知信行健康教育模式在肾母细胞瘤患儿中的应用效果研究  

Application effect of knowledge,attitude,and practice health education model in children with Wilms tumor

作　　者：张国英[1] 李泸平[1] 范应中[1] ZHANG Guoying;LI Luping;FAN Yingzhong(Department of Pediatric Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,He’nan,China)

机构地区：[1]郑州大学第一附属医院小儿外科,郑州450052

出　　处：《癌症进展》2021年第21期2261-2264,共4页Oncology Progress

摘　　要：目的探讨知信行健康教育模式在肾母细胞瘤患儿中的应用效果。方法将94例肾母细胞瘤患儿根据患儿住院病历号末位奇偶数分为观察组(n=48)和对照组(n=46),两组均给予规范化手术治疗,其中观察组给予知信行健康教育模式干预,对照组采取常规护理措施。采用儿童生存质量普适性核心量表(PedsQL^(TM)4.0)和儿童生存质量癌症模块量表(PedsQL^(TM)3.0)评估患儿生活质量,同时评估患儿家属健康教育知识水平。结果干预后,观察组PedsQL^(TM)4.0量表生理功能、情感功能、社会功能和角色功能评分和PedsQL^(TM)3.0量表疼痛与受伤、恶心、操作过程的焦虑、治疗的焦虑、担忧、认知问题、对外貌的自我感受、交流问题评分均高于干预前及对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患儿家属健康教育知识水平均升高,且观察组高于对照组,差异均有统计学意义(P﹤0.05)。结论知信行健康教育模式在肾母细胞瘤患儿术后应用中有较好的效果,改善患儿生活质量,提高家属相关知识水平。Objective To investigate the application effect of knowledge,attitude,and practice(KAP)health education model in children with Wilms tumor.Method A total of 94 children with Wilms tumor were divided into the observation group(n=48)and the control group(n=46)according to the odd and even number at the end of the inpatient medical record number.Both groups were given standardized surgical treatment,and the observation group was given the additional KAP health education model,while the control group took conventional nursing treatment.The universal core scale for children’s quality of life(PedsQL^(TM)4.0)and child quality of life cancer module scale(PedsQL^(TM)3.0)were used to assess the children’s quality of life,and to evaluate the health education knowledge level of the children’s family members.Result After the intervention,the scores of physiological function,emotional function,social function and role function in the PedsQL^(TM)4.0 scale,pain and injury,nausea,anxiety in the operating process treatment,worry,cognitive problems,the appearance of self-feeling,and communication problems scores in the PedsQL^(TM)3.0 scale in the observation group were significantly higher than those of the control group and before the intervention,the differences were statistically significant(P<0.05).After the intervention,the health education knowledge level of the families of the two groups of children increased,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).Conclusion The KAP health education mode obtains a good effect in the postoperative application of children with Wilms tumor.This intervention could improve patients’life quality and strengthen their family members’knowledge of the relevant disease.

关 键 词：知信行健康教育模式 肾母细胞瘤 儿童 生活质量 

分 类 号：R737.11[医药卫生—肿瘤]