|
|
Application of health belief model in health education of patients with chronic obstructive pulmonary disease |
WANG Yanxia CAO Jingdi LU Ping YU Ye |
Department of Respiratory Medicine, Shanghai East China Hospital, Shanghai 200040, China |
|
|
Abstract Objective To explore the application of health belief model in health education for patients with chronic obstructive pulmonary disease (COPD). Method A total of 94 COPD patients admitted to the Department of Respiratory Medicine of Shanghai East China Hospital from January 2018 to August 2021 were divided into observation group (46 cases) and control group (48 cases) by random number table method. The control group received routine health education, while the observation group received health education under the health belief model. The effects of the two groups on the mastery of relevant indicators, compliance with respiratory function exercise, satisfaction, and quality of life were compared. Results After education, the scores of rehabilitation exercise knowledge, treatment knowledge, and basic knowledge in the two groups were higher than those before education, while those of the observation group were higher than those of the control group, and the differences were statistically significant (P < 0.05). The compliance of rehabilitation exercise in the observation group was better than that in the control group, and the difference was statistically significant (P < 0.05). The scores of self-care ability in the two groups were higher than those before education, while those of the observation group were higher than those of the control group, and the differences were statistically significant (P < 0.05). The educational satisfaction of the observation group was higher than that of the control group, and the difference was statistically significant (P < 0.05). After education, the scores of disease impact, activity limitation, and nursing symptoms in the two groups were lower than those before education, while those of the observation group were lower than the control group, and the differences were statistically significant (P < 0.05). Conclusion The health education effect of COPD patients under the health belief model is better, which can significantly improve patients’ compliance, self-care ability and quality of life.
|
|
|
|
|
[1] 孟灿,孙成昊,商磊.PM2.5对慢性阻塞性肺疾病发生发展影响及药物治疗研究进展[J].中国公共卫生,2019,35(3):377-380.
[2] 向邱,张春瑾,徐素琴,等.基于时机理论的戒烟干预对慢性阻塞性肺疾病患者的影响[J].中华护理杂志,2020, 55(5):684-689.
[3] 彭文宏.肺康复治疗在慢性阻塞性肺疾病管理中的研究进展[J].重庆医学,2017,46(5):700-702.
[4] 罗琳琳,喻杰,郭韶梅,等.江西省中老年居民慢性阻塞性肺疾病患病情况及影响因素分析[J].中国公共卫生,2019,35(11):1482-1486.
[5] 樊静,王宁,方利文,等.2014年中国40岁及以上人群慢性阻塞性肺疾病知识知晓率及其影响因素[J].中华流行病学杂志,2018,39(5):586-592.
[6] 周天瑜,钟益珏,王云霞,等.大气颗粒物影响慢性阻塞性肺疾病发生发展的机制[J].中华结核和呼吸杂志,2018,41(8):640-643.
[7] 王明航,李建生.中医药治疗慢性阻塞性肺疾病临床疗效评价研究现状[J].中医杂志,2017,58(3):256-259.
[8] 孙虎,左蕾,叶远征,等.全身应用糖皮质激素对慢性阻塞性肺疾病急性加重患者治疗效果的系统评价[J].中国呼吸与危重监护杂志,2017,16(1):1-8.
[9] 黄仕明,李江旭,王秋梅,等.健康信念模式教育对COPD患者疾病认知与呼吸功能锻炼依从性的影响[J].重庆医学,2013,42(10):1136-1138.
[10] 张京轶,唐丽华,李硕,等.PDCA循环健康教育对慢性阻塞性肺疾病患者疾病认知程度和呼吸功能锻炼依从性的影响[J].实用心脑肺血管病杂志,2014,22(5):63-64.
[11] 李伟.应用护理路径对社区COPD患者实施健康教育[J].中国社区医师(医学专业),2011,13(13):381-382.
[12] 杨丽娜.协同护理模式对慢性阻塞性肺病患者自我护理能力的影响[J].航空航天医学杂志,2016,27(6):794-796.
[13] 林晶.院外护理干预对慢性阻塞性肺疾病患者生存质量的影响[J].海南医学,2013,24(15):2334-2336.
[14] 麻倩,井坤娟,刘昱莹.健康信念影响糖尿病病人自我管理行为结构方程模型的构建研究[J].护理研究,2019, 33(24):4294-4298.
[15] 徐紫君,崔颖超,吕铖,等.骨质疏松患者健康行为干预模型和理论[J].上海交通大学学报(医学版),2017,37(1):118-121,133.
[16] 吕金林,李慧慧,单雨薇,等.高血压患者自我管理干预模式的研究进展[J].中国慢性病预防与控制,2020,28(1):64-66.
[17] 刘玮楚,王攀,罗业涛,等.基于健康信念模式的冠心病患者自我管理行为模型构建及实证研究[J].第三军医大学学报,2020,42(9):953-963.
[18] 张倩,邢凤梅,陈连庆,等.健康信念模式干预对PCI术后患者心脏康复依从性的影响[J].中国老年学杂志,2019, 39(14):3352-3355.
[19] 黄玉玲,贾思艳,杨淑娟,等.基于健康信念模式的HIV/AIDS患者抗病毒治疗依从性及影响因素分析[J].中国艾滋病性病,2021,27(10):1087-1090.
[20] 翁海光,吴建男.健康信念模式在肝硬化住院患者健康教育中的应用研究[J].中国健康教育,2017,33(6):562-565.
[21] 安莉,何雅,周丽娟.健康信念模式教育联合呼吸功能锻炼对COPD稳定期患者健康行为和预后的影响[J].中国健康教育,2018,34(11):1046-1048,1052.
[22] 蒋春红,夏仕平.基于健康信念模型的患者主动决策研究[J].中国医院管理,2018,38(7):60-61.
[23] 李丽爱.以健康信念为框架的健康教育模式在急性心肌梗死介入治疗患者中的应用效果[J].中国当代医药,2020,27(9):196-198,201.
[24] 苏少锋,陈丽霞,刘真义,等.基于健康信念模式的医护一体化管理模式对胃肠息肉术后患者的影响[J].中国医药导报,2020,17(25):176-179.
[25] 李佳,黄雅文,张树红.产后抑郁症风险及孕产妇对预防性干预态度研究进展:基于健康信念模型[J].护理研究,2020,34(9):1578-1583.
[26] 徐永能,黄巧,卢少萍,等.护患互动健康信念模式在预防住院老年病人跌倒中的应用效果[J].护理研究,2020, 34(7):1300-1304.
[27] 唐奕,彭岚岚.基于健康信念模式的集束化护理对择期剖宫产产妇泌乳的影响[J].中国医药科学,2022,12(2):101-104.
[28] 郑小燕,蔡冰冰,戴雨婷,等.健康信念教育模式对脑卒中吞咽障碍患者负面情绪、生活质量及吞咽功能影响研究[J].中外医学研究,2021,19(19):102-105.
[29] 邱静怡,戎明梅.健康信念模式下妇科术后患者早期下床活动影响因素研究[J].中国卫生统计,2021,38(6):916-919,922. |
|
|
|