住院患者健康教育评价标准的应用研究

Application of evaluation standard for health education in in-patients

目的：形成完善的住院患者健康教育评价标准,对健康教育活动起到系统的监测作用。方法选取2013年7—12月1297例住院患者作为研究对象,按照随机数字表法分为研究组540例和对照组757例。对照组采用常规健康教育,研究组采用健康教育评价标准确定后的健康教育。比较两组患者健康教育评价标准结果及患者满意度。结果入院时两组患者健康知识的知晓率比较差异无统计学意义（P〉0.05）,出院时研究组健康知识知晓率为93.1%,高于对照组的82.6%,差异有统计学意义（χ^2=31.20,P〈0.05）。出院时研究组患者满意度得分为（98.88±2.88）分,高于对照组的（95.95±6.63）分,差异有统计学意义（t=-9.26,P〈0.01）。研究组患者在参与计划、寻求健康教育方式、控制疾病疼痛的方法、病情自我观察、生活自理能力、执行药物计划、选择食物、健康及功能锻炼的健康行为评价积极率分别为88.9%,92.7%,91.1%,85.1%,80.4%,83.3%,87.2%,81.1%,均优于对照组,差异有统计学意义（χ^2值分别为141.6,176.8,178.3,59.3,36.5,64.6,91.4,30.2；P〈0.01）。结论住院患者健康教育评价标准的形成对临床护理人员实施系统化、规范化的健康教育与提高健康教育评价有很大帮助。

Objective To improve the formation of hospitalized health education evaluation criteria for patients, and to monitor the health education activities. Methods Totals of 1 297 patients from July to December in 2013 were selected and randomly divided into 540 cases as the experimental group and 757 cases as the control group. The control group was given conventional health education, and the experimental group was given evaluation standard for health education. The effect of health education and degree of satisfaction were compared between the two groups. Results There was no significant difference in health knowledge （ P 〉0. 05）. The knowledge rate of the experimental group was 93. 1%, which was significantly higher than 82. 6%of the control group （χ^2 =31. 20,P〈0. 05）. Scores of satisfaction in the experimental group was（98. 88 ± 2. 88）,which was higher than that in the control group （95. 95 ± 6. 63）, and the difference was statistically significant （t= -9. 26,P〈0. 01）. The incidences of joining the plan, seeking for the way of health education, management of disease pain, symptom self-observation, self-care ability, following the medication, food selection and health behavior of function exercise were 88. 9%, 92. 7%, 91. 1%, 85. 1%, 80. 4%, 83. 3%, 87. 2%, 81. 1%, respectively, which were all significantly better than those in the control group （χ^2 =141. 6, 176. 8, 178. 3, 59. 3, 36. 5, 64. 6, 91. 4, 30. 2, respectively;P〈0. 01）. Conclusions The health education for patients with evaluation standard is benefit for systematic implementation of health education.