摘要
目的探讨基于知信行理论的健康教育结合健康日记的形式对溃疡性结肠炎患者服药依从性和生活质量的影响。方法采用方便抽样法,选取郑州人民医院消化内科2018年2月—2019年1月期间收治的溃疡性结肠炎患者100例为研究对象。将两组患者按照住院顺序奇偶分为对照组和试验组,每组各50例。研究过程中,对照组因联系不上而失访8例,试验组因各种原因退出研究4例。最终对照组42例、试验组46例纳入研究。对照组给予常规健康教育和出院随访,试验组在此基础上对患者进行基于知信行理论的健康教育,并指导、监督患者记录健康日记。采用Morisky用药依从性问卷和健康调查简表(SF-36)评估两组患者干预前后服药依从性和生活质量并进行比较。结果干预前两组患者服药依从性得分差异无统计学意义(P>0.05)。干预后,试验组服药依从性得分高于对照组,差异有统计学意义(P<0.01)。干预前两组患者SF-36量表8个维度得分差异均无统计学意义(P>0.05);干预后,试验组患者躯体疼痛、一般健康状态、精力、社会功能、精神健康维度得分高于对照组,差异有统计学意义(P<0.05),其余维度两组比较差异无统计学意义(P>0.05)。结论基于知信行理论的健康教育结合健康日记的监督能够提高溃疡性结肠炎患者的服药依从性,改善患者的生活质量,具有一定的推广应用价值。
Objective To explore the effects of knowledge-attitude-behavior theory based health education combined with health diary on medication adherence and quality of life in ulcerative colitis patients.Methods From February 2018 to January 2019,we selected 100 ulcerative colitis patients of Department of Gastroenterology at People's Hospital of Zhengzhou as subjects by convenience sampling.Patients were divided into control group and experimental group based on odd-even admission order,50 cases in each group.There were 8 cases lost to follow-up due to out of touch in control group,and 4 cases withdrew from the study for various reasons in experimental group.Finally,totals of 42 cases were in control group and 46 cases were in experimental group.Control group carried out routine health education and discharge follow-up.On the basis of that,experimental group implemented knowledge-attitude-behavior theory based health education,and guided and supervised patients'health diary.The medication adherence and quality of life of patients between two groups were evaluated with the Morisky medication adherence scale and 36-item short-form health survey(SF-36).Results Before intervention,there was no statistical difference in the scores of medication adherence patients between two groups(P>0.05).After intervention,the score of medication adherence of experimental group was higher than that of control group with a statistical difference(P<0.01).Before intervention,there were no statistical differences in the scores of 8 dimensions of SF-36 of patients between two groups(P>0.05).After intervention,the scores of bodily pain,general health status,vitality,social function,mental health of patients in experimental group were higher than those in control group with statistical differences(P<0.05),but there were no statistical differences in the scores of other dimensions between two groups(P>0.05).Conclusions Knowledge-attitude-behavior theory based health education combined with health diary can improve medication adherence and quality
作者
王贺
宋科
朱可可
Wang He;Song Ke;Zhu Keke(Nursing Department,People's Hospital of Zhengzhou,Zhengzhou 450003,China)
出处
《中华现代护理杂志》
2019年第34期4454-4458,共5页
Chinese Journal of Modern Nursing
基金
2018年河南省医学科技攻关计划联合共建项目(2018020841)。
关键词
结肠炎
溃疡性
知信行理论
健康日记
药物治疗依从性
生活质量
Colitis,ulcerative
Knowledge-attitude-behavior theory
Health records
Medication adherence
Quality of life
