3PR参与式健康教育在老年急性上消化道出血患者治疗中的应用价值

Application value of 3PR participatory health education in treatment of elderly patients with acute upper gastrointestinal bleeding

中文关键词: 老年  急性上消化道出血  3PR参与式健康教育  疾病认知  用药依从性

英文关键词: elderly  acute upper gastrointestinal bleeding  3PR participatory health education  disease cognition  medi-cation compliance

中文摘要:

      目的 探究以参与式研究(participatory research,PR)为基础模块、参与式角色扮演(participatory role-playing,PR)为核心模块、参与式总结(participatory review,PR)为强化模块(简称3PR)的参与式健康教育在老年急性上消化道出血(acute upper gastrointestinal bleeding,AUGIB)患者的应用价值.方法 选择2020 年1 月—2023 年6 月南京市第二医院急诊科收治的老年AUGIB患者80 例,按随机数字表法分成观察组(n =40)和对照组(n =40).在病情稳定后,对照组采用常规健康教育,观察组采用3PR参与式健康教育.比较2 组疾病认知、自我感知负担量表(SPBS)评分、Morisky用药依从性量表(MMAS-8)评分、遵医行为、生活质量综合评定问卷(GQOLI-74)评分和再出血率差异.结果 干预后,2 组疾病认知、遵医行为、GQOLI-74 量表各维度评分均高于同组干预前,SPBS量表各维度评分均低于同组干预前,且观察组改善程度大于对照组,差异均有统计学意义(P＜0.05);观察组用药依从率高于对照组(P＜0.05);随访3 个月,观察组再出血率低于对照组(P＜0.05).结论 3PR参与式健康教育对老年AUGIB患者的干预效果显著,可有效提高疾病认知水平和用药依从性,减轻患者自我感知负担,改善遵医行为,提高生存质量,减少疾病复发.

英文摘要:

      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.