知信行模式对尘肺病患者健康教育干预应用研究  

Application study on the health education intervention with knowledge,attitude,belief,practice mode to pneumoconiosis patients

作　　者：邱新香[1] 郑倩玲[1] 夏丽华[1] 巫带花[1] 肖素娟 汤春宜[1] 虢远宁 曾向嫩[1] 陈英姿[1] 卢秀凤 

机构地区：[1]广东省职业病防治院、广东省职业病防治重点实验室,广东广州510300 [2] 广州市天河区中医院,510655

出　　处：《中国职业医学》2014年第3期265-271,共7页China Occupational Medicine

基　　金：国家临床重点专科建设项目(2011-09);广东省职业病防治重点实验室(2012A061400007);广东省医学科学技术研究基金(A2012066,A2008059)

摘　　要：目的分析应用知信行模式的健康教育路径对尘肺病患者实施疾病知识、态度、行为(KAP)健康教育的干预作用。方法采用整群抽样的方法,将尘肺病住院患者随机分为观察组(118例)和对照组(124例)。在住院期间,对照组实施常规健康教育,观察组通过知信行模式的健康教育路径实施KAP健康教育干预。采用自行设计的《尘肺病KAP调查问卷》对2组患者健康教育前后的KAP情况进行调查、分析。结果 2组患者干预前对疾病知识认知率、对疾病态度积极率、建立健康行为积极率以及KAP知识、态度、行为3个维度得分分别比较,差异均无统计学意义(P>0.05);对照组干预后知识维度有8个条目认知率较干预前升高(P<0.05),行为维度有6个条目积极率较干预前升高(P<0.05),但该组对疾病态度积极率和KAP的3个维度得分分别与干预前比较,差异均无统计学意义(P>0.05);观察组干预后对疾病知识认知率、对疾病态度积极率和建立健康行为积极率均较干预前有不同程度升高(P<0.05),KAP的3个维度得分均高于干预前(P<0.05);观察组干预后的对疾病知识认知率、对疾病态度积极率、建立健康行为积极率以及KAP的3个维度得分均高于对照组(P<0.05);观察组KAP各个维度干预后与干预前的得分差值均高于对照组的相应得分差值(P<0.05)。结论对尘肺病住院患者实施知信行模式的健康教育路径可有效提高其对尘肺病的认知,促进树立对待疾病的积极态度,建立健康行为。Objective To analyze the intervention effect of knowledge , attitude and practice （KAP） health education on pneumoconiosis patients with the health education path of knowledge , attitude , belief and practice mode .Methods With the method of cluster sampling , the hospitalized patients with pneumoconiosis were randomly divided into an observation group （118 cases） and a control group （124 cases）.During the period of hospitalization , routine health education was carried out for the control group and the KAP health education intervention by the health education path of knowledge , atti-tude, belief, practice mode carried out for the observation group .With the self-designed Pneumoconiosis KAP Investigation Questionnaire, the KAP situations of patients in 2 groups before and after health education were investigated and analyzed . Results The awareness rate with disease knowledge , attitude positive rate with disease , positive rate of health behavior and the three-dimension （ knowledge-, attitude-, practice-） scores of KAP before intervention were compared between two groups and the differences showed no statistical significance respectively （P〉0.05）.For the control group, 8 items of the awareness rate with disease knowledge and 6 items of the positive rate of health behavior after intervention increased to different extent, compared with those before intervention （P〈0.05）, but the differences of the three-dimension scores of KAP before and after intervention showed no statistical significance respectively （ P〉0.05 ） .For the observation group , the awareness rate with disease knowledge , attitude positive rate with disease and positive rate of health behavior after inter-vention increased to different extent , compared with those before intervention respectively （ P〈0.05 ） , and the three-di-mension scores of KAP after intervention were higher than those before intervention respectively （P〈0.05）.For the obser-vation group, all of the awareness rate with disease knowled

关 键 词：知信行模式 尘肺病 健康教育 护理干预 知识 态度 行为 

分 类 号：R135.2[医药卫生—劳动卫生]