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

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Abstract Objective To explore the effect of integrated health care management model based on health belief model on postoperative patients with gastrointestinal polyps. Methods In the Third People′s Hospital of Hainan Province from March 2016 to June 2018, 168 patients with gastrointestinal polyps were divided into the control group (84 cases) and the observation group (84 cases) according to the random number table method. The control group was received routine nursing and the observation group was given integrated nursing care model on the basis of health belief model, The health knowledge understanding status, postoperative gastrointestinal function, mental state, postoperative complications, and recurrence rate of the two groups were compared. Results The scores of onset causes, symptoms, dietary precautions, and postoperative precautions in the observation group were higher than those in the control group, and the differences were statistically significant (P ＜ 0.05). The anal exhaust time and defecation time in the observation group were significantly lower than those in the control group, and the differences were statistically significant (P ＜ 0.05). Before intervention, there was no statistically significant difference in the scores of self-rating anxiety scale (SAS) and self-rating depression scale (SDS) between two groups (P ＞ 0.05), and the SAS and SDS scores of the observation group were significantly lower than before intervention, and the observation was lower than the control group at one month after the intervention (P ＜ 0.05). The incidence of postoperative complications was significantly lower in the observation group than in the control group, and the difference was statistically significant (P ＜ 0.05). Six months after operation, the recurrence rate in the observation group was significantly lower than that in the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion The integrated management model of health care based on the health belief model can promote the patient′s knowledge of gastrointestinal polyps health knowledge, better improve the gastrointestinal function and mental state of patients, and reduce the postoperative complications and recurrence rate. It is worthy of clinical further discussion.

Key words： Health belief model Integrated management model Gastrointestinal polyps Health knowledge understanding status Gastrointestinal function Psychological state Complications

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	SU Shaofeng1 CHEN Lixia1 LIU Zhenyi1 FU Xiaoyan1 LIU Hui2

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SU Shaofeng1 CHEN Lixia1 LIU Zhenyi1 FU Xiaoyan1 LIU Hui2. Research on the effect of integrated management mode of health care based on health belief model on postoperative patients with gastrointestinal polyps[J]. 中国医药导报, 2020, 17(25): 176-179.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I25/176

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