基于行为转变理论指导下的健康教育对消化内镜诊疗患者肠道准备质量和心理压力的影响

Effects of health education based on the transtheoretical model onintestinal preparation quality and psychological stress ofpatients undergoing endoscopic treatment

目的探究基于行为转变理论(TTM)指导下的健康教育对消化内镜诊疗患者肠道准备质量、心理压力的影响。方法选取郑州市第二人民医院2021年2月至2022年10月消化内镜诊疗患者134例,依据随机数字表法分为观察组(n=67)、对照组(n=67)。对照组实施常规护理干预,观察组实施基于TTM指导下的健康教育干预,统计比较2组肠道准备质量[波士顿肠道准备量表(BBPS)、渥太华肠道准备评分量表(OBPS)]、心理压力[心理弹性量表(CD-RISC)]、并发症(恶心、呛咳、腹痛、腹胀)、生活质量[日常生活能力量表(ADL)]、护理满意度。结果干预后,观察组BBPS、CD-RISC、ADL评分高于对照组,OBPS评分低于对照组,差异有统计学意义(P<0.05);干预后,观察组并发症发生率为1.49%,低于对照组11.94%,差异有统计学意义(P<0.05);干预后,观察组满意度为100.00%,高于对照组的88.06%,差异有统计学意义(P<0.05)。结论基于TTM指导下的健康教育能调节消化内镜诊疗患者心理压力,提高肠道准备质量,减少并发症发生,提高生活质量,提升护理满意度。

Objective To explore the effects of health education based on the transtheoretical model(TTM)on intestinal preparation quality and psychological stress of patients undergoing endoscopic treatment.Methods A total of 134 patients treated with digestive endoscopy in the Second People′s Hospital Zhengzhou from February 2021 to October 2022 were selected and divided into the observation group(n=67)and the control group(n=67)according to the random number table method.The control group received routine nursing intervention,and the observation group received health education intervention based on TTM.The quality of intestinal readiness[Boston Bowel Preparation Scale(BBPS),Ottawa Bowel Preparation Scale(OBPS)],psychological stress[Connor-Davidson resilience scale(CD-RISC)],complications(nausea,choking,abdominal pain,bloating),quality of life[Activity of Daily Living Scale(ADL)]and nursing satisfaction of the two groups were statistically compared.Results After intervention,BBPS,CD-RISC and ADL scores in the observation group were higher than those in the control group,and the OBPS scores were lower than those in the control group,and the differences were statistically significant(P<0.05).After the intervention,the incidence of complications in the observation group was 1.49%,lower than that in the control group(11.94%),and the difference was statistically significant(P<0.05).After intervention,the satisfaction of the observation group was 100.00%,higher than that of the control group(88.06%),the difference was statistically significant(P<0.05).Conclusion Health education based on TTM can regulate the psychological stress of patients undergoing endoscopic treatment,improve the quality of intestinal preparation,reduce complications,improve the quality of life,and enhance nursing satisfaction.