基于健康信念模式的健康教育在消化道早癌筛查中的应用效果
Clinical Efficacy of Health Education Based on Health Belief Model in Early Gastrointestinal Cancer Screening
郭燕 1张腊梅 2邢桃红 3贾金芳 3王志航 3车慧文 4蔡丹霞 5赵毅5
作者信息
- 1. 河南科技大学第一附属医院门诊,河南洛阳 471003
- 2. 河南科技大学第一附属医院消化内科,河南洛阳 471003
- 3. 河南科技大学第一附属医院内镜中心,河南洛阳 471003
- 4. 河南科技大学第一附属医院心理科,河南洛阳 471003
- 5. 河南科技大学第一附属医院心内科,河南洛阳 471003
- 折叠
摘要
目的 探讨基于健康信念模式的健康教育在消化道早癌筛查中的应用效果.方法 选取87例消化道早癌高危筛查患者,随机分为观察组(n=43)和对照组(n=44).对照组接受常规的健康教育,观察组应用基于健康信念模式的健康教育,比较2组患者的筛查依从性,干预前后疾病知识掌握情况(包括消化道早癌相关知识、健康行为、筛查相关知识及心理疏导评分)、自我管理能力[自我管理能力测评量表(AHSMSRS)评分]、自护能力[自我护理能力量表(ESCA)评分]、健康行为[健康促进生活方式量表(HPLP-Ⅱ)评分]、负性情绪状况[焦虑自评量表(SAS)和抑郁自评量表(SDS)评分],护理满意度[纽卡斯尔护理服务满意度量表(NSNS)评分].结果 干预后,观察组疾病知识掌握情况各项评分、HPLP-Ⅱ、AHSMSRS和ESCA评分均高于对照组,SAS和SDS评分均低于对照组(P＜0.05或P＜0.001).观察组总筛查依从率和总护理满意率均高于对照组(97.67％比81.82％,P＜0.05;97.67％比79.55％,P＜0.001)).结论 将基于健康信念模式的健康教育应用于消化道早癌筛查患者中,能促进患者健康行为的养成,提高患者自护能力、筛查依从性,改善患者负性情绪状况.
Abstract
Objective To explore clinical efficacy of health education based on health belief model in early gastrointestinal cancer screening.Methods A total of 87 patients with high-risk screening for early gastrointestinal cancer were selected and randomly divided into the observation group(n=43)and the control group(n=44).The control group were managed with conventional health education,whereas the observation group was given health education based on health belief model;screening compliance of patients,disease knowledgebefore and after the intervention,self-management ability[Self-Management Skills Measurement Rating Scale(AHSMSRS)scores],self-care ability[Self-Care Competency Scale(ESCA)scores],health behaviors[Health Promoting Lifestyles Scale(HPLP-Ⅱ)scores],negative mood states[Self-Anxiety Scale(SAS)and Self-De-pression Scale(SDS)scores],and satisfaction with care[Newcastle Nursing Services Satisfaction Scale(NSNS)scores]were comparedbetween the 2 groups.Results After the intervention,all scores of disease knowledge,HPLP-Ⅱ,AHSMSRS and ESCA scores were higher in the observa-tion group than in the control group;SAS and SDS scores were lower than in the control group(P＜0.05 or P＜0.001).The total screening compliance rate and total care satisfaction rate were higher in the observation group than in the control group(97.67％vs 81.82％,P＜0.05;97.67％vs 79.55％,P＜0.001).Conclusion Our findings suggest that health education based on health belief model in early gastrointestinal cancer screeningmight promote patients'medical compliance and health behaviors,improve patients'self-care ability and screening compliance,and alleviate patients'negative emotions.
关键词
消化道早癌/筛查/健康信念模式/健康教育/筛查依从性/健康行为Key words
early gastrointestinal cancer/screening/health belief model/health education/screening compliance/health behavior引用本文复制引用
基金项目
河南省医学科技攻关计划联合共建项目(LHGJ20230479)
出版年
2024
NETL
NSTL
维普
万方数据