5S健康教育对妊娠纹修复患者认知水平、期望偏差和应对方式的影响  

Effects of 5S health education for treating women with postpartum stretch marks repair on their cognitive level,expectation deviation,and coping styles

作　　者：李茜 闫冰 LI Xi;YAN Bing(The First Affiliated Hospital of Air Force Medical University,Xi'an,Shaanxi Province,710032)

机构地区：[1]空军军医大学第一附属医院,西安710032

出　　处：《中国计划生育学杂志》2023年第10期2389-2393,共5页Chinese Journal of Family Planning

摘　　要：目的:探究5S健康教育改善产后妊娠纹修复治疗患者认知水平、期望偏差和应对方式的效果观察。方法:选取2018年9月-2021年9月到本院皮肤科就诊的196名产后妊娠纹修复患者,随机分为观察组(n=98)和对照组(n=98),所有患者均予以非剥脱1565mm铒玻璃点阵激光治疗,对照组给予常规护理,观察组在此基础上联合5S健康教育,比较两组护理后满意度和期望偏差,护理前后对妊娠纹认知水平、简易应对方式量表(SCSQ)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分及护患关系信任度量表。结果:干预9个月后,观察组对妊娠纹主要症状、自然预后、治疗方法、治疗时效知晓率高于对照组(P<0.05);观察组积极应对评分高于对照组,消极应对评分低于对照组(P<0.05);观察组SAS评分、SDS评分均低于对照组(P<0.05);观察组度与关怀、能力与安全感评分均高于对照组(P<0.05);观察组满意度高于对照组(95.92%vs 87.76%),期望偏差发生率(2.04%vs 9.18%)低于对照组(P<0.05)。结论:基于5S理念对产后妊娠纹修复治疗患者实施健康教育改善患者认知水平,消除消极情绪,改善应对方式,提高护理满意度,降低患者期待偏差。Objective:To explore the improvement effect of the cognitive level,expectation deviation,and coping styles of 5S health education for treating women with postpartum stretch marks repair.Methods:A total of 196 women who wanted postpartum stretch marks repair in dermatology department of the hospital were enrolled and randomly divided into observation group(n=98) and control group(n=98) between September 2018 and September 2021.The women in the two groups were given non-exfoliation 1565mm erbium glass fractional laser therapy,and then the women in the control group were given routine nursing,while the women in the observation group were given 5S health education additionally.The satisfaction and expectation deviation after nursing,the cognition level for the stretch marks,and the scores of simplified coping style questionnaire(SCSQ),self-rating anxiety scale(SAS),self-rating depression scale(SDS),and nurse-patient relationship trust scale of the women before and after nursing were compared between the two groups.Results:In the 9th month after intervention,the awareness rates of the main symptoms,natural prognosis,treatment methods,effectiveness for a given period of time of the stretch marks of the women in the observation group were significantly higher than those of the women in the control group(P<0.05).The score of positive coping of the women in the observation group was significantly higher than that of the women in the control group,and the score of negative coping of the women in the observation group was significantly lower(P<0.05).The scores of SAS and SDS of the women in the observation group were significantly lower than those of the women in the control group(P<0.05).The scores of care,ability,and safety of the women in the observation group were significantly higher than those of the women in the control group(P<0.05).The satisfaction rate(95.9%)of the women in the observation group was significantly higher than that(87.8%)of the women in the control group,and the incidence of expectation deviation(2.

关 键 词：5S健康教育 妊娠纹 认知水平 期望偏差 

分 类 号：R473.71[医药卫生—护理学]