数智化健康教育在菌阳肺结核患者陪护者预防管理中的价值  

The value of digital health education in the preventive management of caregivers of patients with bacterial positive pulmonary tuberculosis

作　　者：闫文华 陈文君 Yan Wenhua;Chen Wenjun(Department of Head and Neck Surgery,Affiliated Pulmonary Hospital of Shanxi Medical University/Fourth People’s Hospital of Taiyuan,Taiyuan 030053,China;Department of Infectious Diseases,Affiliated Pulmonary Hospital of Shanxi Medical University/Fourth People’s Hospital of Taiyuan,Taiyuan 030053,China)

机构地区：[1]山西医科大学附属肺科医院/太原市第四人民医院头颈外科,太原030053 [2]山西医科大学附属肺科医院/太原市第四人民医院感染科,太原030053

出　　处：《结核与肺部疾病杂志》2025年第1期73-78,共6页Journal of Tuberculosis and Lung Disease

摘　　要：目的:探讨数智化健康教育在菌阳肺结核患者陪护者预防管理中的应用效果。方法:参照入组标准选择2022年5月1日至2024年5月31日山西医科大学附属肺科医院收治的菌阳肺结核患者的200名陪护者为研究对象。采用随机数字表法将陪护者分为对照组(采用常规健康教育管理方法)和观察组(实施基于数智化知-信-行的健康教育模式),每组各100名。使用健康教育知信行水平问卷对两组陪护者干预前和干预3个月后的核心信息知晓率、正向态度和防治行为进行评价,并比较两组陪护者对干预工作的满意度及陪护患者的首次按时复诊率。结果:观察组干预后的结核病防治信息知晓、正向态度、防治行为3个维度的得分[分别为(86.47±11.38)分、(78.66±12.55)分、(62.82±5.33)分]均明显高于对照组[分别为(69.16±9.45)分、(64.36±11.02)分、(48.35±4.84)分],差异均有统计学意义(t=4.722,P=0.040;t=4.763,P=0.000;t=3.841,P=0.012)。观察组陪护者对护理干预的总满意率[95.0%(95/100)]明显高于对照组[80.0%(80/100)],差异有统计学意义(χ^(2)=4.997,P=0.024)。观察组相关患者的首次按时复诊率[86.0%(86/100)]明显高于对照组[73.0%(73/100)],差异有统计学意义(χ^(2)=4.889,P=0.027)。结论:数智化知-信-行健康教育预防管理可提高菌阳肺结核患者陪护者的结核病相关知识知晓率,改变陪护者对结核病的防治信念,并促进其健康行为,干预效果显著。Objective:To explore the application of digital health education in the preventive management of caregivers of bacterial positive pulmonary tuberculosis patients.Methods:According to the inclusion criteria,200 caregivers of patienrs with bacterial positive pulmonary tuberculosis patients who were admitted to the Affiliated Pulmonary Hospital of Shanxi Medical University from May 1,2022 to May 31,2024 were enrolled.The enrolled caregivers were divided into a control group(using conventional health education management methods)and an observation group(using a knowledge-attitude-behavior health education model based on digital intelligence)baded on the random number table method,with 100 caregivers in each group.A questionnaire on the level of knowledge,attitude and behavior of health education was used to evaluate the scores of core information knowledge,positive attitude and preventive behavior of the caregivers of the two groups before and 3 months after the intervention.The satisfaction of the two groups on the care of the intervention and the rate of the first-time on-time follow-up of the patients were compared.Results:After intervention,the scores of awareness on tuberculosis prevention and treatment information,positive attitude,and behavior of the caregivers in the observation group((86.47±11.38),(78.66±12.55),and(62.82±5.33)points,respectively)were higher than those of the control group((69.16±9.45),(64.36±11.02),and(48.35±4.84)points,respectively),and the differences were statistically significant(t=4.722,P=0.040;t=4.763,P=0.000;t=3.841,P=0.012).The overall satisfaction rate of observation group with nursing interventions(95.0%(95/100))was significantly higher than that in the control group(80.0%(80/100)),and the difference was statistically significant(χ^(2)=4.997,P=0.024).The first-time on-time follow-up rate of the patients in the observation group(86.0%(86/100))was significantly higher than that of the control group(73.0%(73/100)),and the difference was statistically significant(χ^(2)=4.889,P=

关 键 词：结核 肺 教育 护理 健康知识 态度 实践 问卷调查 护理评价研究 

分 类 号：R521.9[医药卫生—内科学] R473.5[医药卫生—临床医学]