摘要
目的探讨基于健康信念模式的个案管理在消化道出血患者中的应用效果。方法选取2021年1月至2022年1月四川大学华西医院诊治的100例消化道出血患者为研究对象,依据随机数字表法将患者分为对照组和观察组,各50例。对照组采用常规个案管理干预,观察组在对照组的基础上联合基于健康信念模式的个案管理干预,均持续干预至患者出院。比较两组康复情况、健康行为,并随访6个月,统计两组再出血发生率。结果观察组止血时间短于对照组,差异有统计学意义(P<0.05);两组输血量、住院时间比较,差异无统计学意义(P>0.05);干预后,两组健康促进生活方式量表Ⅱ评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);随访6个月,观察组再出血率低于对照组,差异有统计学意义(P<0.05)。结论基于健康信念模式的个案管理干预可缩短消化道出血患者止血时间,促进患者健康行为的养成,降低再出血率。
Objective To explore the application effect of case management based on health belief model in patients with gastrointestinal bleeding.Methods A total of 100 patients with gastrointestinal bleeding diagnosed and treated in West China School of Medicine West China Hospital of Sichuan University from January 2021 to January 2022 were selected as the study objects,According to random number table method,the patients were divided into control group and observation group,with 50 in cases each group.The control group received routine case management intervention,and the observation group combined with the case management intervention based on the health belief model on the basis of the control group,continued to intervene until the patients were discharged.The recovery and health behavior of the two groups were compared and followed up for six months,and the incidence of rebleeding was analyzed.Results The time of hemostasis in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in blood transfusion volume and hospital stay between the two groups(P>0.05).After intervention,the health promoting lifestyle profile-Ⅱscore of the two groups was higher than before intervention,and the observation group was higher than the control group,and the differences were statistically significant(P<0.05).After six months of follow-up,the rebleeding rate in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Case management intervention based on health belief model can shorten the hemostatic time of patients with digestive tract bleeding,promote the development of healthy behavior and reduce the rate of rebleeding.
作者
魏明芳
申明
任宏飞
张铭光
WEI Mingfang;SHEN Ming;REN Hongfei;ZHANG Mingguang(West China School of Medicine West China Hospital of Sichuan University West China of Nursing,Sichuan University,Sichuan Province,Chengdu 610041,China)
出处
《中国医药导报》
CAS
2024年第16期65-67,共3页
China Medical Herald
基金
四川大学华西护理学院发展专项基金项目(HXHL19030)。
关键词
消化道出血
健康信念模式
个案管理
Gastrointestinal bleeding
Health belief model
Case management
