行为研究法联合家庭式健康教育对胃底静脉曲张破裂出血患者的影响

Effect of behavior research combined with family-based health education in patients with gastric variceal bleeding

目的探讨行为研究法联合家庭式健康教育对胃底静脉曲张破裂出血(GEVB)患者的影响。方法选取2018年1月至2019年12月河南省人民医院GEVB患者78例为研究对象。根据随机数字表将患者分为观察组及对照组,各39例。对照组实施消化内科常规性健康指导,观察组实施行为研究法联合家庭式健康教育。比较两组治疗依从率、止血有效率、并发症发生率、再出血率及干预前后生活质量改善情况。结果观察组饮食控制、营养摄取、遵医用药、自我监测、定期复查、生活行为调节、情绪管理等方面自我管理依从率、止血有效率高于对照组,差异有统计学意义(P<0.05),而并发症发生率、再出血率低于对照组,差异有统计学意义(P<0.05)。观察组干预后病情认知、生活管理、遵医行为、正确休息、自我保护及生活质量总评分高于对照组,差异有统计学意义(P<0.05)。结论行为研究法联合家庭式健康教育能有效提高GEVB患者治疗依从率及治疗效果,降低患者再出血率,提高患者生活质量。

Objective To explore the effect of behavior research combined with family-based health education in patients with gastric variceal bleeding(GEVB).Methods From January 2018 to December 2019,a total of 78 patients with GEVB in Henan Provincial People's Hospital were selected as the research subjects.Patients were divided into observation group and control group according to random number table,39 cases in each group.The control group received routine health instruction in the department of gastroenterology,while the observation group received behavior study combined with family-based health education.The treatment compliance rate,effective hemostatic rate,incidence of complications,rebleeding rate and improvement of quality of life before and after intervention were compared between the two groups.Results The self-management compliance rate of the observation group was higher than that of the control group in terms of diet control,nutrition intake,medical medication compliance,self-monitoring,regular review,life behavior regulation,emotional management and other aspects,and the hemostatic efficiency of the observation group was higher than that of the control group,and the differences were statistically significant(P<0.05).The complication rate and rebleeding rate in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The total score of disease cognition,life management,compliance behavior,correct rest,self-protection and quality of life of the observation group after intervention was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusions Behavioral research combined with family-based health education can effectively improve the treatment compliance rate and treatment effect of GEVB patients,reduce the rebleeding rate of patients,and improve the quality of life of patients.