ESPCS干预对骨质疏松性骨折患者疾病认知能力及健康行为的影响

发布时间：2018-05-07 14:07

本文选题：ESPCS模式 + 护理干预　；参考：《吉林大学》2017年硕士论文

【摘要】：目的:探讨应用ESPCS健康教育护理干预对骨质疏松性骨折患者的疾病认知能力及健康行为的影响,分析ESPCS健康教育护理干预的可行性与重要性。方法:选取自2016年1月到2016年6月进行住院治疗的骨质疏松性脊柱骨折患者80例,将其设置为对照组,选取自2016年7月到2016年12月进行住院治疗的骨质疏松性脊柱骨折患者80例,将其设置为干预组,其中对照组的患者在治疗期间给予常规护理措施,而干预组的患者在治疗期间给予常规护理措施联合ESPCS健康教育护理干预,在入院后、出院时与出院后一个月分别评价并分析两组患者的骨质疏松症相关知识、健康信念以及自我效能状况,在入院后与出院后一个月分别评价并分析两组患者的健康行为。结果:1.在护理干预前,两组患者的自我效能评分、健康信念评分、各健康行为比例、骨质疏松相关健康知识评分与每一量表的各分项目评分比较,差异无统计学意义(P0.05)。2.两组患者在护理干预后(出院时)与护理干预后一个月(出院后一个月)的自我效能评分、健康信念评分、骨质疏松相关健康知识评分与每一量表的各分项目评分均比干预前明显增加,差异有统计学意义(P0.05)。3.两组患者在护理干预后一个月(出院后一个月)的定期日照、运动、补充钙片与VD的健康行为比例比干预前明显增加,饮酒、吸烟与饮料等行为比例比干预前明显减少,差异有统计学意义(P0.05),对照组在护理干预后一个月的食用蔬菜与豆类行为的比例与干预前没有显著差异(P0.05)。4.干预组患者在护理干预后(出院时)与护理干预后一个月(出院后一个月)的自我效能评分、健康信念评分、骨质疏松相关健康知识评分与每一量表的各分项目评分均比对照组的患者明显增加,干预后同一时间点组间比较,差异有统计学意义(P0.05)。5.干预组患者在护理干预后一个月(出院后一个月)定期日照、运动、补充钙片、蔬菜、牛奶、VD与豆类的健康行为比例比对照组明显增加,干预组患者在护理干预后一个月(出院后一个月)经常饮酒、吸烟与饮用碳酸类饮料等行为比例比对照组明显减少,干预后同一时间点组间比较,差异有统计学意义(P0.05)。6.两组患者在干预前后的骨质疏松相关知识与自我效能评分的时间效应、组间与时间的交互效应明显(P0.05)。结论:(1)ESPCS健康教育干预能够有效增强骨质疏松性脊柱骨折患者对于骨质疏松症以及骨质疏松性脊柱骨折知识的认知能力;(2)ESPCS健康教育干预能够明显增强骨质疏松性脊柱骨折患者的自我效能与健康信念,提高患者对健康护理干预的依从性与积极性;(3)ESPCS健康教育干预能够明显提高骨质疏松性脊柱骨折患者的有益疾病相关健康行为,降低患者的有害疾病相关健康行为。
[Abstract]:Objective: to explore the effect of ESPCS health education nursing intervention on disease cognitive ability and health behavior of patients with osteoporotic fracture, and to analyze the feasibility and importance of ESPCS health education nursing intervention. Methods: from January 2016 to June 2016, 80 patients with osteoporotic spinal fracture were selected as control group. From July 2016 to December 2016, 80 patients with osteoporotic spinal fracture who were hospitalized from July 2016 to December 2016 were selected as the intervention group. The patients in the control group were given routine nursing measures during the treatment. The patients in the intervention group were given routine nursing measures combined with ESPCS health education nursing intervention during the treatment period. The osteoporosis related knowledge of the two groups was evaluated and analyzed after admission, discharge and one month after discharge. Health belief and self-efficacy were evaluated and analyzed after admission and one month after discharge. The result is 1: 1. Before nursing intervention, there was no significant difference in self-efficacy score, health belief score, health behavior ratio, osteoporosis related health knowledge score and each sub-item score of each scale between the two groups. The scores of self-efficacy and health belief were measured after nursing intervention (at discharge) and one month after nursing intervention (one month after discharge). The scores of osteoporosis related health knowledge and each sub-item of each scale were significantly higher than those before intervention, and the difference was statistically significant (P 0.05). The proportion of regular sunshine, exercise, calcium supplementation and VD were significantly increased in both groups one month after nursing intervention (one month after discharge), and the proportion of drinking, smoking and drink were significantly decreased compared with those before intervention. The difference was statistically significant (P 0.05). There was no significant difference in the proportion of edible vegetable and bean behavior between the control group and the control group after one month of nursing intervention, and there was no significant difference between the two groups before and after the intervention. The self-efficacy scores and health belief scores of the patients in the intervention group after nursing intervention (when discharged from hospital) and one month after nursing intervention (one month after discharge); The scores of osteoporosis related health knowledge and the scores of each sub-item of each scale were significantly higher than those of the control group, and there was significant difference between the two groups at the same time point after intervention (P 0.05. 5). In the intervention group, the proportion of daily sunshine, exercise, calcium supplement, vegetables, milk VD and beans was significantly higher than that in the control group one month after nursing intervention (one month after discharge). The patients in the intervention group often drank alcohol one month after nursing intervention (one month after discharge), the proportion of smoking and drinking carbonated drinks was significantly lower than that of the control group, and the difference was statistically significant between the groups at the same time point after intervention. The time effect of osteoporosis related knowledge and self-efficacy score before and after intervention, and the interaction between group and time were significant (P 0.05). Conclusion the intervention of ESPCS health education can effectively enhance the cognitive ability of patients with osteoporosis and osteoporotic spinal fractures. ESPCS health education intervention can significantly enhance the osteoporotic spine. Self-efficacy and health beliefs of patients with column fractures, Improving the compliance and enthusiasm of patients with health care intervention with ESPCS health education intervention can significantly improve the beneficial disease-related health behavior of patients with osteoporotic spinal fractures and reduce the harmful disease-related health behaviors of patients.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.6

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