基于理性行为理论的家属同步健康教育在肾移植围手术期中的应用  

Application of synchronous health education of family members based on rational behavior theory in perioperative period of renal transplantation

作　　者：张融冰[1] 武小强[2] 王小青[2] 李晶[2] 张玲玲 ZHANG Rong-bing;WU Xiao-qiang;WANG Xiao-qing;LI Jing;ZHANG Ling-ling(Management Center of Day Surgery,Henan Provincial People's Hospital,Zhengzhou,Henan 450000,China;不详)

机构地区：[1]河南省人民医院日间手术管理中心,河南郑州450000 [2]河南省人民医院泌尿外科

出　　处：《中华全科医学》2022年第11期1909-1912,共4页Chinese Journal of General Practice

基　　金：河南省医学科技攻关计划项目(LHGJ20200046)。

摘　　要：目的探讨基于理性行为理论的家属同步健康教育在肾移植围术期中的应用效果。方法选择2017年3月—2020年5月河南省人民医院收治的120例肾移植术患者,按随机数字表法分组。对照组(60例)接受围术期常规护理,研究组(60例)实施围术期常规护理+基于理性行为理论的家属同步健康教育。比较2组患者治疗依从性,观察2组患者干预前后健康行为、疾病不确定感、社会心理适应性能力、生活质量及家属照顾负担、希望水平的变化。结果干预后,研究组治疗行为、饮食行为、社会心理行为、躯体活动行为及总分均高于对照组(P<0.05);研究组总治疗依从性(96.67%)高于对照组(83.33%,P<0.05)。干预后,研究组Mishel疾病不确定感量表(MUIS-A)评分低于对照组,社会心理适应性能力、肾移植患者生活质量相关评定量表(QOL-RT)评分高于对照组(P<0.05);研究组Zarit照顾者负担量表(ZBI)评分低于对照组,Herth希望指数(HHI)评分高于对照组(P<0.05)。结论基于理性行为理论的家属同步健康教育用于肾移植围术期中效果明显,不仅可改善患者健康行为、生活质量,提高治疗依从性、社会心理适应性能力,减轻疾病不确定感,且利于降低家属照顾负担,提升希望水平。Objective To explore the effect of synchronous health education for family members based on rational behavior theory in kidney transplantation.Methods Total 120 renal transplant patients admitted to Henan Provincial People's Hospital from March 2017 to May 2020 were selected and grouped according to the principle of matching basic characteristics between groups.The control group(60 cases)received perioperative routine care,and the study group(60 cases)received perioperative routine care plus synchronous health education of family members based on rational behavior theory.The treatment compliance of the two groups of patients was compared.The changes of health behavior,disease uncertainty,social psychological adaptability,quality of life,family care burden and hope were observed before and after intervention.Results After the intervention,the treatment behavior,eating behavior,social psychological behavior,physical activity behavior and total scores of the study group were higher than those of the control group(P<0.05),and the total treatment compliance of the study group(96.67%)was higher than that of the control group(83.33%,P<0.05).After intervention,the scores of Mishel uncertainty in illness scale-adult(MUIS-A)in the study group were lower than those in the control group,while the scores of psychosocial adaptability and quality of life scale for patients of renal transplantation(QOL-RT)in renal transplant patients were higher than those in the control group(P<0.05).The score of Zarit burden scale(ZBI)in the study group was lower than that in the control group,while the score of Herth hope index(HHI)was higher than that in the control group(P<0.05).Conclusion The effect of family members'synchronous health education based on rational behavior theory in the perioperative period of renal transplantation is obvious.It can not only improve patients'health behavior and quality of life,improve treatment compliance and psychosocial adaptability,reduce the uncertainty of disease,but also reduce the care burden of fami

关 键 词：肾移植术 理性行为理论 家属同步健康教育 健康行为 

分 类 号：R193[医药卫生—卫生事业管理] R699.2[医药卫生—公共卫生与预防医学]