基于HEC的健康管理干预对急性胰腺炎病人健康促进生活方式的影响

Effect of the health management intervention based on HEC on the health promoting lifestyles in patients with acute pancreatitis

目的:探讨基于健康意识理论(HEC)的健康管理干预对急性胰腺炎病人健康促进生活方式的影响。方法:选取90例急性胰腺炎病人为研究对象,随机分成健康管理组和对照组,各45例,对照组采取胰腺炎常规治疗和护理干预,健康管理组在常规治疗和护理的基础上实施基于HEC的系统化健康管理干预。比较干预前后2组病人健康促进生活方式的变化。结果:干预前2组健康促进生活方式各维度比较差异均无统计学意义(P>0.05);出院后1个月,健康管理组健康责任、运动、营养和压力管理得分均高于对照组(P<0.05~P<0.01),2组自我实现和人际关系得分差异无统计学意义(P>0.05);出院后3个月健康管理组各维度得分均高于对照组(P<0.01)。健康管理组各维度得分,出院后3个月均高于出院后1个月,且出院后1个月高于干预前(P<0.01)。结论:基于HEC的健康管理干预对急性胰腺炎病人健康促进生活方式有积极的时间效应。

Objective:To explore the effects of health management intervention based on Health as Expanding Consciousness(HEC)on health promoting lifestyle in patients with acute pancreatitis.Methods:A total of 90 patients with acute pancreatitis were randomly divided into the health management group and control group(45 cases each group).The control group were given the routine treatment and nursing intervention for pancreatitis,while the health management group were given the systematic health management intervention on the basis of routine treatment and nursing.The changes of health promoting lifestyle in two groups were compared between before and after intervention.Results:There was no statistical significance in all dimensions of health promotion lifestyle between two groups before intervention(P>0.05).After 1 month of discharge,the scores of health responsibility,exercise,nutrition and stress management in health management group were higher than those in control group(P<0.05 to P<0.01),and there was no statistical significance in the scores of self-realization and interpersonal relationship between two groups(P>0.05).After 3 months of discharge,the scores of all dimensons in health management group were higher than those in control group(P<0.01).In the health management group,the scores of each dimension in after 3 months of dischargep were higher than that after 1 month of discharge,and which after 1 months of dischargh was higher than that before intervention(P<0.01).Conclusions:The HEC-based health management intervention has a positive time effects on the health promotion lifestyle in patients with acute pancreatitis.