以格林模式为指导的健康宣教对尖锐湿疣患者情绪及自我效能的影响

Effect of health education guided by Green model on emotion and self-efficacy of patients with condyloma acuminatum

目的探讨以格林模式为指导的健康宣教对尖锐湿疣患者情绪及自我效能的干预作用。方法将220例尖锐湿疣患者按就诊时间分为两组,各110例。对照组予以常规护理干预,观察组在此基础上实施以格林模式为指导的健康宣教,观察6个月,治疗后随访6个月统计复发率。干预前后采用医院自制尖锐湿疣患者健康知识调查问卷调查健康知识掌握情况,采用焦虑自评量表、抑郁自评量表评定焦虑、抑郁情绪,采用医学应对问卷评定应对方式,采用一般自我效能感量表评定自我效能。干预后采用纽卡斯尔护理满意度量表评定护理满意度。结果干预后观察组尖锐湿疣患者健康知识调查问卷总分及尖锐湿疣疾病知识、自我保健知识评分显著高于对照组(P<0.01),焦虑自评量表、抑郁自评量表评分显著低于对照组(P<0.01)。干预后观察组一般自我效能感量表评分及医学应对问卷的面对、自我效能评分显著高于对照组(P<0.01),回避、屈服评分显著低于对照组(P<0.01)。观察组复发率显著低于对照组(P<0.05),总满意率显著高于对照组(P<0.01)。结论以格林模式为指导的健康宣教能提高尖锐湿疣患者健康知识掌握度及自我效能水平,有效缓解其不良情绪,改变其应对方式,降低复发率,提高患者满意度。

Objective To explore the intervention effect of health education guided by Green model on emotion and self-efficacy of patients with condyloma acuminatum.Methods A total of 220 patients with condyloma acuminata were divided into two groups according to the admission time,110 cases in each group.The control group received routine nursing intervention,and the observation group received health education guided by Green model on this basis for 6 months.The recurrence rate was calculated for 6 months after treatment.Before and after the intervention,the hospital self-made health knowledge questionnaire for patients with condyloma acuminatum was used to investigate the status of health knowledge.The self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used to assess anxiety and depression,the medical coping modes questionnaire(MCMQ)was used to assess coping styles,and the general self-efficacy scale(GSES)was used to assess self-efficacy.After the intervention,the Newcastle satisfaction with nursing scale(NSNS)was used to evaluate nursing satisfaction.Results After the intervention,the total score of health knowledge questionnaire,the scores of condyloma acuminatum disease knowledge and self-care knowledge in the observation group were significantly higher than those in the control group(P<0.01).The scores of SAS and SDS in the observation group were significantly lower than those in the control group(P<0.01).After the intervention,the GSES score and the scores of confrontation and self-efficacy in MCMQ were significantly higher than those of the control group(P<0.01),the scores of avoidance and yield were significantly lower than those of the control group(P<0.01).The recurrence rate of the observation group was significantly lower than that of the control group(P<0.05),and the total satisfaction rate was significantly higher than that of the control group(P<0.01).Conclusions The health education guided by Green model can improve the mastery of health knowledge and self-efficacy of patients with condyloma acuminatum,effectively alleviate their bad emotions,change their coping style,reduce the recurrence rate and improve patient satisfaction.