格林模式在男性不育患者生活方式干预中的应用研究

Application of the Green Model to lifestyle intervention in male sterility patients

目的:探讨格林模式在男性不育患者生活方式干预中的应用效果。方法:选取2018年10月至2019年1月在十堰市人民医院男科住院的男性不育症患者120例,随机分为对照组和观察组各60例。对照组采用常规护理干预,观察组在常规护理干预的基础上采用格林模式进行干预。比较两组患者对护理干预后的满意度和生活方式知信行评分、依从情况。结果:观察组干预后患者满意度高于对照组,两组比较差异具有统计学意义(P<0.01);观察组和对照组知识评分分别为(8.92±1.08)分和(5.89±1.99)分,信念态度评分分别为(8.78±0.68)分和(5.98±1.50)分,行为评分分别为(19.32±1.12)分和(13.88±2.11)分,观察组明显高于对照组;观察组对生活方式依从性明显高于对照组,具有统计学意义(P<0.05)。结论:格林模式可以帮助男性不育患者获取正确生活方式认知、信念,提高自我行为干预管理能力,提高患者满意度,有效执行正确的生活方式,提高了生活方式依从性。

Objective: To evaluate the application of the Green Model to lifestyle intervention in male infertility patients. Methods: A total of 120 male infertility patients treated from October 2018 to January 2019 were equally randomized into a control and an observation group, the former given conventional nursing and the latter Green Model intervention in addition. Comparisons were made between the two groups of patients in their satisfaction with nursing intervention, scores on lifestyle knowledge, beliefs and behaviors, and compliance with the healthy lifestyle. Results: The patients in the observation group showed a dramatically higher satisfaction with the nursing intervention than the controls(96.67% vs 75.00%, P < 0.01) as well as higher scores on lifestyle knowledge(8.92 ± 1.08 vs 5.89 ± 1.99, P < 0.05), beliefs(8.78 ± 0.68 vs 5.98 ± 1.50, P < 0.05) and behaviors(19.32 ± 1.12 vs 13.88 ± 2.11, P < 0.05) and their compliance with the healthy lifestyle(61.67% vs 38.33, P < 0.05). Conclusion: Green Model intervention can help male infertility patients to obtain correct lifestyle cognition, beliefs and behaviors, promote their compliance with the healthy lifestyle and improve their satisfaction with nursing intervention.