摘要
目的探讨信息-知识-信念-行为(IKAP)的健康教育模式对急性胰腺炎(AP)患者院外遵医行为及生活质量的影响。方法选取2014年10月—2017年6月扬州大学附属医院78例AP患者,根据入院顺序分为观察组(n=39)与对照组(n=39)。对照组给予常规健康教育,观察组在对照组基础上给予IKAP模式的健康教育。对比2组干预前及出院后3个月自我效能感(GSES评分)、生活质量(SF-36评分)、出院后3个月自我护理能力(GSES评分)、遵医行为依从性及AP复发率。结果 (1)自我效能感:干预前2组GSES评分比较无显著差异(P>0.05),出院后3个月2组GSES评分较干预前提高(P<0.05),且观察组GSES评分高于对照组(P<0.05);(2)自我护理能力:观察组出院后3个月健康知识水平、自我概念、自护责任感、自护技巧及ESCA总分高于对照组(P<0.05);(3)遵医行为依从性:观察组出院后3个月遵医行为依从性89.74%(35/39)高于对照组71.79%(28/39)(P<0.05);(4)生活质量:干预前2组SF-36评分比较无显著差异(P>0.05),出院后3个月2组SF-36评分较干预前提高(P<0.05),且观察组SF-36评分高于对照组(P<0.05);(5)复发率:出院后3个月,观察组复发率2.56%(1/39)与对照组12.82%(5/39)比较无显著差异(P>0.05)。结论 IKAP模式的健康教育可有效提高AP患者自我效能感及自我护理能力,进而有利于提升患者院外遵医行为依从性,促进生活质量改善。
Objective To investigate the effect of the health education with information-knowledge-attitude-practice （IKAP） model on the compliance behavior outside the hospital and the quality of life in patients with acute pancreatitis （AP）.Methods A total of 78 AP cases hospitalized during the period from October 2014 to June 2017 were selected and divided,according to the order of admission,into 2 groups：observation group （n =39） and control group （n =39）;routine health education was applied to cases in both groups while health education with IKAP model was added to cases in observation group;a comparative study was made to the self-efficacy （GSES score） and quality of life （SF-36 score） before intervention and 3 months after discharge,as well as the self-care ability （GSES score）,compliance and AP recurrence rate 3 months after discharge between the 2 groups.Results （1） Self efficacy：there existed no significant difference in GSES scores before intervention between the 2 groups （P〉0.05）;the GSES score 3 months after discharge was higher than that before intervention in both groups （P〈0.05）,and the GSES score of observation group was higher than that of control group （P〈0.05）;（2）Self nursing ability：the scores of health knowledge level,self concept,self responsibility,self-care skills and ESCA in observation group 3 months after discharge were higher than those in control group （P〈0.05）;（3） Compliance behavior：the compliance in observation group was 89.74% （35/39） 3 months after discharge,which was higher than that in control group [71.79% （28/39）] （P〈0.05）;（4） Quality of life：there was no obvious difference in SF-36 scores before intervention between the 2 groups （P〉 005）;3 months of discharge,the SF-36 scores 3 months after discharge were higher than those before intervention in both groups （P 〈 0.05）,and the SF-36 scores in observation group was higher than that in control group （P 〈 0.05）;（5） Recurrence r
作者
王艳
杭君
贾金芳
程红梅
Wang Yan;Hang Jun;Jia Jinfang;Cheng Hongmei(Department of Gastroenterology;Department of Respiration, Affiliated Hospital to Yangzhou University, Yangzhou City, Jiangsu Province, 225000, P. R. China)
出处
《老年医学与保健》
CAS
2018年第2期198-202,共5页
Geriatrics & Health Care
关键词
急性胰腺炎
信息-知识-信念-行为模式
健康教育
遵医行为
生活质量
acute pancreatitis
information-knowledge-attitude-practice（IKAP）model
health education
compliancebehavior
quality of life
