不同健康教育方法对脊柱侧凸手术患者生存质量的影响

目的评价应用不同健康教育方法对脊柱侧凸手术患者生存质量的影响。方法依据入组条件选择于2009年9月至2011年3月间确诊为脊柱侧凸并行矫形手术治疗的患者42例。分为3组：健康信念模式组（health believe model，HBM）、健康促进模式组（health promotion model，HPM）、常规组（Routine model，RM）各14例。分别运用不同策略进行健康教育，于术后1周，6个月，1年进行随访，应用SRS-22量表对患者进行问卷调查，统计结果并进行统计学处理（P〈0．05为差异有统计学意义），评估依据各模式进行教育策略后对术后患者生存质量的影响情况。结果完成随访40例，HBM组13例，HPM组14例，RM组13例。统计结果：（1）3组术后1周差异无统计学意义；术后6个月及1年差异有统计学意义；（2）HBM组与RM组间及HPM组与RM组间术后1周差异无统计学意义，术后6个月及1年差异有统计学意义；（3）HBM组与HPM组间术后1周及6个月差异无统计学意义，术后1年差异有统计学意义。结论应用HPM健康教育方法更有利于改善脊柱侧凸手术患者生存质量。

Objective To evaluate the effect of different methods of health education on the life quality of seoliosis patients after surgery.Methods Forty - two scoliosis patients with orthopaedic surgery were selected and divided into three groups:Health Belief Model (HBM) group,Health Promotion Model (HPM) group and Routine Model (RM) group.Every group had 14 patients.Different strategies of health education were adopted in three groups and the effects were compared.Results The result showed that there was no difference among three groups at 1 week after orthopaedic surgery; there were significant differences both at 6 months and 1 year after orthopaedic surgery.Conclusions The health education method of HPM is in favor of improving the life quality of the scoliosis patients with with orthopaedic surgery.