Application value of 3PR participatory health education in treatment of elderly patients with acute upper gastrointestinal bleeding
Objective To explore the application value of participatory health education based on participatory research(PR)as the basic module,participatory role-playing(PR)as the core module,and participatory review(PR)as the rein-forcement module(referred to as 3PR)in elderly patients with acute upper gastrointestinal bleeding(AUGIB).Methods 80 elderly AUGIB patients admitted to Department of Emergency Medicine of Second Hospital of Nanjing City from January 2020 to June 2023 were selected and divided into observation group(n =40)and control group(n =40)according to random num-ber table method.After patients'condition stabilized,the control group receives routine health education,while the observation group receives 3PR participatory health education.The differences in the scores of disease cognition,Self-perceived Burden Scale(SPBS),Morisky Medication Adherence Scale-8(MMAS-8),compliance behavior with medical advice,Generic Quali-ty of Life Inventory 7(GQOLI-74),and the rebleeding rate were compared between the two groups.Results After interven-tion,the scores of disease cognition,compliance with medical advice,and various dimensions of the GQOLI-74 Scale of both groups were higher than those of the same group before intervention,while the scores of various dimensions of the SPBS Scale were lower than those of the same group before intervention.The improvement of above indexes in the observation group was greater than that in the control group(P＜0.05),and the differences were statistically significant(P＜0.05).The medication compliance rate in the observation group was higher than that in the control group(P＜0.05).During the 3-month follow-up period,the observation group had a lower rebleeding rate than the control group(P＜0.05).Conclusion 3PR participatory health education has a significant intervention effect on elderly AUGIB patients,which can effectively improve their disease cognition level and medication compliance,reduce self-perceived burden,improve compliance behavior with medical advice,improve quality of life,and reduce disease recurrence.
elderlyacute upper gastrointestinal bleeding3PR participatory health educationdisease cognitionmedi-cation compliance
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