知信行健康教育模式对卵巢癌术后患者KAP、生活质量及希望水平的影响

发布时间：2018-03-30 08:01

本文选题：知信行　切入点：健康教育　出处：《南京中医药大学》2017年硕士论文

【摘要】：目的:1.了解卵巢癌术后患者对疾病的知识、信念、行为了解的同时还应该对生活质量以及希望水平的现状有所了解。2.对知信行健康模式进行探讨,并对卵巢癌患者术后的希望水平以及生活质量的影响进行分析和研究。方法:1.本研究采用自制的《卵巢癌术后患者知信行问卷》对南京大学医学院附属鼓楼医院妇科符合入组标准的卵巢癌术后患者110名进行调查(因2名患者中途自动退出,最终对其中的]08名患者进行研究)。评估患者的疾病相关知识、信念、行为状况;采用欧洲癌症研究与治疗组织的生命质量核心量表(EORTC QLQ-C30量表)评定患者的生活质量;采用Herth希望量表(herth hope index,HHI)评估患者的希望水平。2.运用随机数字表法,按照简单的随机方式分为对照组和试验组。对照组53例(常规护理组):在院期间采用常规健康教育及护理,包括入院指导、用药指导、病情观察、告知病人和家属疾病治疗、护理和康复知识,出院后常规门诊随访和复查;试验组55例(知信行健康教育模式组):建立基于知信行理论的健康宣教方式,在实行常规护理的同时,还依托知信行健康教育模式来进行完善,然后对术后三个月患者的生活质量、希望水平以及知识、信念、行为再次做出测评,比较两组患者之间的统计学差异。结果:1.卵巢癌术后患者的KAP水平:知信行健康教育模式提高了试验组卵巢癌术后患者的知识、信念及行为,与对照组相比,差异有统计学意义(P0.01)。2.卵巢癌术后患者的生活质量水平:知信行健康教育模式提高了试验组卵巢癌术后患者的生活质量,与对照组相比,躯体功能、角色功能、情绪功能、认知功能、社会功能、总体健康状况、疲倦、失眠、食欲丧失等条目得分差异具有统计学意(P0.05)。3.卵巢癌术后患者的希望水平:知信行健康教育模式提高了试验组卵巢癌术后患者的希望水平,与对照组相比,差异有统计学意义(P0.01)。结论:1.卵巢癌术后患者的知识、信念、行为、生活质量及希望水平总体低下。2.知信行健康教育模式有效地提高卵巢癌术后患者的疾病相关知识,树立抗争癌症的信念和态度,从而建立积极、健康的生活方式;同时也提升了患者的生活质量和希望水平。值得在妇科护理工作中推广和应用。3.本研究仅在一家医院进行,由于各地区实际情况存在差异,因此研究结果存在一定的局限性,有待进一步扩展研究。
[Abstract]:Objective: to understand the 1. ovarian cancer patients on disease knowledge, belief and behavior should also understand the quality of life and the hope level status.2. understand on KAP health models were discussed, and the analysis and research of the ovarian cancer patients after the level of hope and quality of life. Methods: This study used 1. < ovarian cancer patients after self-designed KAP questionnaire > in gynecology Affiliated Hospital of Nanjing University medical school in accordance with the standard set of 110 ovarian cancer patients surveyed (2 patients with automatic withdrawal, eventually the]08 patients were studied. Patients with related assessment) disease knowledge, belief, behavior; the life quality of the core European Organization for research and treatment of cancer (table EORTC QLQ-C30 scale) assessment of the quality of life of patients; the Herth Hope Scale (Herth hope index, HHI) Evaluation of the hope level in patients with.2. using the random number table method, in accordance with the way of simple random divided into control group and test group. 53 cases in the control group (routine nursing group): the routine health education and nursing care in the hospital, including admission guidance, medication guidance, observation, inform the patient and family nursing treatment of diseases, and knowledge of rehabilitation after discharge, conventional outpatient follow-up and review; 55 cases of test group (KAP health education group): the establishment of health education KAP based on the theory, in the implementation of routine care at the same time, also rely on the KAP of health education to improve the quality of life of patients, and three months after the operation, hope level and knowledge, belief, behavior again make evaluation, significant differences between the two groups were compared. Results: 1. ovarian cancer patients KAP level: KAP health education model to improve the experimental group of ovarian cancer The knowledge of patients, beliefs and behavior, compared with the control group, the difference was statistically significant (P0.01) the level of quality of life in patients with.2. after ovarian cancer operation: KAP health education model to improve the experimental group of ovarian cancer patients quality of life, compared with the control group, body function, role function. Emotional function, cognitive function, social function, general health, fatigue, insomnia, loss of appetite and other item scores differed significantly (P0.05) to.3. levels in patients with ovarian cancer after operation: KAP health education model to improve the test level of hope with the experimental group of ovarian cancer after operation, compared with the control group. The difference was statistically significant (P0.01). Conclusion: 1. ovarian cancer patients after the operation of the knowledge, belief, behavior, quality of life and hope that the overall level of low.2. KAP health education model can effectively improve the postoperative ovarian cancer patients with the disease related knowledge tree Stand against cancer beliefs and attitudes, so as to establish a positive and healthy way of life; but also enhance the quality of life of patients and the level of hope. It is worth popularization in gynecological nursing work and the application of.3. in this study only in a hospital, because of the difference between the actual situation in various regions, so the research results have certain limitations that needs to be further expanded.

【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.73

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