基于健康意识理论的教育模式对急性胰腺炎康复期患者自我效能和生活质量的影响

Education model based on health conscious theory on self-efficacy and quality of life among patients with acute pancreatitis during rehabilitation

目的探讨基于健康意识理论的教育模式对急性胰腺炎康复期患者自我效能与生活质量的影响。方法采用便利抽样法,选取2017年4月—2018年4月期间无锡市第二人民医院消化内科住院治疗的急性胰腺炎病情稳定期的患者96例为研究对象,采用随机数字表法分为试验组49例和对照组47例。对照组患者接受常规健康教育,试验组患者接受基于健康意识理论的健康教育,干预时间从出院后持续1个月。采用自我效能评价量表和生活质量评价量表比较两组患者干预前后自我效能与生活质量。比较两组患者的再入院率。结果出院后1个月,试验组患者自我效能总分(21.54±2.73)分,生活质量总分(638.21±18.23)分,均高于对照组,差异有统计学意义(t值分别为10.693、7.284;P<0.05);试验组患者再次复发急性胰腺炎住院率为6.12%(3/49),对照组患者为17.02%(8/47),两组再次入院率比较差异有统计学意义(χ^2=4.376,P<0.05)。结论基于健康意识理论的教育模式能够有效提升急性胰腺炎康复期患者的自我效能,并改善其生活质量。

Objective To explore the education model based on health conscious theory on self-efficacy and quality of life among patients with acute pancreatitis during rehabilitation. Methods From April 2017 and April 2018, we selected 96 acute pancreatitis inpatients with stable stage in Department of Gastroenterology at Wuxi Second People's Hospital as subjects by convenience sampling. All of the patients were divided into experimental group (n=49) and control group (n=47) with the method of the random number table. Patients of control group received routine health education, and patients of experimental group were treated with the health education based on the health conscious theory lasting for one month after discharge. Self-efficacy and quality of life of patients between two groups were compared with the Self-efficacy Evaluation Scale and Short-Form Health Survey (SF-36) before and after intervention. The readmission rates of two groups were compared. Results One month after discharge, the total scores of self-efficacy and quality of life of patients in experimental group were (21.54±2.73) and (638.21±18.23) respectively, higher than those in control group with statistical differences (t=10.693, 7.284;P<0.05). The admission rates because of recurrent acute pancreatitis of patients in experimental group and control group were [6.12%(3/49)]and [17.02%(8/47)]respectively with a statistical difference (χ^2=4.376, P<0.05). Conclusions Education model based on health conscious theory can effectively improve the self-efficacy and quality of life of acute pancreatitis patients during rehabilitation.