摘要
目的探讨以健康信念模式为框架的健康教育干预对改善主动脉夹层患者术后生存质量的影响。方法收集2015年1月至2016年3月在安徽省立医院心脏外科行主动脉夹层腔内修复术60例患者作为研究对象。按照随机数字表法分为干预组和对照组。两组患者均接受主动脉夹层腔内隔绝术治疗。对照组接受常规健康教育,干预组运用健康信念模式在患者住院期间及出院后持续进行健康教育干预。两组患者分别于出院6个月发放SF-36生存质量表进行问卷调查。结果干预组实施护理干预后,干预组在生理职能[(61.7±19.4)分]、一般健康状况[(64.9±7.1)分]、精力[(67.3±7.6)分]、社会功能[(83.3±11.0)分]、情感职能[(78.9±22.3)分]、精神健康[(81.8±7.9)分]6个维度得分均高于对照组,差异有统计学意义(P<0.05)。结论与常规的健康教育相比,以健康信念为框架的健康教育干预更能提高主动脉夹层患者术后的生存质量。
Objective To observe the effect of application of nursing intervention based on health belief model on improving postoperative quality of life in patients with aortic dissection. Methods Sixty cases of patients with aortic dissection admitted to Department of Cardiac Surgery,Anhui Provincial Hospital from January 2015 to March 2016 were assigned into intervention group and control group according to the random number table method. All patients were given the treatment of thoracic endovascular aortic repair. The control group accepted routine health education while the intervention group accepted health education of health belief model during the hospitalization and after discharge. The quality of life for patients in two groups was evaluated by SF-36 questionnaire investigation at postoperative 6 months respectively. Results After implementation of health belief model in intervention group,the physiological function（ 61. 7 ± 19. 4）,general health status（ 64. 9 ± 7. 1）,vitality（ 67. 3 ± 7. 6）,social function（ 83. 3 ± 11. 0）,emotional function（ 78. 9 ±22. 3） and mental health（ 81. 8 ± 7. 9） were higher than those in the control group,and the differences were statistically significant（ P〈0. 05）. Conclusion Compared with the routine health education,the nursing intervention based on health belief model can improve the postoperative quality of life for patients with aortic dissection.
作者
施熠婷
郭琳琳
方修娥
杨永坚
SHI Yiting;GUO Linlin;FANG Xiue;YANG Yongjian(College of Public Hygiene,Anhui Medical University,Hefei,Anhui 230001,China;Department of Cardiac Surgery,Anhui Provincial Hospital,Hefei,Anhui 230000,China)
出处
《安徽医药》
CAS
2018年第11期2213-2215,共3页
Anhui Medical and Pharmaceutical Journal
关键词
主动脉夹层
腔内隔绝术
生存质量
健康信念模式
健康教育
Aortic dissection
Thoracic endovascular aortic repair
Quality of life
Health belief model
Health education
