信息-知识-信念-行为的健康教育模式对急性胰腺炎患者院外遵医行为及生活质量的影响

Effect of Health Education with IKAP Model on Compliance Behavior outside Hospital and Quality of Life in Patients with Acute Pancreatitis

中文关键词: 急性胰腺炎  信息-知识-信念-行为模式  健康教育  遵医行为  生活质量

英文关键词: acute pancreatitis  information-knowledge-attitude-practice (IKAP) model  health education  compliance behavior  quality of life

中文摘要:

      目的 探讨信息-知识-信念-行为(IKAP)的健康教育模式对急性胰腺炎(AP)患者院外遵医行为及生活质量的影响.方法 选取2014年10月-2017年6月扬州大学附属医院78例AP患者,根据入院顺序分为观察组(n=39)与对照组(n=39).对照组给予常规健康教育,观察组在对照组基础上给予IKAP模式的健康教育.对比2组干预前及出院后3个月自我效能感(GSES评分)、生活质量(SF-36评分)、出院后3个月自我护理能力(GSES评分)、遵医行为依从性及AP复发率.结果 (1)自我效能感:干预前2组GSES评分比较无显著差异(P＞0.05),出院后3个月2组GSES评分较干预前提高(P＜0.05),且观察组GSES评分高于对照组(P＜0.05);(2)自我护理能力:观察组出院后3个月健康知识水平、自我概念、自护责任感、自护技巧及ESCA总分高于对照组(P＜0.05);(3)遵医行为依从性:观察组出院后3个月遵医行为依从性89.74％ (35/39)高于对照组71.79％ (28/39) (P＜0.05),(4)生活质量:干预前2组SF-36评分比较无显著差异(P＞0.05),出院后3个月2组SF-36评分较干预前提高(P＜0 05),且4.观察组SF-36评分高于对照组(P＜0.05);(5)复发率:出院后3个月,观察组复发率2.56％(1/39)与对照组12.82％ (5/39)比较无显著差异(P＞0 05).结论 IKAP模式的健康教育可有效提高AP患者自我效能感及自我护理能力,进而有利于提升患者院外遵医行为依从性,促进生活质量改善.

英文摘要:

      Objective To investigate the effect of the health education with information-knowledge-attitude-practice (IKAP) model on the compliance behavior outside the hospital and the quality of life in patients with acute pancreatitis (AP).Methods A total of 78 AP cases hospitalized during the period from October 2014 to June 2017 were selected and divided,according to the order of admission,into 2 groups:observation group (n =39) and control group (n =39);routine health education was applied to cases in both groups while health education with IKAP model was added to cases in observation group;a comparative study was made to the self-efficacy (GSES score) and quality of life (SF-36 score) before intervention and 3 months after discharge,as well as the self-care ability (GSES score),compliance and AP recurrence rate 3 months after discharge between the 2 groups.Results (1) Self efficacy:there existed no significant difference in GSES scores before intervention between the 2 groups (P＞0.05);the GSES score 3 months after discharge was higher than that before intervention in both groups (P＜0.05),and the GSES score of observation group was higher than that of control group (P＜0.05);(2)Self nursing ability:the scores of health knowledge level,self concept,self responsibility,self-care skills and ESCA in observation group 3 months after discharge were higher than those in control group (P＜0.05);(3) Compliance behavior:the compliance in observation group was 89.74％ (35/39) 3 months after discharge,which was higher than that in control group [71.79％ (28/39)] (P＜0.05);(4) Quality of life:there was no obvious difference in SF-36 scores before intervention between the 2 groups (P＞ 005);3 months of discharge,the SF-36 scores 3 months after discharge were higher than those before intervention in both groups (P ＜ 0.05),and the SF-36 scores in observation group was higher than that in control group (P ＜ 0.05);(5) Recurrence rate:3 months after discharge,there was no significant difference in the recurrence rate in observation group (2.56％,1/39) and that in control group (12.82％,5/39) (P＞0.05).Conclusions Health education with IKAP modelcan effectively improve AP patients' self-efficacy and self-care ability of AP patients,furthermore,it can improve the compliance behavior outside the hospital and promote the quality of life.