基于健康意识理论的教育模式对急性胰腺炎出院患者生活质量的影响

Influencing factors of education model based on health awareness theory on quality of life in discharged patients with acute pancreatitis

目的 探讨基于健康意识理论的教育模式对急性胰腺炎出院患者生活质量的影响.方法 将100例首次发病的急性胰腺炎患者按照随机数字表法分为研究组和对照组各50例,出院后连续3个月对照组实施常规健康教育,研究组实施以健康意识理论为基础的健康教育. 应用生活质量评价量表（SF-36）分别于出院前1 d、出院后1个月和3个月对两组患者进行测试,比较其差异. 结果 研究组48例完成随访,对照组无一例失访. 出院后3个月,研究组患者SF-36总分为（132. 03 ± 5. 11）分,各维度精神健康、情感职能、生理机能、生理职能、躯体疼痛、社会功能、精力、一般健康得分分别为（90. 20 ± 9. 81）,（74. 41 ± 6. 80）,（96. 90 ± 8. 42）,（76. 92 ± 8. 91）,（87. 60 ± 10. 41）,（80. 20 ± 7. 50）,（89. 21 ± 9. 73）,（85. 90 ± 9. 01）分,均高于对照组,两组比较差异有统计学意义（t值分别为4. 03,2. 72,2. 30, 3. 01,3. 34,1. 77,2. 87,2. 53,2. 50;P＜0. 05）. 结论 与常规健康教育相比,以健康意识理论为基础的教育模式能显著改善急性胰腺炎出院患者的生活质量。

Objective To explore the influencing factors of education model based on health awareness theory on quality of life in discharged patients with acute pancreatitis （ AP） . Methods A total of 100 patients with first onset of AP were divided into experimental group and control group on average by random number table. The routine health education were carried out 3 months continuously among discharged patients in the control group, while education model based on health awareness theory was applied in the experimental group. The SF-36 was used to compare the difference between two groups at 1d before discharging, 1 and 3 months after discharging. Results There were 48 cases completed follow-up in the experimental group while all cases completed follow up in the control group. 3 months after discharging, the SF-36 score of experimental group was （132. 03 ± 5. 11）, and the each dimensions included that mental health, emotional function, physiological function, body pain, energy, and general health were （90. 20 ± 9. 81）, （74. 41 ± 6. 80）, （96. 90 ± 8. 42）, （76. 92 ± 8. 91）, （87. 60 ± 10. 41）, （80. 20 ± 7. 50）, （89. 21 ± 9. 73） and （85. 90 ± 9. 01）, and all of them were higher than those of the control group （t=4. 03, 2. 72, 2. 30, 3. 01, 3. 34, 1. 77, 2. 87, 2. 53 and 2. 50;P〈0. 05）. Conclusions Compared with routine health education, education based on health awareness theory can improve quality of life among discharged patients with AP.