Effects of Health Education with Problem-Based Learning Approaches on the Knowledge, Attitude, Practice and Coping Skills of Women with High-Risk Pregnancies in Plateau Areas

Objective: Given the unique cultural background, way of life, and physical environment of the Tibetan Plateau, this study aims to investigate the effects of health education using problem-based learning (PBL) approaches on the knowledge, attitude, practice, and coping skills of women with high-risk pregnancies in this region. Methods: 76 high-risk pregnancy cases were enrolled at Tibet’s Linzhi People’s Hospital between September 2023 and April 2024. 30 patients admitted between September 2023 and December 2023 were selected as the control group and were performed with regular patient education. 46 patients admitted between January 2024 and April 2024 were selected as the observation group and were performed regular patient education with problem-based learning approaches. Two groups’ performance on their health knowledge, attitude, practice and coping skills before and after interventions were evaluated, and patient satisfaction were measured at the end of the study. Results: There was no statistical significance (P P P Conclusions: Health education with problem-based learning approaches is worth promoting as it can help high-risk pregnant women in plateau areas develop better health knowledge, attitude and practice and healthier coping skills. Also, it can improve patient sanctification.

Effects of Peer Health Education on Sexual Health Knowledge and Attitudes of Tertiary Institution Students in Imo State, Nigeria

This study was designed to determine effects of peer-health-education on sexual health knowledge and attitudes of tertiary institution students in Imo State Nigeria by determining the mean gain scores of sexual health knowledge and attitudes after peer health education. Quasi-experimental (pre-test-post-test) research design was employed. Two hundred students drawn from the University, Polytechnic and College of Education, using a multi-stage sampling technique participated in the peer sessions which were facilitated by trained peer educators. Data were analyzed using ANCOVA and Z-test. Findings revealed improved knowledge and attitudes on sexual health, as depicted by positive mean gain scores. Age group 16 - 20 years had the highest mean gain score (<img src="Edit_8e8f0539-e2c6-47bc-80f1-ccaee4c06df5.png" alt="" /> = 22.31) of sexual health knowledge than the rest, while age group 26 - 30 years had the highest mean gain score (<img src="Edit_dec53aa0-f549-425f-baf4-08f39aaf05fd.png" alt="" /> = 10.59) of sexual health attitudes. Males had higher mean gain score (<img src="Edit_e767bc6a-c1f3-4f0a-8b31-814581d9dd64.png" alt="" /> = 26.05) of sexual health knowledge, while females had higher mean gain score (<img src="Edit_79f87968-38f8-4873-8516-f5370ba691df.png" alt="" /> = 9.77) of sexual health attitudes. The first years (100 level students) had the highest mean gain score (<img src="Edit_3f417e44-7627-4d69-860e-94c94ae7db0e.png" alt="" /> = 25.71) of sexual health knowledge and also had the highest mean gain score (<img src="Edit_2a60fbc7-0a2c-49fe-b9a2-1cea354966a3.png" alt="" /> = 14.12) of sexual health attitudes. Level of study was significant both for knowledge and attitudes (P < 0.01). It is recommended that peer-health-education be explored further as a method of communicating sexual health issues to tertiary institution students and youths generally.

Improving myopia awareness via school-based myopia prevention health education among Chinese students

AIM:To investigate the myopia awareness level,knowledge,attitude,and skills at baseline and to implement and evaluate the efficacy of myopia prevention health education among Chinese students.METHODS:A total of 1000 middle school students from 2 middle schools were invited to participate in the study,and myopia prevention health education was conducted.The students were assessed at baseline,followed by a survey.The efficacy of health education was evaluated using the self-comparison method pre-and post-health education.RESULTS:The study included 957 and 850 pre-and post-health education par ticipants,respectively.The baseline knowledge of all respondents on myopic symptoms(87.5%),myopia is a risk of eyes(72.9%),myopia prevention(91.3%),myopia increases with age(86.7%),performing periodic eye examinations(92.8%),and one first,one foot,and one inch(84.8%)significantly increased after health education(P<0.001 for all).However,the percentage of students who still did not think it necessary to take breaks after 30-40min of continuous near work was 27.0%.The opinion that“myopia can be cured”was still present in 38.3%.CONCLUSION:Implementing school-based myopia prevention health education improves knowledge,attitudes,and skills regarding myopia among Chinese middle school students.

