健康信念模式对肿瘤PICC置管患者自护能力的影响

The effect of health belief model on self-care ability in tumor patients with PICC

目的:探讨健康信念模式对肿瘤PICC置管患者自护能力的影响。方法:采用随机对照研究方法,将100例肿瘤化疗PICC置管患者随机分为实验组和对照组,各50例。实验组患者采用以健康信念模式为理论框架的健康教育,对照组接受传统健康教育。使用自我护理能力测定量表评估两组患者自护能力、自护技能、自护责任感、自我概念及健康知识水平的变化。结果:实验组除自我概念得分(9.32±1.73)低于对照组(差异无统计学意义,P=0.660)外,自护能力、自护技能、自护责任感及健康知识水平得分分别为54.76±3.24、7.42±1.21、23.45±1.99、7.33±1.24,均高于对照组(P<0.05)。结论:健康信念模式是提高肿瘤PICC置管患者自护能力的重要理论模式,可依据此模式制定患者的健康教育指引。

Objective： To find out the effect of health belief model on self-care ability in tumor patients with PICC. Methods： A randomized controlled study was used in this study. 100 tumor patients with PICC received chemotherapy were divided into experimental group and control group,each recruited 50 patients. Patients in experimental group received health education based on health belief model,while control group received traditional health education. Self-care ability scale（ ESCA） was used to assess self-care abilities,self-care skills,selfresponsibility,self-concept and the level of health knowledge of the two groups. Results： Patients in experimental group got higher score in self-care abilities,self-care skills,self-responsibility and the level of health knowledge.Conclusion： Health belief model can be used to formulate health education guidelines for tumor patients with PICC.