健康信念模式在肝硬化住院患者健康教育中的应用研究

发布时间：2018-01-10 02:26

本文关键词：健康信念模式在肝硬化住院患者健康教育中的应用研究　出处：《中国健康教育》2017年06期 　论文类型：期刊论文

【摘要】：目的探讨健康信念模式干预在肝硬化住院患者健康教育中的应用效果。方法根据入院时间,按照随机数字表法将舟山市某医院住院治疗的112例肝硬化患者随机分为干预组和对照组,每组56例。对照组采取常规的治疗和健康教育,干预组实施健康信念模式干预。均随访干预6个月,比较2组患者的健康教育效果。结果实施健康信念模式干预后,干预组患者的疾病相关知识如病因及诱因(67.9%)、主要临床症状(73.2%)、主要并发症(58.9%)、饮食与营养知识(73.2%)、日常预防知识(69.6%)、合理用药知识(76.8%)、治疗方法 (82.1%)、心理因素的重要性(73.2%)、休息及运动对肝硬化的重要性(85.7%)等知识知晓率均高于对照组(P0.05)。干预组患者的遵医行为如遵医用药(83.9%)、戒烟戒酒(82.1%)、合理营养(87.5%)、定期复查(92.9%)、适量运动(83.9%)、按时作息(85.7%)、日常生活依从性(80.4%)、保持良好心态(78.6%)等均高于对照组(P0.05)。干预组患者生活质量各维度评分均高于对照组评分(P0.05)。结论在肝硬化住院患者中应用健康信念模式干预,可以提高患者的疾病认知水平,提高患者的遵医依从性和生活质量。
[Abstract]:Objective to explore the effect of health belief model intervention in health education of inpatients with liver cirrhosis. According to random number table, 112 patients with liver cirrhosis in a hospital in Zhoushan City were randomly divided into intervention group (n = 56) and control group (n = 56). The control group received routine treatment and health education. All the patients were followed up for 6 months to compare the effect of health education in the two groups. The disease related knowledge of the patients in the intervention group was 67.9%, the main clinical symptoms were 73.2%, the main complications were 58.9%, and the knowledge of diet and nutrition was 73.2%. The daily preventive knowledge was 69.6%, the rational medication knowledge was 76.8%, the treatment method was 82.1%, the importance of psychological factors was 73.2%. The awareness rate of rest and exercise to liver cirrhosis was higher than that of control group (P0.055.The compliance behavior of patients in the intervention group was 83.9). Quit smoking, quit drinking and abstinence 82.1%, reasonable nutrition 87.5%, check up 92.9% regularly, exercise 83.9% in moderation, work and rest 85.75.00% on time. Compliance in daily life (80.4). The scores of quality of life of patients in the intervention group were higher than those in the control group (P 0.05), and the scores of quality of life in the intervention group were higher than those in the control group (P 0.05). Conclusion Health belief model is used in inpatients with cirrhosis. It can improve the patient's disease cognition, the patient's compliance and the quality of life.
【作者单位】：浙江普陀医院;
【基金】：舟山市卫生计生委攻关课题(06G03)
【分类号】：R473.5
【正文快照】： 肝硬化住院患者病程长,并发症较多,预后较差,家庭负担较重,患者普遍存在抑郁及焦虑情绪,心理压力大,严重影响患者的康复治疗效果和生活质量[1-2]。健康信念模式认为信念可用于解释行为的发生、维持和改变,也可用于指导行为干预,是采纳健康行为的基础[3-4]。已经有研究将健康信

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