학술논문
健康信念模式在青光眼患者健康教育中的应用 / Application of health belief model in health education for glaucoma patients
Document Type
Academic Journal
Author
Source
中国医药科学. 6(22):97-159
Subject
Language
Chinese
ISSN
2095-0616
Abstract
目的：探讨健康信念模式在青光眼患者健康教育中的应用，为更好的护理青光眼患者提供科学依据。方法选择2014年3月～2015年2月，在江苏大学附属医院眼科住院的120例青光眼患者作为研究对象，随机分为干预组和对照组，每组各60例。干预组施行健康信念模式为理论基础的护理干预，对照组接受常规健康教育的护理干预。出院后1个月、3个月分别采用自护行为能力量表评分、汉密尔顿焦虑量表评分、及眼压控制情况进行评定。结果干预前两组自护行为能力评分、汉密尔顿焦虑量表评分、及眼压控制情况相比，差异没有统计学意义（P ＞0.05）；干预后1个月，3个月干预组自护行为能力评分分别高于对照组，汉密尔顿焦虑评分分别低于对照组，两组相比有统计学意义（P ＜0.05）。干预后1个月，3个月，干预组眼压分别低于对照组，两组相比差异有统计学意义（P ＜0.05）。结论通过健康信念模式的应用，有效的增强了青光眼患者的自护行为能力，降低了患者的焦虑，良好的自护行为能力和心理状态能帮助青光眼患者有效控制眼压，从而提高青光眼患者的治疗效果和生活质量。
Objective To explore the application of health belief model in the health education of glaucoma patients, and to provide scientific basis for the better nursing of glaucoma patients. Methods 120 glaucoma patients cured in department of ophthalmology, Affiliated Hospital of Jiangsu University From March 2014 to February 2015 were randomly divided into intervention group and control group with 60 cases in each. The intervention group received nursing intervention based on the health belief model, and the control group received routine health education. After 1 month and 3 months respectively, the exercise of self-care agency(ESCA), Hamilton anxiety scale, and intraocular pressure(IOP) were assessed in two groups respectively. Results Compared with the two groups before the intervention, the ESCA score, Hamilton anxiety scale score and IOP had no significant difference (P >0.05). 1 month and 3 months after the intervention, ESCA score in intervention group was higher than that in control group respectively, and the Hamilton anxiety scale score was lower than that in control group respectively. The difference between the two groups was statistically significant (P < 0.05). After 1 month and 3 months intervention, the IOP in intervention group was lower than that in control group respectively, and the difference was statistically significant (P < 0.05). Conclusion Through the application of the health belief model, it can effectively enhance the ability of self-care behavior of glaucoma patients, and reduce patient anxiety. Good self-care ability and psychological status of patients with glaucoma can effectively control intraocular pressure of glaucoma patients, so as to improve the treatment effect and quality of life.
Objective To explore the application of health belief model in the health education of glaucoma patients, and to provide scientific basis for the better nursing of glaucoma patients. Methods 120 glaucoma patients cured in department of ophthalmology, Affiliated Hospital of Jiangsu University From March 2014 to February 2015 were randomly divided into intervention group and control group with 60 cases in each. The intervention group received nursing intervention based on the health belief model, and the control group received routine health education. After 1 month and 3 months respectively, the exercise of self-care agency(ESCA), Hamilton anxiety scale, and intraocular pressure(IOP) were assessed in two groups respectively. Results Compared with the two groups before the intervention, the ESCA score, Hamilton anxiety scale score and IOP had no significant difference (P >0.05). 1 month and 3 months after the intervention, ESCA score in intervention group was higher than that in control group respectively, and the Hamilton anxiety scale score was lower than that in control group respectively. The difference between the two groups was statistically significant (P < 0.05). After 1 month and 3 months intervention, the IOP in intervention group was lower than that in control group respectively, and the difference was statistically significant (P < 0.05). Conclusion Through the application of the health belief model, it can effectively enhance the ability of self-care behavior of glaucoma patients, and reduce patient anxiety. Good self-care ability and psychological status of patients with glaucoma can effectively control intraocular pressure of glaucoma patients, so as to improve the treatment effect and quality of life.