摘要
目的分析慢性阻塞性肺疾病患者健康教育需求与护士认知差异,促进健康教育方式改善。方法以157例慢性阻塞性肺疾病患者及15名呼吸内科护士为研究对象。结果急性期和稳定期患者对疾病知识、治疗知识、运动疗法、饮食疗法、自我管理、集体授课、一对一指导需求有显著差异(P<0.05),稳定期患者对疾病知识、运动疗法、饮食疗法、自我管理、集体授课需求高于急性期,急性期对治疗知识、一对一指导的需求高于稳定期;两个时期患者对并发症预防、宣传栏/册、电教等健康教育方式需求无显著差异(P>0.05)。急性期患者对疾病知识、运动疗法、饮食疗法、自我管理等内容的需求显著低于护士认知(P<0.05),对集体授课、宣传栏/册等方式需求显著低于护士认知(P<0.05),对电教的需求显著高于护士认知(P<0.05)。稳定期患者对运动疗法、电教需求显著高于护士认知(P<0.05),对治疗知识、宣传栏/册、一对一指导需求显著低于护士认知(P<0.05)。急性期患者健康需求与护士认知10个项目中存在7项显著差异,稳定期患者健康需求与护士认知存在5项显著差异,稳定期患者健康需求与护士认知的一致性较急性期患者略高。结论急性期慢性阻塞性肺疾病患者对健康教育需求更重视有助缓解症状的健康知识,稳定期患者更重视控制症状的健康知识,应根据患者具体需求改进健康教育内容和方式。
Objective To analyze the differences between disease health education needs of patients with chronic obstructive pulmonary and cognitive of disease health education needs of nurses. Methods Choosed 157 cases with chronic obstructive pulmonary disease and 15 nurses for the study of respiratory medicine to research. Results Between acute and patients with stable disease knowledge, treatment knowledge, exercise therapy, diet therapy, self-management, group classes, one on one guidance needs had significant differences（P〉0.05）, patients with stable disease knowledge, exercise therapy, diet therapy, self-management, demand was higher than the acute phase, and the acute phase of collective teaching, knowledge of the acute phase of treatment, needs guidance were higher than stable; Prevention of complications, bulletin boards/books, audio-visual and other health education needs in patients with two periods had no significant difference（P 0.05）. Disease in patients with acute demand for knowledge, exercise therapy, diet therapy,self-management and other content were significantly lower than nurse cognitive（P〈0.05）, collective teaching, publicity columns/books etc cognitive demand were significantly lower than nurses（P〈0.05）, the demand for audio-visual perception were significantly higher than nurses（P〈0.05）. Exercise therapy in patients with stable, audio-visual cognitive demand were significantly higher than nurses（P〈0.05）, for the treatment of knowledge, publicity columns/books, one on one guidance demand were significantly lower than nurse cognitive（P〈0.05）. Patients with acute health needs and nurses perception exists significant differences in cognitive 7 projects, stable health needs of patients and nurses had significant differences in cognitive 5 projects, stable health needs of patients and nurses in patients with acute cognitive consistency compared slightly higher. Conclusion Patients with acute chronic obstructive pulmonary disease health education needs to be pay more
出处
《中国现代医生》
2014年第33期107-110,共4页
China Modern Doctor
基金
浙江省医药卫生科技计划项目(2008A152)
关键词
慢性阻塞性肺疾病
健康教育
需求
认知差异
Chronic obstructive pulmonary disease
Health education
Demand
Cognitive differences
