PRECEDE模式护理改善老年慢性乙型肝炎患者遵医行为及生活质量的效果研究
|
摘要
目的探究PRECEDE模式护理应用于老年慢性乙型肝炎患者中对临床效果、遵医行为及生活质量的影响。方法选取2017年5月至2018年5月华中科技大学同济医学院附属协和医院感染科收治的98例老年慢性乙型肝炎患者临床资料进行分析,将行常规护理的49例患者作为对照组,行PRECEDE模式护理的49例患者作为研究组,比较两组患者健康知识知晓性、遵医行为、生活质量。结果研究组患者的疾病成因、自我管理认知等健康知识知晓性评分为17.28±1.59、17.54±1.59,均高于对照组的12.35±1.64、12.52±1.63(均P<0.05);研究组的按医嘱取药、定期复查和检查等遵医行为评分也均高于对照组(23.48±1.33、23.59±1.37比19.35±1.28、19.58±1.53)(P<0.05);研究组的社会功能、物质功能等生活质量评分与对照组相比均较高(82.37±3.21、82.54±3.16比67.57±3.12、67.59±3.28)(P<0.05)。结论老年慢性乙型肝炎患者经PRECEDE模式护理后可有效提高健康知识知晓性、遵医行为,改善生活质量。
Objective To investigate the effects of PRECEDE model nursing on clinical outcomes, compliance behavior and quality of life in elderly patients with chronic hepatitis B. Methods The clinical data of 98 elderly patients with chronic hepatitis B admitted into the Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology from May 2017 to May 2018 were analyzed. The routine caregivers were observed as the control group(49 cases), and the caregivers treated with PRECEDE model were enrolled into the study group(49 cases).The health knowledge, compliance behavior and quality of life between the two groups were compared. Results The scores of health knowledge including pathogenesis(17.28±1.59) and self-management(17.54±1.59) in study group were higher than those of control group which was 12.35±1.64 and 12.52±1.63, respectively. The scores of compliance behaviors including following the doctors' advice(23.48±1.33)and regular reexamination(23.59±1.37) in study group were higher than those of control group which was 19.35±1.28 and 19.58±1.53, respectively. The scores of life quality including social function(82.37±3.21)and substance function(substance function) in study group were higher than those of control group which was 67.57±3.12 and 67.59±3.28, respectively(P<0.05).Conclusions The health knowledge, compliance behavior and quality of life can be improved by the using of PRECEDE mode nursing.
Objective To investigate the effects of PRECEDE model nursing on clinical outcomes, compliance behavior and quality of life in elderly patients with chronic hepatitis B. Methods The clinical data of 98 elderly patients with chronic hepatitis B admitted into the Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology from May 2017 to May 2018 were analyzed. The routine caregivers were observed as the control group(49 cases), and the caregivers treated with PRECEDE model were enrolled into the study group(49 cases).The health knowledge, compliance behavior and quality of life between the two groups were compared. Results The scores of health knowledge including pathogenesis(17.28±1.59) and self-management(17.54±1.59) in study group were higher than those of control group which was 12.35±1.64 and 12.52±1.63, respectively. The scores of compliance behaviors including following the doctors' advice(23.48±1.33)and regular reexamination(23.59±1.37) in study group were higher than those of control group which was 19.35±1.28 and 19.58±1.53, respectively. The scores of life quality including social function(82.37±3.21)and substance function(substance function) in study group were higher than those of control group which was 67.57±3.12 and 67.59±3.28, respectively(P<0.05).Conclusions The health knowledge, compliance behavior and quality of life can be improved by the using of PRECEDE mode nursing.
引文
[1] 孙岚.循证护理和健康教育对慢性乙型肝炎患者自我护理能力和治疗依从性的影响[J].中华现代护理杂志,2014,20(31):3921-3923.
[2] 朱丽君,陈建杰,成扬.认知行为干预对慢性乙型肝炎病人遵医行为及生存质量的影响[J].护理研究,2016,30(9)中旬版:3234-3237.
[3] 丁叶舟,王晖.乙肝防治指南在我国临床应用中的现状和思考[J].胃肠病学和肝病学杂志,2018,27(9):972-975.
[4] 董国平.慢性乙型肝炎患者对乙肝知识认知情况及抗病毒治疗依从性的调查[J].中国公共卫生管理,2018,34(2):216-218.
[5] 梅晓磊,王浩.PRECEDE模式护理干预对冠状动脉硬化性心脏病病人健康认知的影响[J].护理研究,2016,30(11)下旬版:4181-4182.
[6] 王莉,杨艳章,杨琳,等.PRECEDE模式护理干预对糖尿病患儿的治疗依从性及家长情绪的影响[J].现代医学,2018,46(4):452-455.
[7] 葛美霞,孙勤,蔡欢.PRECEDE护理模式对老年慢性乙型肝炎患者的临床效果及生活质量的影响[J].医药高职教育与现代护理,2018,1(5):292-295.
[2] 朱丽君,陈建杰,成扬.认知行为干预对慢性乙型肝炎病人遵医行为及生存质量的影响[J].护理研究,2016,30(9)中旬版:3234-3237.
[3] 丁叶舟,王晖.乙肝防治指南在我国临床应用中的现状和思考[J].胃肠病学和肝病学杂志,2018,27(9):972-975.
[4] 董国平.慢性乙型肝炎患者对乙肝知识认知情况及抗病毒治疗依从性的调查[J].中国公共卫生管理,2018,34(2):216-218.
[5] 梅晓磊,王浩.PRECEDE模式护理干预对冠状动脉硬化性心脏病病人健康认知的影响[J].护理研究,2016,30(11)下旬版:4181-4182.
[6] 王莉,杨艳章,杨琳,等.PRECEDE模式护理干预对糖尿病患儿的治疗依从性及家长情绪的影响[J].现代医学,2018,46(4):452-455.
[7] 葛美霞,孙勤,蔡欢.PRECEDE护理模式对老年慢性乙型肝炎患者的临床效果及生活质量的影响[J].医药高职教育与现代护理,2018,1(5):292-295.