Knowledge about Diabetes Mellitus and Self-Care Activities before and after an Educational Program: A Pilot Study

Background: Health education has proven to be an effective strategy to enable people with diabetes mellitus to manage this condition. However, few studies in Brazilian population samples have been conducted to evaluate the effects of educational programs on diabetes knowledge and self-care. Aim: To evaluate the knowledge about diabetes mellitus and the performance of self-care activities, before and after participation in an educational program. Methods: This is an intervention study, with a quantitative approach, in a single comparison group, for the analysis of “before and after” results related to an educational program focused on self-care and concurrent physical training. The study interventions consisted of 42 exercise sessions, as well as individual educational meetings, according to the needs of each participant and through nursing consultations, using educational material prepared from the literature. The sample was initially composed of 33 adults with diabetes mellitus, but 18 completed the study. For the assessment of knowledge and self-care activities, the revised Brazilian versions of the Diabetes Knowledge Scale and the Diabetes Self-Care Activity Questionnaire were used, respectively, in the two moments of the study, that is, prior to the first educational meeting and immediately before the first physical training session, and after the last educational meeting, which ran parallel to the 42nd physical training session, making a six-month interval between the two assessment moments for each participant. Results: The analysis of knowledge about diabetes showed significant improvement after the educational program and, as for self-care, there was clinical improvement in all dimensions, but only the dimension “general diet” obtained statistically significant improvement. Conclusion: The educational program has been shown to be beneficial for improving knowledge and self-care of the disease, which reiterates the need to maintain interventions of this nature for people with diabetes mellitus.

Knowledge and Attitude of School Teachers towards Promoting Healthy Lifestyle to Students

Teachers play an important role in delivering health education to empower students with skills for healthy living to prevent non-communicable diseases. One of the common non-communicable diseases is hypertension that its development is highly associated with unhealthy lifestyle. A survey was administered to assess 130 pre-service teachers and 54 in-service teachers who were taking the health education course to prepare them for teaching the content of healthy living in Hong Kong. The assessment included their knowledge level of hypertension, attitudes towards lifestyle modification education to students, perception of knowledgeable to give health education. It was found that the knowledge level related to hypertension was generally below average among the teachers. Although they considered that lifestyle modification was an effective way to enhance students’ well-being, both pre-service and in-service teachers were reluctant to take responsibility for lifestyle modification education to their students. Lack of skill training was perceived as a problem. Teachers’ perception on health education should not be limited to the provision of simple information and advice. There is a need to improve teachers’ health literacy on some common non-communicable diseases.

Stroke prevention awareness and treatment knowledge among patients' relatives

BACKGROUND： Recent research indicates that if a stroke can be effectively treated within three hours, prognosis is improved. Therefore, it is necessary to properly educate stroke patients＇ relatives about prevention and treatment. OBJECTIVE： To survey and analyze the present awareness of stroke prevention and treatment knowledge among patients＇ relatives. DESIGN： Cross-sectional study. SETTING： Beijing Hospital and Medical College of Shandong University and Harrison International Peace Hospital, the Affiliated Hospital of Hebei Medical University. PARTICIPANTS： From May 2005 to November 2006, a ＂stroke awareness＂ questionnaire survey was performed in four hospitals, including Harrison International Peace Hospital in Hengshui City （third class, first grade）, Fucheng County People＇s Hospital （second class, first grade）, Zaoqiang County Jiahui Countryside Hospital （first class, first grade） and Hengshui City Electricity Industry Bureau Infirmary. The participants provided confirmed consent. METHODS： The ＂stroke awareness＂ questionnaire included 10 questions： 1 -8 were related to the understanding of stroke, 9 and 10 were related to behavior and attitude towards medical treatment. Demographic information was also collected on each participant, including age, education level, and occupation. Each positive answer accounted for one point. A score of 8 or higher was categorized as ＂good stroke awareness＂. MAIN OUTCOME MEASURES： Scores of stroke awareness. RESULTS： A total of 4 000 ＂stroke awareness＂ questionnaires were printed and distributed. 3 597 copies were completed and 3 468 were included in the study. （1） Relative factors of stroke awareness： The survey demonstrated that the participant＇s age, educational level, occupation, grade of hospital, and the relationship with the patient had a significant effect on their stroke awareness （P 〈 0.05-0.01）. （2） Stroke knowledge： With regard to stroke awareness, 72% subjects did not know the signs indicating the onset of transient ischemic attack; 86%, 72%, and 51% did not know that diabetes, cardiopathy, or smoking and drinking were risk factors for cerebral thrombosis, respectively. With regard to awareness of cerebral thrombosis symptoms almost 60% did not know the symptoms of vertebrobasilar ischemia, such as dizziness, vomiting, and impaired eyesight. With respect to cerebral thrombosis treatment, 27% reported that when a stroke occurs, they would like to see the doctor subsequent to discussion with their families, or they would even wait a few days. They did not regard their condition as an ＂emergency＂. CONCLUSION： Relatives have little knowledge about stroke, but there are significant differences in levels of awareness with respect to occupation and educational levels.

