基于反思性重构策略的健康管理模式在急性胰腺炎患者中的应用

Effects of a health management model based on reflexive reconstruction strategy in patients with acute pancreatitis

目的探讨基于反思性重构策略构建的健康管理模式在急性胰腺炎患者中的应用效果。方法采用便利抽样法,选取2020年1月—2022年1月晋城市第二人民医院收治的150例急性胰腺炎患者为研究对象,按随机数字表法将其分为观察组与对照组,每组75例。观察组采用反思重构策略下的健康管理模式,对照组采用常规健康管理模式。结果干预6个月后,观察组的健康行为能力总分及4个维度评分、健康知识掌握程度评分均高于对照组,差异有统计学意义(P<0.01);观察组的急性胰腺炎复发率为5.3%(4/75),低于对照组患者复发率16.0%(12/75),差异有统计学意义(χ^(2)=4.478,P=0.034)。结论基于反思性重构策略构建的健康管理模式可以提高急性胰腺炎患者的健康行为能力及健康知识掌握程度,降低急性胰腺炎复发率,能够为临床上健康护理管理方案的持续改进提供借鉴。

Objective To explore the effect of a health management model constructed based on reflexive reconstruction strategy in patients with acute pancreatitis.Methods Totally 150 patients with acute pancreatitis admitted to Jincheng No.2 People's Hospital from January 2020 to January 2022 were selected by convenience sampling.They were divided into observation and control groups,each containing 75 individuals,using a random number table.Patients in the observation group were managed using a health management model under the reflexive reconstruction strategy,while patients in the control group followed a conventional health management model.Results Six months post-intervention,the total score of health behavior capacity and the scores of its four dimensions,as well as the score indicating the level of health knowledge mastery in the observation group,were significantly higher than those in the control group(P<0.01).Furthermore,the recurrence rate of acute pancreatitis in the observation group was 5.3%(4/75),which was lower than 16.0%(12/75)observed in the control group,demonstrating a statistically significant difference(χ^(2)=4.478,P=0.034).Conclusions The health management model developed based on the reflexive reconstruction strategy can enhance the health behavior capacity and the level of health knowledge mastery in patients with acute pancreatitis and reduce the recurrence rate of acute pancreatitis.It can serve as a reference for the continuous improvement of clinical health care management programs.