摘要
目的探讨Pender健康促进模式在急性胰腺炎患者中的应用效果,为临床护理干预提供理论依据。方法应用方便抽样法,选择2017年10月至2018年9月哈尔滨医科大学附属第一医院普外科收治的100例急性胰腺炎患者作为研究对象,最终92例完成研究。按照患者的住院时间进行分组,将2017年10月至2018年3月收治的患者设为对照组45例,2018年4-9月收治的患者设为观察组47例。对照组患者给予常规急性胰腺炎健康宣教,观察组患者给予依据Pender健康促进模式制订的干预措施。采用健康行为量表(HPLP)和自我护理能力测定表(ESCA)评价干预的效果。结果在出院后第1个月和第3个月,观察组患者健康行为量表总分及各维度得分均高于对照组,差异有统计学意义(t=-0.923~1.014,P<0.05或0.01)。干预后2组患者自我护理能力量表总分差异有统计学意义(t=-0.548^-0.024,P<0.05或0.01)。结论Pender健康促进模式可以提高急性胰腺炎患者的自我护理能力和健康行为,值得推广应用。
Objective To explore the effect of Pender health promotion model in patients with acute pancreatitis,and to provide basis for clinical nursing intervention.Methods Using convenience sampling method,100 patients with acute pancreatitis hospitalized in general surgery department of the First Affiliated Hospital of Harbin Medical University from October 2017 to September 2018 were selected as subjects.According to the length of hospitalization,patients admitted from October 2017 to March 2018 were set as control group and and the patients admitted from April to September 2018 were set as the observation group.Patients in the control group received routine health education for patients with acute pancreatitis,while patients in the observation group received interventions based on health promotion model.Health Promoting Lifestyle Profile(HPLP)and Self-care Agency Scale(ESCA)were used to evaluate the effect of intervention.Results The total scores and dimensions of the self-care ability scale in the observation group were higher than those in the control group one month and three months after discharge,and the difference was statistically significant(t=-0.923-1.014,P<0.05 or 0.01).After the intervention,the difference of the scores of health behavior scale between the two groups was statistically significant(t=-0.548--0.024,P<0.05 or 0.01).Conclusions Pender health promotion model can improve the self-care ability and health behavior of patients with acute pancreatitis,which is worthy of popularization and application.
作者
李楠
何许
王泽聪
Li Nan;He Xu;Wang Zecong(Department of Pancreatic and Biliary Surgery,the First Affiliated Hospital of Harbin Medical University,Harbin 150001,China)
出处
《中国实用护理杂志》
2019年第31期2423-2428,共6页
Chinese Journal of Practical Nursing