Kindergarten Teacher’s Knowledge of Enterobiasis in Korea

Previous reports have suggested that the environment of day care centres is a crucial factor in the development of enterobiasis. There is a lack of data regarding a teacher’s knowledge about enterobiasis although kindergarten teachers have the greatest influence on a child’s habits because the child spends a lot of time with them and because they manage the child’s physical environment. The focus of the present study was to evaluate the kindergarten teacher’s level of knowledge regarding enterobiasis. The cross-sectional survey is with 287 kindergarten teachers from 36 kindergartens in Korea. The level of knowledge regarding Enterobius vermicularis infection was measured using questionnaires. The percentage of correct answers to questions testing knowledge of enterobiasis ranged from 23.7 percent to 99.3 percent. The average score for the section on knowledge of enterobiasis was 7.85 (possible range: 0-12). The question “enterobiasis occurs through contaminated water” had the least correct answer rate (23.7%). The findings of this study suggest the need for increasing the kindergarten teacher’s knowledge regarding enterobiasis. Educational programs for kindergarten teachers will have a long-term impact on the prevalence of this infection.

Review of Nurses’ Knowledge of Delirium, Dementia and Depressions (3Ds): Systematic Literature Review

This paper aims at reviewing literature on nurses’ knowledge of delirium, dementia and depression (3Ds) which are rapidly increasing worldwide as the population ages, and to identify interventions that have shown effectiveness in improving nurses’ knowledge level of these diseases. Nurses’ knowledge of delirium, dementia and depression is essential to providing quality patient care. To access the literature, online databases including Medline (OVID), CINAHL (EBSCO), Nursing and Allied Health Source (ProQuest), and Health and Medicine (ProQuest), in addition to Google scholar search engine, were searched using key words “delirium”, “dementia”, “depression”, “nurse*”, “knowledge” and their alternative words. Overall, 20 articles were found to meet the criteria for inclusion in the review. The study found that nurses’ knowledge of the 3Ds was generally low, and they were not particularly able to differentiate between the three diseases. It is important that health care systems are adequately resourced to meet this growing challenge. Nurses should receive appropriate training about the 3Ds, and their knowledge be reinforced through continuing education.

Understanding the Gap in Saudi Nurses’ Knowledge of Dementia, Depression and Delirium (the 3Ds), and Investigating Their Relevant Experience: An Exploratory Study

