腹水型晚期血吸虫病住院患者全程健康教育模式实施效果评价  

Effectiveness of a whole-process health education model among inpatients with ascites type of advanced schistosomiasis

作　　者：周瑞红[1] 侯循亚[1] 程湘晖 潘洁[1] 来如意[1] 陈贵美[1] 张慧 魏兰军 张露 刘佳新[1] ZHOU Rui-hong;HOU Xun-ya;CHENG Xiang-hui;PAN Jie;LAI Ru-yi;CHEN Gui-mei;ZHANG Hui;WEI Lan-jun;ZHANG Lu;LIU Jia-xin(Affiliated Xiangyue Hospital of Hunan Provincial Institute of Schistosomiasis Control/WHO Collaborating Center on Schistosomiasis Control in Lake Region of China/Hunan Provincial Key Laboratory of Immunology and Transmission Control on Schistosomiasis Control,Yueyang,Hunan 414000,China)

机构地区：[1]湖南省血吸虫病防治所附属湘岳医院、WHO湖区血吸虫病防治合作中心、血吸虫病免疫与传播控制湖南省重点实验室,湖南岳阳414000

出　　处：《中国血吸虫病防治杂志》2022年第6期626-629,634,共5页Chinese Journal of Schistosomiasis Control

基　　金：湖南省科学技术厅科研项目(2021ZK4316);国家临床重点专科项目(国卫办医函[2018]292)。

摘　　要：目的评价腹水型晚期血吸虫病住院患者全程健康教育模式实施效果。方法建立“入院-住院-出院”的全程健康教育模式,并对101例腹水型晚期血吸虫病住院患者采取全程健康教育模式干预,比较全程健康教育实施前后腹水型晚期血吸虫病患者血吸虫病防治知识、血吸虫病防治态度和健康行为综合评分以及血吸虫病防治知识知晓率、血吸虫病防治态度和健康行为正确率。结果全程健康教育实施后,腹水型晚期血吸虫病住院患者血吸虫病防治知识(Z=-7.688,P<0.01)、血吸虫病防治态度(Z=-3.576,P<0.01)和健康行为综合评分均高于实施前(Z=-4.328,P<0.01),血吸虫病防治知识知晓率从54.3%上升到82.7%(χ^(2)=188.886,P<0.01)、血吸虫病防治态度正确率从88.4%上升到98.0%(χ^(2)=22.001,P<0.01)、健康行为正确率从48.2%上升到59.7%(χ^(2)=11.767,P<0.01)。结论全程健康教育模式能显著提高腹水型晚期血吸虫病患者血吸虫病防治知识知晓率、促使患者形成积极态度和正确行为,对促进患者康复具有重要意义。Objective To evaluate the effectiveness of a whole-process health education model among inpatients with ascites type of advanced schistosomiasis.Methods A“admission-hospitalization-discharge”whole-process health education model was created,101 inpatients with ascites type of advanced schistosomiasis were given the whole-process health education.The scores of schistosomiasis control knowledge,attitudes towards schistosomiasis control and healthy behaviors,and awareness of schistosomiasis control knowledge,correct rate of attitudes towards schistosomiasis control and correct rate of healthy behaviors were compared among inpatients with ascites type of advanced schistosomiasis before and after implementation of the whole-process health education.Results The scores of schistosomiasis control knowledge,schistosomiasis control attitudes and healthy behaviors were all significantly higher among inpatients with ascites type of advanced schistosomiasis after implementation of the whole-process health education than before implementation(Z=-7.688,-3.576 and-4.328,all P values<0.01).In addition,the awareness of schistosomiasis control knowledge increased from 54.3% to 82.7%(χ^(2)=188.886,P<0.01),and the correct rate of attitudes towards schistosomiasis control increased from 88.4%to 98.0%(χ^(2)=22.001,P<0.01),while the correct rate of healthy behaviors increased from 48.2% to 59.7%(χ^(2)=11.767,P<0.01).Conclusions The whole-process health education model may remarkably improve the awareness of schistosomiasis control knowledge and promote the formation of positive attitudes towards schistosomiasis control and correct behaviors among inpatients with ascites type of advanced schistosomiasis,which is of great significance to facilitate patients’cure.

关 键 词：晚期血吸虫病 全程健康教育 效果评价 

分 类 号：R532.21[医药卫生—内科学]