健商理念下的健康教育对溃疡性结肠炎患者自我管理能力及用药依从性的影响  

Effects of health education under the concept of health quotient on self-management ability and medication compliance among ulcerative colitis patients

作　　者：范亚硕[1] 廖化波[2] 孙明杰[3] 张双喜[4] Fan Yashuo;Liao Huabo;Sun Mirtgjie;Zhang Shuangxi(Department of Endoscopy, Nanyang City Center Hospital, the Affiliated Hospital of Zhengzhou University,Nanyang 473000, China;Department of Cardiology, He nan Provincial People's Hospital, Zhengzhou450000, China;Department of Infection Control, He 'nan Provincial People's Hospital, Zhengzhou 450000,China;Henan University of Chinese Medicine, Zhengzhou 450046, China)

机构地区：[1]郑州大学附属医院南阳市中心医院内镜诊疗部,473000 [2]河南省人民医院心血管内科,郑州450000 [3]河南省人民医院感染管理科,郑州450000 [4]河南中医学院,郑州450046

出　　处：《中华现代护理杂志》2019年第13期1659-1662,共4页Chinese Journal of Modern Nursing

基　　金：河南省科技公关计划项目(132102310479);河南省中医药科学研究专项课题(2018ZY2083).

摘　　要：目的探讨健商理念下的健康教育对溃疡性结肠炎患者自我管理能力及用药依从性的影响。方法采用便利抽样法,选取郑州大学附属医院南阳市中心医院2015年12月-2017年12月收治的140例溃疡性结肠炎患者为研究对象,按照随机数字表法将其分为观察组与对照组各70例。对照组采用传统健康教育模式,观察组采用健商理念下的健康教育模式,即以健商理念的5个维度作为出发点进行健康教育。分别在干预前(患者入院时)、干预后(出院3个月后入院复查时)采用成年人健康自我管理能力测定量表(AHSMSRS)和Morisky服药依从性量表对两组患者的自我管理能力和用药依从性进行评分,评价干预效果。结果干预前,两组患者的AHSMSRS量表各维度评分比较差异无统计学意义(P>0.05),干预后两组患者各项评分高于干预前,且观察组干预后的饮食管理、运动管理、疾病应对、资源利用、自我效能、环境自我管理评分及总分高于对照组,差异有统计学意义(P<0.05)。干预后,观察组用药依从性优良率为95.71%,较对照组的85.71%更高,组间比较差异有统计学意义(P<0.05)。结论健商理念下的健康教育能够提高溃疡性结肠炎患者的自我管理能力与用药依从性,值得临床推广。Objective To explore the effects of health education under the concept of health quotient on self-management ability and medication compliance among ulcerative colitis patients. Methods From December 2015 to December 2017, we selected 140 ulcerative colitis patients at Nanyang City Center Hospital of the Affiliated Hospital of Zhengzhou University as subjects by convenience sampling. All of the patients were divided into observation group and control group with the method of random number table, 70 cases in each group. Control group adopted routine health education, while observation group carried out health education under the concept of health quotient which implemented health education using five dimensions of health quotient concept as start points. The intervention effects of patients of two groups, self-management ability and medication compliance, were compared with the Adult Health Self-Management Skill Rating Scale (AHSMSRS) and Morisky Medication Adherence Scale before (on admission) and after (reexamining three months after discharge) intervention. Results Before intervention, there were no statistical differences in the dimension scores of AHSMSRS of patients between two groups (P > 0.05). After intervention, the scores of AHSMSRS both groups all increased compared with those before intervention;the scores of diet management, sport management, responses to the diseases, resource usage, self-efficacy and environment self-management and the total score of AHSMSRS in observation group after intervention were higher than those in control group with statistical differences (P <0.05). After intervention, the fine rate of medication compliance of observation group was 95.71% statistically higher than that (85.71%) of control group (P<0.05). Conclusions Health education under the concept of health quotient can improve self-management ability and medication compliance among ulcerative colitis patients which is worthy of being spread in clinical application.

关 键 词：结肠炎 溃疡性 药物治疗依从性 健康教育 健商理念 自我管理能力 

分 类 号：R473.5[医药卫生—护理学]