多元化健康教育模式对青少年卵圆孔未闭患者疾病感知压力社会支持及生存质量的影响  

Influence of diversified health education model on perceived stress,social support and quality of life in adolescents with patent foramen ovale

作　　者：夏海娜[1] 张继凤[1] 余卓 杨侃[1] Xia Haina;Zhang Jifeng;Yu Zhuo;Yang Kan(Nanyang Central Hospital,Nanyang 473009,Henan,China)

机构地区：[1]南阳市中心医院,河南南阳473009

出　　处：《临床心身疾病杂志》2024年第6期140-144,共5页Journal of Clinical Psychosomatic Diseases

基　　金：河南省医学科技攻关计划联合共建项目(编号LHGJ20210979)。

摘　　要：目的探讨多元化健康教育模式对青少年卵圆孔未闭(PFO)患者疾病感知压力、社会支持及生存质量的影响。方法以随机数字表法将76例青少年PFO患者分为观察组和对照组,各38例,对照组患者给予常规健康教育,观察组患者在对照组基础上给予多元化健康教育。干预前后采用中文版压力知觉量表(CPSS)、领悟社会支持量表(PSSS)、儿童生存质量测定量表体系心脏病模块量表(PedsQL 3.0 Cardiac Module)和Morisky用药依从性问卷(MMAS-8)评估两组患者疾病感知压力、社会支持、生存质量和用药依从性。结果干预后,两组患者CPSS各维度评分均降低,且观察组低于对照组(P<0.01);两组患者PSSS和PedsOL 3.0 Cardiac Module各维度评分均升高,且观察组高于对照组(P<0.05或0.01)。干预前后,两组患者MMAS-8评分比较均无显著差异(P>0.05)。结论多元化健康教育模式在青少年PFO患者中应用效果较好,值得临床推广。Objective To explore the inf luence of diversif ied health education model(DHEM)on perceived stress,social support and quality of life in adolescents with patent foramen ovale(PFO).Methods Seventy-six PFO adolescents were divided into observation and control group according to random number table,with 38 ones in each.Controls received routine health education and observation group did the DHEM on the basis of controls.Illness perceived stress,social support,quality of life and medication adherence were assessed in both groups before and after intervention using the Chinese Perceived Stress Scale(CPSS),Perceived Social Support Scale(PSSS),Pediatric Quality of Life Inventory 3.0 Cardiac Module Scale(PedsQL 3.0 Cardiac Module),and 8-item Morisky Medication Adherence Scale(MMAS-8),respectively.Results After intervention,each dimension scores of the CPSS in both groups lowered and those were lower in observation than cont rol group(P<0.01),scores on the PSSS and PedsOL 3.0 Cardiac Module in both groups elevated and those were higher in observation than control group(P<0.05 or 0.01).Intergroup differences in pre-and post-intervention MMAS-8 scores weren't statistically significant(P>0.05).Conclusion The application of the DHEM in PFO adolescents has better effect and deserves clinical promotion.

关 键 词：多元化健康教育 卵圆孔未闭 疾病感知压力 社会支持 生存质量 青少年 

分 类 号：R541.1[医药卫生—心血管疾病] R471[医药卫生—内科学]