基于行动研究法理论的健康教育策略对甲状腺微创手术患者的影响  

Effect of Health Education Strategy Based on Action Research Theory in Patients with Minimally Invasive Thyroid Surgery

作　　者：王晓 官桂青 汪惠玲 Wang Xiao;Guan Guiqing;Wang Huiling(Shangrao Municipal Hospital,Shangrao Jiangxi 334000,China)

机构地区：[1]上饶市立医院,江西上饶334000

出　　处：《齐鲁护理杂志》2023年第8期16-19,共4页Journal of Qilu Nursing

摘　　要：目的:探讨基于行动研究法理论的健康教育策略对甲状腺微创手术患者的影响。方法:在2018年3月1日~2019年12月31日给予健康宣讲、术后指导的甲状腺微创手术患者中随机选取30例,纳入对照组;在2021年1月1日~2022年4月30日给予行动研究法理论健康教育策略的患者中随机选取30例,纳入观察组。记录术前1 d及术后1 d时,两组疲劳状况[采用围术期疲劳评测量表(ICFS)];比较干预前及术后3 d时,两组自护能力[采用自我护理能力测量量表(ESCA)、医学应对方式问卷(MCMQ)],心理状况[采用Beck抑郁量表(BDI)、汉密顿焦虑量表(HAMA)];比较术后3 d时,两组生活质量[采用甲状腺疾病患者生活质量量表(ThyPRO39)]。结果:术后1 d,两组ICFS评分均低于术前1 d(P<0.01),且观察组低于对照组(P<0.01);术后3 d,两组ESCA、MCMQ评分均高于干预前(P<0.01),且观察组高于对照组(P<0.01);术后3 d,两组BDI、HAMA评分均低于干预前(P<0.01),且观察组低于对照组(P<0.01);术后3 d,观察组ThyPRO39评分低于对照组(P<0.01)。结论:基于行动研究法理论的健康教育策略能够帮助甲状腺微创手术患者调节围术期疲劳状况,提高自我护理能力和生活质量,改善心理状况。Objective:To explore the effect of health education strategy based on action research theory in patients undergoing minimally invasive thyroid surgery.Methods:A total of 30 patients with minimally invasive thyroid surgery who received health education and postoperative guidance during March 1,2018 to December 31,2019 were randomly selected and included in the control group,and another 30 patients who underwent health education strategy based on action research theory during January 1,2021 to April 30,2022 were selected and enrolled as the observation group.The fatigue status by Identity-Consequence Fatigue Scale(ICFS)in the two groups of patients was recorded on 1 d before surgery and on 1 d after surgery.The self-care ability by Exercise of Self-Care Agency Scale(ESCA),Medical Coping Modes Questionnaire(MCMQ)before intervention and on 3 d after surgery,psychological status by Beck Depression Inventory(BDI),Hamilton Anxiety Scale(HAMA)before intervention and on 3 d after surgery and quality of life by Thyroid-specific Patient Reported Outcome(ThyPRO39)on 3 d after surgery were compared between the two groups.Results:At 1 d after surgery,the ICFS scores in the two groups were lower than those on 1 d before surgery(P<0.01),and those in the observation group were lower than those in the control group(P<0.01).At 3 d after surgery,the ESCA and MCMQ scores in both groups were higher than those before intervention(P<0.01),and higher in the observation group than those in the control group(P<0.01).On 3 d after surgery,the scores of BDI and HAMA in the two groups were lower than those before intervention(P<0.01),and those in the observation group were lower than those in the control group(P<0.01).The scores of ThyPRO39 in the observation group were higher than those in the control group on 3 d after surgery(P<0.01).Conclusion:Health education strategy based on action research theory can help to adjust the perioperative fatigue status,enhance the self-care ability and quality of life,and improve the psychological status in

关 键 词：行动研究法理论 健康教育策略 甲状腺微创手术 围术期疲劳 自护能力 心理状况 生活质量 

分 类 号：R473.6[医药卫生—护理学]