授权教育对慢性乙型肝炎患者生活质量的影响

Effect of the Empowerment Education on the Quality of Life in the Patients with Chronic Hepatitis B

目的探讨授权教育在慢性乙型肝炎患者健康教育中的应用效果,旨在推广授权教育的应用范围,提高慢性乙型肝炎患者的生活质量。方法 2013年9月至2014年2月,便利抽样法选择入住天津市第二人民医院的慢性乙型肝炎患者104例为研究对象,按随机数字表法将其分为对照组和观察组,每组52例。对照组患者在住院期间给予常规护理,观察组患者实施5次"一对一"的授权教育,60min/次。干预后,使用慢性病管理自我效能量表(self-efficacy for managing chronic disease 6-item scale,SES6G)、生活质量评价量表(MOS item short from health survey,MOS SF-36)对患者进行调查。分析比较两组患者干预前后的得分差异。结果经过干预调查后,观察组患者身体功能、躯体角色功能、躯体疼痛、总体健康感觉、精力、社会功能等6个维度评分都有所改善,与对照组相比,差异均有统计学意义(均P<0.05)。观察组患者自我效能感高于对照组,差异有统计学意义(P<0.05)。(P<0.05)及生活质量(P<0.05)。结论与常规护理健康教育相比,授权教育不但能促进慢性乙型肝炎患者的健康,而且能提高患者自我效能感和生活质量,值得推广。

Objective To investigate the application effects of empowerment education on quality of life in patients with chronic hepatitis B,in order to expand its application range,and to improve the quality of life of patients with chronic hepatitis B.Methods By convenience sampling,104 cases were selected and equally divided into control group and observation group.The control group was applied with conventional nursing,while the control group was applied with 5times of one to one empowerment education,60 min a time.After intervention,the SES6 G,MOS SF-36 scales were applied to investigate the cases.The difference of the scores were compared.Results After intervention,the physical function,role-physical,bodily pain,general health,vitality and social function were improved in observation group and had statistical significance compared with control group（all P〈0.05）.The self-efficacy in observation group was higher than that of control group（P〈0.05）,as well as the quality of life（P〈0.05）.Conclusion Compared with the routine nursing education,the empowerment education can improve patient＇s recovery,self-efficacy,as well as quality of life,which is worth for popularization and application.