基于CICARE沟通模式的健康教育对老年肺炎患者的影响

Influence of Health Education Based on CICARE Communication Model on Elderly Patients with Pneumonia

目的 探究基于联系、介绍、交流、询问、回应、退出(CICARE)沟通模式的健康教育对老年肺炎患者生活质量及家属疾病认知的影响。方法 选取2020年5月至2022年6月商丘市立医院收治的158例肺炎患者,经Excel建立随机数字表法分为观察组(79例,接受基于CICARE沟通模式的健康教育干预)与对照组(79例,接受常规教育干预)。比较两组家属疾病认知、心理弹性评分、患者应对方式评分及生活质量评分。结果 干预后7 d,与干预前相比,家属疾病认知、心理弹性各维度及总分,观察组及对照组均提高,且观察组高于对照组(P<0.05);回避、屈服评分均降低,观察组低于对照组,面对评分均提高,观察组高于对照组(P<0.05);生活质量各维度及总分,观察组及对照组均提高,且观察组高于对照组(P<0.05)。结论 基于CICARE沟通模式的健康教育可提高老年肺炎患者家属疾病认知,改善家属心理弹性,从而改善患者应对方式,促进其生活质量的有效提高。

Objective To explore the effects of health education based on connect,introduce,communicate,ask,respond,exit(CICARE)communication modes on mental resilience and disease cognition of family members of elderly pneumonia patients.Methods A total of 158 patients with pneumonia admitted to Shangqiu Municipal Hospital from May 2020 to June 2022 were selected and divided into observation group(79 cases,received health education intervention based on CICARE communication mode)and control group(79 cases,received conventional education intervention)by using random number table method established by Excel.Family disease cognition,psychological resilience,patient coping style and quality of life scores were compared between the two groups.Results Seven days after intervention,compared with before intervention,disease cognition,mental resilience score and total score of family members in the observation group and the control group were improved,and the observation group was higher than control group(P<0.05),avoidance and yield scores were lower in the observation group than those in the control group,face scores were higher in the observation group than those in the control group(P<0.05),the quality of life dimensions and total score in both the observation group and the control group were improved,and the observation group was higher than the control group(P<0.05).Conclusion Health education based on CICARE communication mode can significantly improve disease cognition and psychological resilience of family members of elderly pneumonia patients,so as to improve patients’coping styles and effectively improve their quality of life.