-induced hypertension. Key words: Health education; Anxiety; Depression; Hypertension; Pregnancy

Application of family centered cognitive intervention in neonatal nursing

Objective To explore the role of family centered cognitive intervention in neonatal nursing. Methods According to the random number table method, 100 newborns were randomly divided into observation group and control group, 50 cases in each group.The two groups received routine health education, and the observation group received the family centered cognitive intervention.After the intervention, the neonatal physical development status (body weight, height, head circumference) and neonatal disease status of the two groups were analyzed.The active muscle tension, passive muscle tension, primitive reflexes, behavior ability, general evaluation and neonatal behavioral neurological assessment score(NBNA score) were evaluated and analyzed. Results The body weight[(4 753.88±434.59)g], length[(55.16±1.17)cm], head circumference[(37.34±0.51)cm]after 1 month discharge of the observation group were better than those of the control group[(4 295.78±344.63)g, (52.25±0.58)cm, (35.67±0.21)cm], the differences between the two groups were statistically significant(t=2.564, 6.235, 8.679, all P<0.05). The incidence rate of born disease of the observation group was 14.00%, which of the control group was 32.00%, there was statistically significant difference between the two groups(χ2=4.574, P<0.01). The active muscle tension, passive muscle tension, behavior ability, original reflection, the general evaluation and NBNA scores of the observation group were significantly higher than those of the control group, the differences were statistically significant(all P<0.01). Conclusion Family centered intervention can significantly improve the growth status of newborn infants, reduce the incidence of the disease, it is beneficial to improve the patients' neurological behavior, it is worthy of wide application. Key words: Home nursing; Cognition; Neonatal nursing; Child development

Study on the application of work shop in health education model in rehabilitation period of cerebral infarction

Objective To explore the application of work shop in health education in the rehabilitation period of cerebral infarction. Methods A total of 44 patients with cerebral infarction from January to June 2016 were selected as the observation group, they were given work shop in health education. Then 40 patients with cerebral infarction from July to December 2015 were selected as the control group, and they were given routine health education. The health knowledge mastery, rehabilitation and health education satisfaction were compared between two groups. Results The knowledge rate of health education knowledge in knowledge of disease medicine, placement of good limb position, limb function training, medication was respectively 97.37%(43/44), 93.18%(41/44), 95.45%(42/44), 95.45%(42/44) in the observation group and 82.50%(33/40), 77.50%(31/40), 77.50%(31/40), 77.50%(31/40) in the control group, and the difference was statistically significant (χ2=4.01-5.94, P<0.05). The satisfaction of health education in health education skills, communication skills, service attitude was respectively 97.73%(43/44), 100.00%(44/44), 97.73%(43/44) in the observation group and 82.50%(33/40), 82.50%(33/40), 82.50%(33/40) in the control group, and the difference was statistically significant (χ2=4.01, 6.27, 4.01, P<0.05). The level of compliance, demand, compatibility score was (8.32±1.34), (8.45±1.21), (8.38±1.29) points in the observation group and (5.89±1.74), (5.64±1.53), (5.76±1.35) points in the control group, the difference was statistically significant (t=2.42, 2.74, 2.35, P<0.05). Conclusions Work shop in health education can increase the health knowledge of patients in rehabilitation period of cerebral infarction, and improve the enthusiasm of health education and rehabilitation training satisfaction. Key words: Infarction, middle cerebral artery; Treatment outcome; Symposium; Health education model; Rehabilitation period

Effect of comprehensive intervention on the diabetes-relevant behaviors in aging patients with prediabetes in rural areas of Yiyang

To explore the effect of comprehensive intervention on the diabetes-relevant behaviors in aging patients with prediabetes in rural areas of Yiyang. Methods: The aging patients with prediabetes in rural areas of Yiyang were chosen and asked for the questionnaire. The patients were randomly divided into two groups: the control group and the intervention group. The control group received the routine health education, while the intervention group underwent comprehensive intervention for one year. 6 months and 12 months before the intervention or after the intervention, the behavior characteristics of diabetes, levels of related physiological and biochemical indexes were evaluated. Results: The relative behavior characteristics of diabetes, levels of related physiological and biochemical indexes between the two groups were comparable before the intervention (P>0.05). 6 months or 12 months after the intervention, it showed improvements in diabetes-related behaviors (P<0.05) and the scores of diabetes-related behaviors compared with the control group (P<0.001). Based on the related physiological and biochemical indexes, the intervention group showed significant reductions in the levels of waist-to-hip ratio, BMI, fasting plasma glucose and 2 h postprandial plasma glucose (P<0.01). Conclusion: The comprehensive intervention can improve the diabetes-relevant behaviors, physiological and biochemical indexes in the older patients with pre-diabetes.

