健康教育对尿路造口患者生活质量、健康信念及健康行为的影响

发布时间：2018-08-31 14:56

【摘要】：目的探讨健康教育路径干预对尿路造口患者生活质量、健康信念和健康行为改善的效果。方法方便抽样方法选取80例尿路造口患者,按照随机数字表法随机分为对照组和干预组,每组各40例,对照组患者实施常规的健康教育和护理,干预组患者实施健康教育路径模式干预,随访干预6个月,比较2组患者的健康教育效果。结果实施健康教育路径模式干预后,干预组患者的生理功能(67.36±11.71)、生理职能(70.13±13.45)、肌体疼痛(60.16±12.38)、总体健康(63.06±13.34)、活力(60.32±12.09)、社会功能(61.04±11.85)、情感功能(60.28±12.64)、心理卫生(57.35±13.09)等生活质量得分均高于对照组得分(P0.01)。干预组患者客观认识病情,接受造口事实(82.5%),积极参与术后恢复计划的制定(75.0%),愿意改变以往的不良习惯(77.5%),有信心和毅力采取健康的行为(77.5%),知晓健康行为的益处(67.5%),在疾病反复时能控制情绪(77.5%)等健康信念情况均高于对照组,差异均有统计学意义(P0.05)。干预组患者定期造口门诊随访(87.5%)、能正确更换造口袋(82.5%)、保持良好的心态(80.0%)、调整饮食结构和生活习惯(82.5%)、绝对遵守健康教育(80.0%)、定期参加专题报告及造口联谊会、交流恢复经验(77.5%)等健康行为均高于对照组(P0.05)。结论健康教育路径模式干预可以提高尿路造口患者的健康信念和健康行为,降低造口并发症的发生,改善患者的生活质量。
[Abstract]:Objective to explore the effect of health education pathway intervention on the improvement of quality of life, health belief and health behavior of urethotomy patients. Methods Eighty patients with ureterotomy were randomly divided into control group and intervention group with 40 cases in each group. The patients in control group were given routine health education and nursing. The patients in the intervention group were followed up for 6 months to compare the effect of health education. Results the scores of physical function (67.36 卤11.71), physiological function (70.13 卤13.45), body pain (60.16 卤12.38), overall health (63.06 卤13.34), vitality (60.32 卤12.09), social function (61.04 卤11.85), affective function (60.28 卤12.64) and mental health (57.35 卤13.09) in the intervention group were higher than those in the control group (P0.01). The patients in the intervention group were objectively aware of their condition. Accept the fact of ostomy (82.5%), actively participate in the formulation of postoperative recovery plan (75.0%), be willing to change past bad habits (77.5%), have confidence and perseverance to adopt healthy behavior (77.5%), know the benefits of healthy behavior (67.5%), and be able to control mood when illness repeats (77.5%), etc. The health beliefs were higher than those in the control group. The difference was statistically significant (P0.05). The patients in the intervention group were followed up regularly (87.5%). The patients in the intervention group were able to change their pocket correctly (82.5%), maintain a good attitude (80.0%), adjust their diet structure and living habits (82.5%), observe health education (80.0%), and regularly attend special reports and oral meetings. Exchange of recovery experience (77.5%) and other health behaviors were higher than the control group (P0.05). Conclusion the intervention of health education pathway mode can improve the health belief and healthy behavior of urethral orifice patients, reduce the occurrence of complications and improve the quality of life of the patients.
【作者单位】：广西壮族自治区人民医院;
【基金】：广西医药卫生自筹经费计划课题(Z20170391)
【分类号】：R473.73

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