门诊健康教育处方在基层医院慢性疾病健康促进工作开展中的应用效果分析

Application effect analysis of outpatient health education prescription i n health promotion of chronic diseases in primary hospitals

目的:探讨健康处方在基层医院慢性疾病健康促进工作开展中的应用效果。方法:选取2019年1月-2022年6月东莞市石碣医院门诊收治的慢性疾病患者445例作为研究对象,将2019年1月-2020年12月收治的慢性疾病患者215例作为对照组,将2021年6月-2022年6月收治的慢性疾病患者230例作为观察组。对照组患者在接受门诊诊治的过程中给予常规的口头健康宣教,观察组在采取口头宣教的同时进行健康教育处方干预,6个月后对两组患者的干预效果进行评价。结果:观察组患者的总依从率明显高于对照组,差异有统计学意义(P<0.05)。观察组患者干预后的相关知识知晓率、合理饮食达标率、运动治疗达标率、定期复查达标率均显著高于对照组,差异有统计学意义(P<0.05)。干预后,观察组患者的各项生活质量评分、治疗总满意率均显著优于对照组,差异有统计学意义(P<0.05)。结论:健康教育处方干预具有科学性、全面性、方便性、长效性、个体性均较好的优势,能够提高患者对慢性疾病知识的认知情况,可帮助慢性疾病患者提高自控能力和治疗依从性,进而可提高患者的生活质量和治疗满意度。

Objective:To explore the application effect of health prescription in health promotion of chronic diseases in primary hospitals.Methods:445 patients with chronic diseases admitted to the outpatient department of Dongguan Shijie Hospital from January 2019 to June 2022 were selected as the study objects,215 patients with chronic diseases admitted from January 2019 to December 2020 were selected as the control group,and 230 patients with chronic diseases admitted from June 2021 to June 2022 were selected as the observation group.The control group was given routine oral health education in the process of outpatient diagnosis and treatment,and the observation group was given oral health education prescription intervention at the same time.The intervention effect of the two groups of patients was evaluated 6 months later.Results:The total compliance rate of observation group was significantly higher than that of control group,the difference was statistically significant(P<0.05).After intervention,the knowledge awareness rate,reasonable diet compliance rate,exercise treatment compliance rate and regular review compliance rate of patients in the observation group were significantly higher than those in the control group,with statistical significance(P<0.05).After the intervention,the quality of life scores and total satisfaction rate of treatment in the observation group were significantly better than those in the control group,with statistical significance(P<0.05).Conclusion:Health education prescription intervention has the advantages of scientific,comprehensive,convenient,long-term and individual,which can improve patients’cognition of chronic disease knowledge,help patients with chronic diseases improve their self-control ability and treatment compliance,and thus improve patients’quality of life and treatment satisfaction.