Effect of teach-back method combined with video education on the application of lung inhalants in patients with COPD

Objective To explore the effect of teach-back method combined with video education on the application of lung inhalants in patients with chronic obstructive pulmonary disease (COPD) . Methods From January to August 2015 and from February to September 2016, COPD inpatients with lung inhalants who were in the Department of Respiration of a class Ⅲ grade A hospital were selected as the research objects. Totals of 88 patients collected from January to August 2015 were as control group, and 75 patients collected from February to September 2016 were as observation group. Patients in the control group received routine health education, while on the basis of routine education, patients in the observation group received teach-back method combined with video education. The knowledge and operation accuracy of lung dry powder inhaler, and COPD assessment test (CAT) score were evaluated. Results After intervention, the knowledge master and accuracy of pulmonary drug delivery of patients in observation group was significantly better than that of control group (P<0.05) . The CAT score of the observation group was better than that before intervention (P<0.05) . After intervention, the CAT score of the observation group was better than that of the control group, the difference was statistically significant (P<0.05) . Conclusions Teach-back method combined with video education is an effective health education which can increase the accuracy and compliance of the use of lung inhalants in COPD patients, and improve patients' quality of life. Key words: 【Keywords】 Pulmonary disease, chronic obstructive; Health education; Lung inhalants; Teach-back method; Video

The effect of health education on medication compliance and rehabilitation effect of patients with epilepsy after discharge

Objective To evaluate the effect of health education on the compliance and health status of epileptic patients after discharge. Methods A total of 88 patients with epilepsy were selected and divided into control group (January to June in 2014) and experimental group (July to December in 2014) with 44 patients each. During hospitalization, the patients in control group were given routine health education, discharge guidance, on the basis of the control group, the patients in experimental group were added health education after discharge. The health status were evaluated at the time of admission and discharge (1 days before discharge) and 1, 3, 6 and 12 months after discharge. The medication compliance and clinical efficacy of the two groups were evaluated at 12 months after discharge. Results The medication compliance at 12 months after discharge was 97.73%(43/44) in experimental group and 63.64% (28/44) in control group, and there was significant difference (χ2=15.92, P 0.05), there were significant differences in the health status at 1, 3, 6, 12 months after discharge between two groups, treatment effect, time effect, interaction effect (F =57.50, 5.69, 8.35, P<0.01). Conclusions Health education after discharge can improve the medication compliance, health status and clinical efficacy of patients with epilepsy and promote their rehabilitation. Key words: Epilepsy; Medication adherence; Health education; Intervention studies

A Pilot test of an oral health education module for community health workers in Ikeja LGA, Lagos State.

Objectives : The purpose of this paper is to report the experience of developing, facilitating, and evaluating a 3-day module on oral health education for Primary Health Care Workers (CHW) in Ikeja LGA Lagos State. Methods : Twenty-one CHW in Ikeja LGA were invited for a 3-day oral health education-training program in January 2015. An oral health education manual and a flip chart developed for this purpose were used during training. Participants received didactic lectures on the first two days and participated in a practical session on the third day. A pretest was done before the training session while a posttest was done immediately and 6 months after the intervention. Data entry, validation and analysis was done using SPSS version 20. Results : Majority of the respondents were female (95.0%), Community Health Officers (65.0%), mean age was 42.1± 10.4 years while mean years of experience was 9.7 ±10.8 years. There was a statistically significant increase (p= 0.000) in the mean knowledge score of participants immediately after the intervention. There was no difference between the results obtained immediately and at 6 months after the training (p= 0.328). All participants reported including oral health education in their routine health education sessions at the 6-month review. They also reported observing changes in client's perception and behavior regarding oral health. They identified the flipchart as a useful tool for the oral health education sessions in the PHC. Conclusion : PHC workers can be easily trained and deployed as oral health educators particularly in areas where there is shortage of oral health care workers. Keywords : oral health; oral health education; primary health care; community health workers.

Effects of continuous health education by telephone follow-up in empty-nested elderly patients with stroke in the countryside

Objective To explore the effects of continuous health education by telephone follow-up on activity of daily living, anxiety, life satisfaction, medication compliance and self-management behavior in empty-nested elderly patients with stroke in the countryside. Methods A total of 120 stroke inpatients with countryside household register of Neurology at Taizhou Hospital of Zhejiang Province from Taizhou Enze Medical Center were selected by convenience sampling from January 2013 to December 2015. They were randomly divided into control group (n=60, routine health education at discharge from hospital and when returning visit) and observation group (n=60, routine health education at discharge from hospital and when returning visit + continuous health education by telephone follow-up) . The activity of daily living, anxiety, life satisfaction, medication compliance and self-management behavior were evaluated with the Barthel index (BI) , hamilton anxiety scale (HAMA) , life satisfaction scale (LSIA) , Morisky questionnaire and the self-management behavior scale for stroke patients. Results After intervention, there were statistically significant differences in the scores of BI, HAMA and LSIA of patients in two groups (t=32.34, 19.77, 10.34; P<0.05) . There were also statistical significances in the scores of safe medication management, rehabilitation management, diet management, interpersonal management, emotional management, daily life management, disease management and the total score of self-management behavior of patients between two groups (t=6.56, 16.87, 15.14, 13.08, 15.30, 15.16, 12.23, 61.98; P<0.05) . The difference in the score of medication compliance of patients in two groups was significant (t=10.33, P<0.05) . Conclusions The continuous health education by telephone follow-up for empty-nested elderly patients with stroke in the countryside is simple and easy. It can remarkably enhance the activity of daily living and life satisfaction, reduce anxiety and tension, and improve the self-management behavior of stroke patients and medication compliance. Key words: Aged; Stroke; Health education; Telephone follow-up