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| Application of WeChat-led diversified health education in patients with Helicobacter pylori positive peptic ulcer |
| SUN Haili1 YANG Xueying2▲ |
1.Department of Outpatient, the First Affiliated Hospital of Xi’an Jiaotong University, Shaanxi Province, Xi’an 710061, China;
2.the Third Department of Internal Medicine, Tuberculosis Prevention Hospital in Shaanxi Provincial, Shaanxi Province, Xi’an 710100, China |
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Abstract Objective To explore the application effect of diversified health education based on WeChat in patients with Helicobacter pylori (Hp) positive peptic ulcer. Methods From July 2017 to June 2018, 125 patients with Hp-positive peptic ulcer admitted to the First Affiliated Hospital of Xi’an Jiaotong University were selected. According to the duration of hospitalization, they were divided into the treatment group (January 2018 to June 2018) with 64 cases and the control group (July 2017 to December 2017) with 61 cases. The control group was given regular health education, and the treatment group jointly applied diversified health education based on WeChat. Follow-up for 6 months, disease uncertainty, health literacy, healthy behavior, recurrence rate and other indicators between the two groups were compared. Results After 6 months of follow-up, the two groups’ disease ambiguity scores were significantly lower than those of the same group before education (P ＜ 0.05), and patients had obvious ambiguity, complexity, unpredictability, and disease uncertainty total scores in the treatment group were lower than that in the control group (P ＜ 0.05). The health literacy scores of the two groups were significantly higher than those before education in the same group (P ＜ 0.05). The total scores of basic knowledge and concepts, healthy lifestyles and behaviors, basic skills, and health literacy of the treatment group were significantly higher than those of the control group (P ＜ 0.05). After 6 months of follow-up, the health behavior scores of the experimental group were all better than those before education, nutrition, self-realization and general health behavior of the control group were better than those before education (P ＜ 0.05), and exercise, interpersonal support and stress response of the experimental group were better than those of the control group (P ＜ 0.05). The recurrence rate was significantly lower than the control group (P ＜ 0.05). Conclusion Diversified health education based on wechat can help alleviate the uncertainty of Hp-positive peptic ulcer patients, promote the development of health literacy and healthy behavior, and reduce the recurrence rate of peptic ulcer.
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[1] 高歌，尹立新，付婷霞，等.幽门螺旋杆菌阳性消化性溃疡患者健康自我管理能力与心理困扰的影响：疾病认知的中介效应[J].中国病原生物学杂志，2019，14（9）：1091-1095.
[2] 张秋丽.心理干预对消化性溃疡患者不良情绪及疗效的影响[J].菏泽医学专科学校学报，2017，29（1）：60-62.
[3] 范志红，赵咏梅，施凌.住院期间健康教育工具的应用对患者接受程度和效果的影响[J].护士进修杂志，2018，33（6）：543-545.
[4] 安辉，郑纯凤.多元化的健康教育对学龄期哮喘患儿认知及治疗依从性的影响[J].中国健康教育，2017，33（6）：566-568，573.
[5] 陈灏珠.实用内科学[M].北京：人民卫生出版社，2002：1565-1579.
[6] 郑凤洁，孙优红，陈最芬，等.健康教育路径在消化性溃疡患者健康教育中的应用[J].中国健康教育，2017，33（11）：1045-1048.
[7] 李欣芹，王文秀.健康促进模式教育对消化性溃疡门诊患者用药依从性和疗效的影响[J].河北医学，2016，22（5）：790-792.
[8] Mishel MH. The measurement of uncertainty in illness [J]. Nurs Res，1981，30（5）：258-263.
[9] 国家卫生计委.中国公民健康素养-基本知识与技能（2015年版）[J].中国健康教育，2016，32（1）：94-95.
[10] Pullen C，Wallker SN，Fiandt K. Determinants of health-pronmoting lifestyle bchaviors in rural older women [J]. Fam Community Health，2001，24（2）：49-72.
[11] 何柳，张铭光.老年患者消化性溃疡复发相关因素临床分析[J].四川医学，2018，39（4）：58-61.
[12] Hammond DA，Kathe N，Shah A，et al. Cost-Effectiveness of Histamine 2 Receptor Antagonists Versus Proton Pump Inhibitors for Stress Ulcer Prophylaxis in Critically Ill Patients [J]. Pharmacotherapy，2017，37（1）：43-53.
[13] 朱卫华，邹蕴，蒋丽丽，等.消化性溃疡患者觉察压力应对方式与情绪状况的关系[J].职业与健康，2017，33（17）：2372-2376.
[14] 余璐华，刘艳，黄妙龄，等.我国原发性高血压患者血压控制微信干预效果的Meta分析[J].预防医学，2019，31（9）：891-896.
[15] 丁晔，何晓红.多元化健康教育对骨科术后患者深静脉血栓认知水平及健康行为的影响[J].海军医学杂志，2020， 41（3）：109-111.
[16] 金文兰，吴雪，张百慧.基于微信群的同伴教育对乳腺癌化疗患者疾病不确定感的影响[J].中国护理管理，2019， 19（4）：594-597.
[17] 邓海巨.以健康素养助力健康中国[J].上海预防医学，2020，32（6）：449-450.
[18] 中国政府网.2016年我国居民健康素养监测结果发布[EB/OL].[2017-11-21]. http：//www.nhfpc.gov.cn/zhuz/xwfb/201711/308468ad910a42e4bbe9583b48dd733a.shtml.
[19] 中国政府网.中共中央国务院印发《“健康中国2030”规划纲要》[EB/OL].[2016-10-25]. http：//www.gov.cn/xinwen/2016-10/25/cntnet-512474.htm.
[20] 朱正云，张婷婷，赵文海，等.同伴教育对慢性乙型肝炎患者口服抗病毒药物治疗依从性的影响[J].护理学报，2019，26（14）：71-76.
[21] 王海蓉，杨佳菲，卞薇薇，等.家属同步教育对术后肢体淋巴水肿CDT治疗患者疾病不确定感的影响[J].组织工程与重建外科杂志，2019，15（5）：356-358.
[22] 罗俊娥，傅静，黎源圆，等.基于微信平台为主的健康教育对四川省3市辖区居民健康素养及健康生活方式的影响[J].中国健康教育，2019，35（3）：231-234.
[23] 符名勇，陈明聪.基于微信互动的同伴健康教育在慢性阻塞性肺疾病稳定期病人中的应用效果[J].中国健康教育，2019，35（6）：550-553.
[24] 王静，郭霞，王红阳.健康素养对社区糖尿病并发肺结核患者预后的影响[J].中国老年学杂志，2017，37（24）：6234-6236.
[25] 张雯，章左艳.胃肠道恶性肿瘤患者家属疾病不确定感与应对方式的相关性[J].中国临床研究，2018，31（1）：142-144. |
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