互联网模式下健康教育对老年体检患者行为改变的研究

Study on the Behavior Change of Health Education Based on the Internet Mode to the Elderly Physical Examination Patients

目的:探讨互联网模式下健康教育对老年体检患者行为改变的效果。方法:2014年1月到2016年5月选择在哈尔滨医科大学附属第二医院体检中心进行体检的老年慢性病患者1 300例,根据随机抽签原则分为观察组与对照组各650例,对照组在体检期间给予常规护理,观察组在对照组护理的基础上给予互联网模式下健康教育,记录患者的行为改变情况。结果:体检后3个月观察组与对照组的饮食与运动达标率分别为97.1%和95.7%,对照组分别为71.8%和70.0%,观察组明显高于对照组(P<0.05),且都高于体检前(P<0.05)。在体检满意度上,对照组表现为89.2%,观察组表现为98.5%,能够看出观察组比对照组明显要高(P<0.05)。观察组的漏检率为2.2%,对照组的漏检率为12.0%,观察组明显低于对照组(P<0.05)。结论:互联网模式下健康教育能促使老年体检患者饮食与行为的改变,减少漏检率,提高体检满意度,有很好的应用价值。

Objective： To explore the effect of health education in the Internet mode on the behavior changes of elderly patients taking physical examination. Methods： 1,300 elderly patients with chronic diseases taking physical examination in the Physical Examination Center of the Second Affiliated Hospital of Harbin Medical University from January 2014 to May 2016 are selected. According to the random draw principle, they are divided into the observation group and the control group, and there are 650 cases in each group. Routine nursing is given to the control group during the physical examination. On the basis of nursing of the control group, health education in the Internet mode is given to the observation group. Patients＇ behavior changes are recorded. Results： The rate of reaching the standard of diet and exercise is 97.1% and 95.7% for the observation group, and 71.8% and 70% for the control group 3 months after the physical examination, respectively. The rate of reaching the standard of diet and exercise of the observation group is significantly higher than that of the control group（P〈0.05）, and all the results are higher than those before the physical examination（P〈0.05）. The physical examination satisfaction of the control group is 89.2%, and that of the observation group is 98.5%. It can be seen that the satisfaction of the observation group is significantly higher than that of the control group（P〈0.05）. The omission rate of the observation group is 2.2%, and that of the control group is 12%. The omission rate of the observation group is significantly lower than that of the control group（P〈0.05）. Conclusion： The health education in the Internet mode can promote the changes of diet and behaviors of the elderly patients, reduce the omission rate, improve the satisfaction of physical examination, and have a good application value.