个体化知信行健康模式对PTBD患者心理、术后并发症及生活质量的影响  

Influence of Individualized Health Model of Knowledge,Belief and Behavior on Psychology,Postoperative Complications and Quality of Life in Patients with PTBD

作　　者：崔林晟 林秀如 包莉 苏婷 CUI Lin-sheng;LIN Xiu-ru;BAO Li;SU Ting(Ninth Ward,Mengchao Hepatobiliary Hospital,Fujian Medical University,Fuzhou,Fujian Province,350025 China)

机构地区：[1]福建医科大学孟超肝胆医院第九病区,福建福州350025

出　　处：《中外医疗》2021年第8期140-143,共4页China & Foreign Medical Treatment

摘　　要：目的探讨个体化知信行健康模式对经皮经肝胆管穿刺引流术(PTBD)患者心理、术后并发症及生活质量的影响。方法方便选取于2018年1月—2019年12月该院80例恶性梗阻性黄疸PTBD治疗患者随机分组,每组40例。对照组实施常规健康教育,观察组实施个体化知信行健康教育。比较两组的不良情绪评分、术后并发症发生率、生活质量评分。结果相比于对照组SAS评分(47.23±5.47)分、SDS评分(48.37±5.86)分,护理后的SAS评分(41.68±4.83)分、SDS评分(42.50±5.19)分观察组明显降低,差异有统计学意义(t=4.810、4.743,P<0.05)。生活质量评分方面,相比对照组的生理(82.09±6.13)分、心理(83.12±6.07)分、环境(81.35±6.29)分、社会关系(82.14±5.93)分,观察组的生理(88.45±6.37)分、心理(89.36±6.28)分、环境(88.46±6.83)分、社会关系(88.57±6.29)分明显增高,差异有统计学意义(t=4.550、4.519、4.843、4.704,P<0.05)。术后脱管、管道堵塞、感染等并发症总发生率,观察组2.50%低于对照组20.00%,差异有统计学意义(χ^(2)=4.507,P<0.05)。结论个体化知信行健康教育可减轻PTBD患者负面心理情绪,降低术后脱管风险,使生活质量提升。Objective To explore the impact of individualized knowledge,belief and behavior health model on the psychology,postoperative complications and quality of life of patients with percutaneous transhepatic biliary drainage(PTBD).Methods From January 2018 to December 2019,80 patients with malignant obstructive jaundice treated with PTBD in the hospital were conveniently selected,randomly divided into 40 cases in each group.The control group was given regular health education,and the observation group was given individualized knowledge,belief and behavior health education.The two groups were compared with the scores of bad mood,postoperative complications,and quality of life scores.Results Compared with the control group's SAS score(47.23±5.47)points and SDS score(48.37±5.86)points,the SAS score(41.68±4.83)points and SDS score(42.50±5.19)points of the observation group after nursing were significantly reduced,and the difference was statistically significant(t=4.810,4.743,P<0.05).In terms of quality of life scores,compared with the control group’s physiology(82.09±6.13)points,psychological(83.12±6.07)points,environmental(81.35±6.29)points,and social relations(82.14±5.93)points,the observation group’s physiology(88.45±6.37)points,psychological(89.36±6.28)points,environmental(88.46±6.83)points,social relations(88.57±6.29)points were significantly increased,the difference was statistically significant(t=4.550,4.519,4.843,4.704,P<0.05).The total incidence of postoperative complications such as detubation,pipeline blockage and infection,2.50%in the observation group was lower than 20.00%in the control group,the difference was statistically significant(χ^(2)=4.507,P<0.05).Conclusion Individualized health education on knowledge,belief and practice can alleviate the negative psychological emotions of patients with PTBD,reduce the risk of postoperative decoupling,and improve the quality of life.

关 键 词：经皮肝胆穿刺引流 恶性梗阻性黄疸 健康教育 个体化护理 知信行 

分 类 号：R4[医药卫生—临床医学]