基于患者需求为导向的分阶段健康教育在十二指肠溃疡患者中的应用效果分析OA
Analysis of the Application Effect of Phased Health Education Intervention Based on Patient Needs in Patients with Duodenal Ulcer
目的:分析十二指肠溃疡患者应用基于患者需求为导向的分阶段健康教育干预的效果.方法:选择 2023年 6月—2024年 6月抚州市东乡区人民医院收治的 80例十二指肠溃疡患者为研究对象,采用随机数字表法将其分为对照组和试验组,各 40例.对照组应用常规健康教育干预,试验组应用基于患者需求为导向的分阶段健康教育干预.两组均连续干预 7 d.比较两组溃疡愈合情况、疼痛程度、焦虑情绪、自我管理能力、生活质量、不良反应发生情况.结果:试验组溃疡愈合总有效率 97.50%高于对照组的 80.00%,差异有统计学意义(P<0.05).干预后,试验组疼痛视觉模拟法评分为(2.63±0.29)分、汉密尔顿焦虑量表评分为(9.13±0.37)分,均低于对照组的(5.88±0.36)分、(16.98±1.01)分,自我护理能力量表评分为(89.18±4.29)分,高于对照组的(48.04±2.78)分,差异均有统计学意义(P<0.05).干预后,试验组世界卫生组织生存质量测定量表中的心理、生理、社会关系和环境维度评分分别为(21.63±1.75)分、(21.39±1.86)分、(21.15±1.76)分、(21.93±1.64)分,均高于对照组的(15.18±1.53)分、(15.27±1.54)分、(14.98±1.47)分、(14.63±1.56)分,差异均有统计学意义(P<0.05).试验组不良反应发生率为 2.50%,低于对照组的 20.00%,差异有统计学意义(P<0.05).结论:对十二指肠溃疡患者应用基于患者需求为导向的分阶段健康教育的溃疡愈合效果优于单纯常规健康教育干预,不仅能缓解患者疼痛和焦虑情绪,还能增强自我管理能力,提升生活质量,减少不良反应的发生.
Objective:To analyze the effect of phased health education intervention based on patient needs in patients with duodenal ulcer.Methods:A total of 80 patients with duodenal ulcer admitted to Dongxiang District People's Hospital of Fuzhou City from June 2023 to June 2024 were selected as the study objects,and were divided into a control group and an experimental group with 40 cases in each group by random number table method.The control group was treated with routine health education intervention,and the experimental group was treated with phased health education intervention based on patient needs.Both groups were treated continuously for 7 days.The total effective rate of ulcer healing,pain degree,anxiety,self-management ability,quality of life and adverse reactions were compared between the two groups.Results:The condition of ulcer healing in the experimental group was 97.50%,which was higher than 80.00%in the control group,the difference was statistically significant(P<0.05).After 7 days of intervention,the Pain Visual Analogue Scale score of the experimental group was(2.63±0.29)points,the Hamilton Anxiety Scale score was(9.13±0.37)points,both lower than(5.88±0.36)points and(16.98±1.01)points of the control group,the Exercise of Self-Care Agency Scale score was(89.18±4.29)points,it was higher than(48.04±2.78)points of the control group,the differences were statistically significant(P<0.05).After 7 days of intervention,the scores of psychological,physiological,social and environmental dimensions in the World Health Organization Quality of Life Scale-BREF were(21.63±1.75)points,(21.39±1.86)points,(21.15±1.76)points and(21.93±1.64)points,respectively,which were higher than(15.18±1.53)points,(15.27±1.54)points,(14.98±1.47)points,(14.63±1.56)points in the control group,the differences were statistically significant(P<0.05).The incidence of adverse reactions in the experimental group was 2.50%,which was lower than 20.00%in control group,the difference was statistically significant(P<0.05).Conclusion:The effect of phased health education intervention based on patient needs in patients with duodenal ulcer is better than that of simple routine health education intervention,relieve the pain and anxiety of patients,enhance self-management ability,improve the quality of life and reduce the occurrence of adverse reactions.
徐凌宇;吴娟;乐建华
江西省抚州市东乡区人民医院内科,江西 抚州 344000江西省抚州市东乡区人民医院内科,江西 抚州 344000江西省抚州市东乡区人民医院内镜中心,江西 抚州 344000
医药卫生
十二指肠溃疡基于患者需求为导向的分阶段健康教育自我管理能力生活质量影响
Duodenal ulcerPhased health education intervention based on patient needsSelf-management abilityQuality of lifeInfluence
《中国伤残医学》 2025 (2)
74-78,5
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