知信行健康教育对孤立性肠系膜上动脉夹层患者遵医行为及预后的影响

Effect of health education of knowledge, belief and practice on the compliance behavior and prognosis of patients with isolated superior mesenteric artery dissection

目的探讨知信行健康教育对孤立性肠系膜上动脉夹层(ISMAD)患者遵医行为及预后的影响。方法选择2015年1月至2020年3月南京医科大学第一附属医院收治的126例ISMAD患者为研究对象。按照随机数字表法将其分为观察组(63例)、对照组(63例)。对照组患者接受常规健康教育,观察组进行知信行健康教育。比较两组干预前后疼痛程度[采用视觉模拟评分法(VAS)评估]、遵医行为(采用自制ISMAD患者遵医行为调查问卷),记录并发症的发生情况。结果随访6个月,观察组实际完成随访60例、对照组实际完成随访56例。随访6个月,两组VAS评分低于同组干预前,且观察组低于对照组(P<0.05);两组规范饮食、戒烟限酒、血压监测、用药管理、定期复诊评分及总分高于同组干预前(P<0.05),且观察组高于对照组(P<0.05)。观察组并发症总发生率低于对照组(P<0.05)。结论知信行健康教育有助于促进ISMAD患者遵医行为的养成,缓解其疼痛程度,减少并发症的发生。

Objective To explore the effect of health education of knowledge,belief and practice on the compliance behavior and prognosis of patients with isolated superior mesenteric artery dissection(ISMAD).Methods From January 2015 to March 2020,126 patients with ISMAD admitted to the First Affiliated Hospital of Nanjing Medical University were selected as research objects.According to the random number table method,they were divided into observation group(63 cases)and control group(63 cases).The patients in control group received regular health education,and the patients in observation group received health education of knowledge,belief and practice.The pain degree(visual analogue scale[VAS]was used),compliance behavior(self-made questionnaire on compliance behavior of ISMAD patients was used)of two groups before and after intervention were compared,and the incidence of complications was recorded.Results After six months of follow-up,observation group completed follow-up of 60 cases,and control group completed follow-up of 56 cases.After six months of follow-up,VAS scores of two groups were lower than thos of the same group before intervention,and observation group was lower than control group(P<0.05);the scores of standardized diet,smoking cessation and alcohol restriction,blood pressure monitoring,medication management,regular follow-up scores,and total scores of two groups were higher than those of the same group before intervention,and observation group was higher than control group(P<0.05).The total incidence of complications in observation group was lower than that in control group(P<0.05).Conclusion Health education on knowledge,belief and practice can help promote the development of compliance behavior for patients with superior mesenteric artery dissection,relieve their pain and reduce the occurrence of complications.