基于患者需求为导向的分阶段健康教育对消化性溃疡患者自我管理能力及生活质量的影响研究  

Effects of Patient Demand-oriented Phased Health Education on Self-management Ability and Quality of Life in Patients with Peptic Ulcer

作　　者：李珊珊 彭迪 Li Shanshan;Peng Di(Department of Gastroenterology First Ward,Zhengzhou Second People's Hospital,Zhengzhou,Henan,450000,China)

机构地区：[1]郑州市第二人民医院消化内科一病区,河南郑州450000

出　　处：《黑龙江医学》2024年第10期1235-1238,共4页Heilongjiang Medical Journal

摘　　要：目的:探讨基于患者需求为导向的分阶段健康教育对消化性溃疡患者自我管理能力及生活质量的影响。方法:选取2021年1月—2022年12月郑州市第二人民医院收治的92例消化性溃疡患者作为研究对象,按照随机信封法将其分为阶段组和常规组,每组各46例。常规组患者进行常规护理干预,阶段组患者在常规组的基础上进行基于患者需求为导向的分阶段健康教育干预,比较两组患者依从性、溃疡愈合情况及干预前后疾病知识知晓程度、自我管理能力[自我管理能力测评量表(AHSMSRS)]、生活质量[生活质量综合评定问卷(GQOL-74)]、情绪状况[正性、负性情绪量表(PA-NAS)]、健康行为[健康促进生活方式量表(HPLP-Ⅱ)]评分情况。结果:阶段组患者总依从率高于常规组,差异有统计学意义(χ^(2)=5.060,P<0.05);阶段组患者愈合有效率高于常规组,差异有统计学意义(χ^(2)=4.434,P<0.05);干预后,阶段组患者溃疡相关知识、药物作用、用药方法、健康饮食和行为评分均高于常规组,差异有统计学意义(t=18.018、9.087、14.869、8.013,P<0.05);干预后,阶段组患者AHSMSRS、GQOL-74评分均高于常规组,差异有统计学意义(t=4.693、6.472,P<0.05);干预后,阶段组患者PA-NAS正性、HPLP-Ⅱ评分均高于常规组,PA-NAS负性评分低于常规组,差异有统计学意义(t=8.300、15.786、2.854,P<0.05)。结论:基于患者需求为导向的分阶段健康教育应用于消化性溃疡患者中,可提高患者疾病知识知晓程度、自我管理能力,缓解其不良情绪,提高其依从性,促进其溃疡愈合,从而提升其生活质量。Objective:To explore the effects of patient demand-oriented phased health education on self-management ability and quality of life of patients with peptic ulcer.Methods:A total of 92 patients with peptic ulcer diagnosed and treated in the hospital from January 2021 to December 2022 were selected and divided into stage group(46 cases)and routine group(46 cases)by random envelope method.Routine nursing intervention was carried out in the routine group,and patient demand-oriented phased health education intervention was carried out in the stage group based on the routine group.Compliance,ulcer healing,disease knowledge before and after intervention,self-management ability(AHSMSRS),quality of life(GQOL-74),emotional status[Positive and Negative Emotion Scale(PA-NAS)],Health Behavior[Health Promotion Lifestyle Inventory(HPLP-Ⅱ)]were investigated in both groups.Results:The total compliance rate of the stage group was higher than that of the conventional group,and the difference was statistically significant(χ^(2)=5.060,P<0.05).The healing efficiency of stage group was higher than that of conventional group,and the difference was statistically significant(χ^(2)=4.434,P<0.05).After intervention,the scores of ulcer related knowledge,drug action,medication method,healthy diet and behavior in stage group were higher than those in conventional group,and the differences were statistically significant(t=18.018,9.087,14.869,8.013;P<0.05).After intervention,AHSMSRS and GQOL-74 scores in the stage group were higher than those in the conventional group,with statistical significance(t=4.693,6.472;P<0.05).After the intervention,the PA-NAS positive and HPLP-Ⅱscores in the stage group were higher than those in the conventional group,and the PA-NAS negative scores were lower than those in the conventional group,with statistical significance(t=8.300,15.786,2.854;P<0.05).Conclusion:The application of patient demand-oriented phased health education in patients with peptic ulcer can improve patients'disease knowledge,self-management

关 键 词：患者需求为导向 健康教育 消化性溃疡 自我管理能力 生活质量 

分 类 号：R47[医药卫生—护理学]