基于回馈理论的健康教育联合聚焦解决模式对肝硬化患者疾病进展恐惧及健康知信行的影响  

Effects of health education based on feedback theory combined with solution-focused model on fear of disease progression and health knowledge,belief and behavior in patients with liver cirrhosis

作　　者：白洋 白巧利 BAI Yang;BAI Qiaoli(Infectious Diseases Department,the First Affiliated Hospital of Xi'an Jiaotong University,Yulin 719000,China;Health Management Center,Yulin Hospital,the First Affiliated Hospital of Xi'an Jiaotong University,Yulin 719000,China)

机构地区：[1]西安交通大学第一附属医院榆林医院感染性疾病科,陕西榆林719000 [2]西安交通大学第一附属医院榆林医院健康管理中心,陕西榆林719000

出　　处：《临床医学研究与实践》2024年第14期160-164,共5页Clinical Research and Practice

摘　　要：目的探讨基于回馈理论的健康教育联合聚焦解决模式对肝硬化患者疾病进展恐惧及健康知信行的影响。方法选取2019年1月至2022年3月我院收治的80例肝硬化患者为研究对象,按照随机数字表法将其分为对照组与观察组,每组40例。对照组采用常规护理,观察组在对照组基础上增加基于回馈理论的健康教育联合聚焦解决模式。比较两组的疾病进展恐惧程度、健康知信行以及肝功能和肝纤维指标。结果干预后,观察组的疾病进展恐惧量表(FoP-Q)各维度评分均低于对照组(P<0.05)。干预后,观察组的知识、信念、行为评分均高于对照组(P<0.05)。干预后,观察组的丙氨酸氨基转移酶(ALT)、谷草转氨酶(AST)、Ⅲ型前胶原(PCⅢ)、Ⅳ型胶原(Ⅳ-C)水平均低于对照组(P<0.05)。结论基于回馈理论的健康教育联合聚焦解决模式不仅能够减轻肝硬化患者疾病进展恐惧,提高其健康知信行水平,还能控制肝硬化进展。Objective To explore the effects of health education based on feedback theory combined with solution-focused model on fear of disease progression and health knowledge,belief and behavior in patients with liver cirrhosis.Methods A total of 80 patients with liver cirrhosis admitted in our hospital from January 2019 to March 2022 were selected as the research objects.According to the random number table method,the patients were divided into control group and observation group,with 40 cases in each group.The control group was given routine nursing,and the observation group was given health education based on feedback theory combined with solution-focused model on the basis of the control group.The degree of fear of disease progression,health knowledge,belief and behavior,liver function and liver fiber indexes were compared between the two groups.Results After intervention,the scores of each dimension of Fear of Progression Questionnaire(FoP-Q)in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of knowledge,belief and behavior in the observation group were higher than those in the control group(P<0.05).After intervention,the levels of alanine aminotransferase(ALT),aspartate transaminase(AST),typeⅢprocollagen(PCⅢ)and typeⅣcollagen(Ⅳ-C)in the observation group were lower than those in the control group(P<0.05).Conclusion The health education based on feedback theory combined with solution-focused model can not only reduce the fear of disease progression in patients with liver cirrhosis,improve health knowledge,belief and behavior level,but also control the progress of liver cirrhosis.

关 键 词：基于回馈理论的健康教育 聚焦解决模式 肝硬化 疾病进展 健康知信行 

分 类 号：R473[医药卫生—护理学]