基于保护动机理论的健康教育对进展期胃癌患者服药行为、负性心理反应和疾病感知的影响  被引量:22

Influence of health education based on protection motivation theory on medication behavior,negative psychological reaction and disease perception of patients with advanced gastric cancer

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作  者:韦丽鹤[1] 王纳[1] 薛娜[1] 贾英岚[2] WEI Lihe;WANG Na;XUE Na(Admissions Office,Building 10,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,Henan)

机构地区:[1]郑州大学第一附属医院10号楼接诊处,450052 [2]郑州大学第一附属医院急诊内科

出  处:《中国健康心理学杂志》2022年第3期372-377,共6页China Journal of Health Psychology

基  金:河南省医学科技攻关计划项目(编号:201709158)。

摘  要:目的:探究基于保护动机理论的健康教育对进展期胃癌患者服药行为、负性心理反应和疾病感知的影响。方法:以2018年1月-2021年1月医院收治的进展期胃癌患者100例为对象,按随机数字表法分为对照组(50例,常规健康教育)、观察组(50例,基于保护动机理论的健康教育),健康教育前后采用Morisky服药依从性评分量表评价两组患者服药行为,抑郁自评量表(SDS)、焦虑自评量表(SAS)评估患者负性情绪,疾病感知问卷(IPQ-R)修订版量表评估患者疾病感知水平,应用生活质量量表(QLQ-C30)评价两组患者生活质量。结果:健康教育后2、4、6个月两组Morisky服药依从性评分明显升高,且观察组明显高于对照组(F=117.083,450.149,15.992;P<0.05)。健康教育后两组SDS评分、SAS评分较健康教育前明显降低,且观察组明显低于对照组(t=8.293,5.705;P<0.05)。与健康教育前比较,健康教育后两组IPQ-R量表中症状识别、病情感知、病因描述评分明显降低,且观察组显著低于对照组(t=8.100,6.555,5.989;P<0.05)。健康教育后QLQ-C30量表各项评分明显升高,且观察组明显高于对照组(t=14.139,9.819,4.732,14.858,8.535,3.295;P<0.05)。结论:基于保护动机理论的健康教育可明显改善进展期胃癌患者服药行为、负性心理反应和疾病感知水平,且有效提高患者生活质量。Objective:To explore the influence of health education based on protection motivation theory on medication behavior,negative psychological reaction and disease perception of patients with advanced gastric cancer.Methods:A total of 100 patients with advanced gastric cancer admitted to our hospital from January 2018 to January 2021 were randomly divided into control group(50 cases,routine health education)and observation group(50 cases,health education based on protection motivation theory).Morisky medication compliance scale was used to evaluate the medication behavior of the two groups before and after health education.Self-rating Depression Scale(SDS)and Self-rating Anxiety Scale(SAS)were used to evaluate patients’negative emotions;The revised version of Disease Perception Questionnaire(IPQ-R)was used to evaluate patients’disease perception level,and QLQ-C30 was used to evaluate the quality of life of the two groups.Results:After 2,4 and 6 months of health education,Morisky’s medication compliance score in the two groups increased significantly,and the observation group was significantly higher than the control group(F=117.083,450.149,15.992;P<0.05).After health education,the scores of SDS and SAS in the two groups were significantly lower than those before health education,and the observation group was significantly lower than that in the control group(t=8.293,5.705;P<0.05).Compared with those before health education,the scores of symptom recognition,disease perception and etiology description in IPQ-R scale of the two groups were significantly lower after health education,and the observation group was significantly lower than the control group(t=8.100,6.555,5.989;P<0.05).After health education,the scores of QLQ-C30 scale increased significantly,and the observation group was significantly higher than the control group(t=14.139,9.819,4.732,14.858,8.535,3.295;P<0.05).Conclusion:Health education based on the theory of protective motivation can obviously improve the medication behavior,negative psychological

关 键 词:进展期胃癌 保护动机理论 健康教育 服药行为 负性心理反应 疾病感知 

分 类 号:R749.92[医药卫生—神经病学与精神病学]

 

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