叙事医学模式在老年心房颤动射频消融术患者健康教育中的应用  

Application of narrative medicine model in health education for elderly patients undergoing radiofrequency ablation of atrial fibrillation

作　　者：耿益 李欣[1] 居维竹[2] 冯婕[1] 何英[1] GENG Yi;LI Xin;JU Weizhu;FENG Jie;HE Ying(Cardiac Catheterization Laboratory,Jiangsu Province Hospital,Jiangsu Province,Nanjing210000,China;Department of Cardiology,Jiangsu Province Hospital,Jiangsu Province,Nanjing210000,China)

机构地区：[1]江苏省人民医院心导管室,江苏南京210000 [2]江苏省人民医院心脏科,江苏南京210000

出　　处：《中国医药导报》2021年第25期166-169,共4页China Medical Herald

基　　金：国家自然科学基金面上项目(81870252)。

摘　　要：目的探讨基于叙事医学模式的健康教育在老年心房颤动射频消融术患者中的应用效果。方法选择2019年1月至12月江苏省人民医院行射频消融术治疗老年心房颤动患者112例,按照随机数字表法分为实验组57例、对照组55例。对照组给予常规健康教育,实验组联合应用叙事医学模式的健康教育。随访6个月,比较两组射频消融术知信行水平、并发症、生活质量。结果剔除随访脱落者,实验组、对照组分别纳入55例、51例。随访6个月,两组健康相关知识、信念、行为及知信行总分高于教育前,且实验组高于对照组,差异有统计学意义(P<0.05)。实验组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。随访6个月,实验组生活质量评分高于教育前;对照组生理功能、生理职能、躯体疼痛、活力、社会功能、情感职能、精神健康评分高于教育前,差异有统计学意义(P<0.05)。随访6个月,实验组生理功能、生理职能、社会功能、情感职能、精神健康评分高于对照组,差异有统计学意义(P<0.05)。结论基于叙事医学模式的健康教育有助于提高老年心房颤动射频消融术患者知信行水平,减少并发症发生率,改善患者生活质量。Objective To explore the application effect of health education based on narrative medicine model in elderly patients with atrial fibrillation undergoing radiofrequency ablation.Methods From January to December 2019,Jiangsu Provincial Hospital who underwerrt radiofrequency ablation to treat 112 elderly patients with atrial fibrillation were selected.According to the random number table method,they were divided into experimental group of 57 cases and control group of 55 cases.The control group was given regular health education,and the experimental group was jointly applied with narrative medicine model health education.Follow-up for six months,the level of knowledge and behavior,complications,quality of life of radiofrequency ablation were compared between the two groups.Results Excluding those who fell off during follow-up,55 cases and 51 cases were included in the experimental group and control group,respectively.Follow-up for six months,the total scores of health-related knowledge,beliefs,behaviors and knowledge,beliefs and behaviors of the two groups were higher than those before education,while the experimental group was higher than the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).After six months of follow-up,the quality of life score of the experimental group was higher than that before education;the scores of physiological function,physiological function,physical pain,vitality,social function,emotional function,and mental health of the control group were higher than those before education,and the differences were statistically significant(P<0.05).After six months of follow-up,the scores of physiological function,physiological function,social function,emotional function,and mental health of the experimental group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclu

关 键 词：心房颤动 射频消融 叙事医学 健康教育 知信行 生活质量 

分 类 号：R473.5[医药卫生—护理学]