健康教育路径和知-信-行理论模式在食管癌围术期患者中的应用  

Application of health education pathway and the knowledge-faith-behavior mode to esophageal cancer patients in perioperative period

作　　者：李小娜[1] 栾琳琳[1] 马卫霞[1] 王功朝[1] 

机构地区：[1]山东大学护理学院临床护理教研室,山东济南250012

出　　处：《护理学杂志》2011年第24期72-74,共3页

摘　　要：目的探讨规范化的健康教育路径及知-信-行理论模式的综合应用对食管癌手术治疗患者的影响。方法将拟行食管癌切除胃食管吻合术的80例食管癌患者随机分成观察组和对照组各40例。对照组按普通流程进行常规健康教育,观察组则依照健康教育路径,从入院当天、术前、手术日、术后至出院分阶段对其进行包括疾病知识、相关检查、饮食指导、心理护理等内容的健康教育,并在知-信-行理论模式的指导下评价健康教育实施的效果。结果观察组健康知识、应对方式面对维度得分及满意度显著优于对照组,而回避、屈服维度得分显著低于对照组(均P<0.01)。结论将健康教育路径和知-信-行理论模式综合应用于食管癌患者,有助于患者健康知识的掌握,提高健康信念,改善应对方式,提高护理质量。Objective To investigate the influence of health education pathway and the knowledge-faith-behavior mode applied to esophageal cancer patients in perioperative period.Methods Eighty patients scheduled for esophageal cancer resection and gastroesophageal anastomosis were randomly divided into an observation group and a control group,with 40 cases in each group.The control group received conventional health education,while patients in the observation group employed health education pathway for patient education.Nurses provided disease knowledge,knowledge about related examination,dietary instruction,and psychological care to patients based on the pathway different hospitalization stages（admission day,preoperative period,operation day,postoperative period,and discharged day）. Knowledge,faith,and behavior mode was used to evaluate the effect.Results Patients in the observation group scored significantly higher in health-related knowledge,confronce in coping style,and satisfaction with nursing care than the control group did;the dimension score of avoidance and resignation were significantly lower in the observation group（P〈0.01 for all）.Conclusion Implementation of health education pathway and the knowledge-faith-behavior mode in esophageal cancer patients can improve patients′ proficiency of health-related knowledge,faith,and coping style,so as to promote nursing quality.

关 键 词：食管癌 健康教育 健康知识 知-信-行理论模式 信念 行为 

分 类 号：R479[医药卫生—护理学] R473.6[医药卫生—临床医学]