基于跨理论模型的健康教育在老年复杂肾结石患者中的应用
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摘要
目的探讨跨理论模型健康教育在老年复杂性肾结石患者护理中的应用效果。方法选取我院收治的老年复杂性肾结石患者41例,根据意向前阶段、意向阶段、准备阶段、行动阶段、维持阶段5个阶段对患者实施跨理论模型健康教育护理。采用健康促进生活方式量表(Health Promoting Lifestyle Profile-Ⅱ,HPLP-Ⅱ)和老年人自护能力量表(Self-care Ability Scale for the Elderly,SASE)比较护理前后患者健康行为及自我护理能力,并记录患者并发症发生率。结果干预后患者健康行为及自护能力较干预前、干预后1个月和2个月有所提高(P<0.01);干预3个月期间患者并发症发生率为2.44%(1/41)。结论基于跨理论模型健康教育能改善老年复杂性肾结石患者的健康行为,提高自我护理能力,且并发症风险可控。
Objective To explore the effects of health education based on trans-theoretical model in elderly patients with complex renal calculi. Methods 41 cases of elderly patients with complex renal calculi treated in our hospital implemented health education based on trans-theoretical model depending on different stages including previous intention stage, intention stage, preparation stage, action stage and maintenance stage. Health care lifestyle profile Ⅱ(HPLP-Ⅱ) was used to evaluate the health behavior of patients before and after the intervention and self-care ability scale for the elderly(SASE) was used to evaluate the ability of self-care, the incidence of complications of patients was recorded. Results After intervention, the health behavior and self-care ability of patients were significantly increased than those before intervention,at 1 month,at 2 months(P<0.01). During the intervention of 3 months, the incidence of complications of patients was 2.44%(1/41). Conclusion Health education based on trans-theoretical model can improve the health behaviors of elderly patients with complex kidney stones and selfcare ability, and the risk of complications is controlled.
Objective To explore the effects of health education based on trans-theoretical model in elderly patients with complex renal calculi. Methods 41 cases of elderly patients with complex renal calculi treated in our hospital implemented health education based on trans-theoretical model depending on different stages including previous intention stage, intention stage, preparation stage, action stage and maintenance stage. Health care lifestyle profile Ⅱ(HPLP-Ⅱ) was used to evaluate the health behavior of patients before and after the intervention and self-care ability scale for the elderly(SASE) was used to evaluate the ability of self-care, the incidence of complications of patients was recorded. Results After intervention, the health behavior and self-care ability of patients were significantly increased than those before intervention,at 1 month,at 2 months(P<0.01). During the intervention of 3 months, the incidence of complications of patients was 2.44%(1/41). Conclusion Health education based on trans-theoretical model can improve the health behaviors of elderly patients with complex kidney stones and selfcare ability, and the risk of complications is controlled.
引文
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[10]王蕊,陈巍,隋雪芝,等.基于跨理论模型的干预方案对高血压患者服药依从性的影响[J].解放军护理杂志,2015,32(16):31-34.
[11]胡蓉.跨理论健康教育对PCI术后病人健康生活方式影响[J].齐鲁医学杂志,2017,32(3):351-354.
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[13]刘淑敏,李宝玲,李芳,等.跨理论模式的健康教育对糖尿病患者生活质量及自护能力的影响[J].护士进修杂志,2015,30(7):584-587.
[14]杨淑花,王月宁,刘淑敏.基于跨理论模型的健康教育对回族初发2型糖尿病患者血糖控制的影响研究[J].医学理论与实践,2017,30(6):794-796.
[2]Xu C,Zhang C,Wang XL,et al.Self-fluid management in prevention of kidney stones:a PRISMA-compliant systematic review and dose-response meta-analysis of observational studies[J].Medicine,2015,94(27):1624-1632.
[3]朱淑青,张利霞,赵姜楠,等.基于跨理论模型的饮食干预对糖尿病前期人群的影响[J].现代预防医学,2016,43(10):1774-1777.
[4]李桂玲,兰雪.基于跨理论模型的健康信息行为研究框架[J].现代情报,2015,35(12):47-49.
[5]那彦群,叶章群,孙光.2011版中国泌尿外科疾病诊断治疗指南[M].北京:人民卫生出版社,2011:253-254.
[6]曹文君,郭颖,平卫伟,等.HPLP-Ⅱ健康促进生活方式量表中文版的研制及其性能测试[J].中华疾病控制杂志,2016,20(3):286-289.
[7]郭丽娜,刘堃,郭启云,等.中文版老年人自我护理能力量表的信效度研究[J].中华护理杂志,2015,50(8):1009-1013.
[8]徐益荣,卞龙艳,刘小兰,等.跨理论模型在结肠造口患者自我管理行为中的应用[J].中国现代医学杂志,2016,26(8):135-138.
[9]田文艳,陆皓,曹健,等.基于跨理论模型的健康教育对高原基层部队官兵吸氧依从性的影响研究[J].中华护理杂志,2015,50(12):1506-1509.
[10]王蕊,陈巍,隋雪芝,等.基于跨理论模型的干预方案对高血压患者服药依从性的影响[J].解放军护理杂志,2015,32(16):31-34.
[11]胡蓉.跨理论健康教育对PCI术后病人健康生活方式影响[J].齐鲁医学杂志,2017,32(3):351-354.
[12]赵育凌,顾晴.跨理论模型在我国慢性病患者健康教育中的应用进展[J].中华现代护理杂志,2015,21(8):869-872.
[13]刘淑敏,李宝玲,李芳,等.跨理论模式的健康教育对糖尿病患者生活质量及自护能力的影响[J].护士进修杂志,2015,30(7):584-587.
[14]杨淑花,王月宁,刘淑敏.基于跨理论模型的健康教育对回族初发2型糖尿病患者血糖控制的影响研究[J].医学理论与实践,2017,30(6):794-796.