Aim: This study aims at testing registered nurses’ knowledge while working at mental health facilities and general care hospitals, through an exploratory non-experimental study using a random sample of nurse population across Saudi health facilities. Materials and Methods: The study participants were asked to complete a questionnaire consisting of four sections. Section 1 consisted of 21 questions, requesting participants to provide their background and demographic information, followed by a delirium-knowledge-assessment questionnaire (Section 2) consisting of 15 questions of which eight of them required true/false answers, and the remaining questions were multiple-choice. In Section 3, the research tool was a dementia-knowledge-assessment survey consisted of 27 questions that required true/false answers to a given statement about dementia. In Section 4, the depression-knowledge assessment survey provided multiple-choice answers. A total of 265 registered staff nurses (SNs) were included in the study, and were chosen from three Saudi healthcare centers, with an age range of 24 - 57 years. The participants consisted of 73% females and 27% males. Results: The knowledge of delirium, among the sampled nurses, was not high (M = 6.8906, SD = 2.13363). The employing health center influenced the delirium knowledge significantly, in addition to the job title of the participant, and their highest level of education, in addition to the fact of whether the participant has an immediate family member who has ever been diagnosed with any of the 3Ds. The averages significantly differed across the study sample with immediate family members who have been diagnosed with any of the 3Ds and those without (ANOVA, p = 0.019). Similar to the delirium knowledge, dementia knowledge, among the study participants, was not high (M = 69.2576, SD = 11.29327), and was significantly influenced by the health center, each participant’s gender, nationality, job title, highest level of education, and the country where they had completed their highest level of education. The scores, obtained for dementia knowledge, were positively and significantly correlated to how individual participants rated their current dementia knowledge (ANOVA, p p p p p p p p < 0.001). Conclusion: Saudi registered nurses’ knowledge of dementia and delirium was found to be limited compared to their knowledge of depression.

多媒体视频健康知识宣教对乳腺癌化疗患者疾病认知及自我管理的作用效果

目的探讨多媒体视频健康知识宣教对乳腺癌化疗患者疾病认知及自我管理的作用效果。方法选取2019年1月至2022年1月于江苏省人民医院接受化疗的92例乳腺癌患者,按随机数字表法将其分为对照组和试验组,每组46例。对照组接受传统常规护理宣教,试验组在对照组基础上接受多媒体视频健康知识宣教,两组均宣教6周。比较两组干预前后化疗知识掌握情况、自我管理效能及化疗不良反应。结果干预前,两组化疗调查问卷各维度评分比较,差异无统计学意义(P>0.05);干预后,两组化疗调查问卷各维度评分均高于干预前,且试验组高于对照组,差异有统计学意义(P<0.05)。干预前,两组健康促进策略问卷(SUPPH)各维度评分比较,差异无统计学意义(P>0.05);干预后,两组SUPPH各维度评分均高于干预前,且试验组高于对照组,差异有统计学意义(P<0.05)。试验组化疗不良反应总发生率低于对照组,差异有统计学意义(P<0.05)。结论多媒体视频健康知识宣教可提升乳腺癌化疗患者对化疗知识认知及自我效能水平,降低不良反应发生率。

健康评估课程知识图谱的构建及初步应用研究

目的构建健康评估课程知识图谱,并了解学生的使用感受。方法采用Neo4j图数据库构建健康评估课程知识图谱;2023年5月—7月,将其初步应用于某医科大学2021级83名未使用过知识图谱的护理本科二年级学生的健康评估课程教学中。教学结束后,评估学生的知识点学习时长、知识点练习次数、对知识图谱使用的整体满意度、继续使用知识图谱进行学习的意愿,并采用目的抽样法,抽取17名学生作为访谈对象,对其进行半结构化访谈,了解其使用健康评估课程知识图谱的感受。结果课程知识图谱共包含199个知识点,2890个节点,2628个属性,在节点间建立了168次包含性关系、97次顺序性关系、37次相关性关系。83名学生的知识点学习时长为0.17(0.17,3.37)h,知识点练习次数为1(1,33)次;对知识图谱使用的整体满意度得分为8.00(7.00,9.00)分,99%(82/83)的学生表示愿意继续使用知识图谱进行学习。通过访谈发现,学生表示健康评估课程知识图谱的运用有助于提高学习投入度、减轻应试焦虑感、形成清晰的学习思路、保障知识学习内容的全面性、加深对知识的理解和记忆,但在使用知识图谱的过程中存在未被满足的学习需求。结论学生对健康评估课程知识图谱的使用反馈良好,健康评估课程知识图谱的运用有助于学生高效、系统化学习,提高其学习效果。

“知识-信念-行为”健康教育模式对妇女产后非意愿妊娠预防效果

目的:探讨“知识-信念-行为”(简称知-信-行)健康教育模式对妇女产后发生非意愿妊娠的预防效果。方法:选取2020年7月-2022年7月在医院住院分娩的产妇1500名为研究对象,采用自愿原则将其分为观察组及对照组,各750例,对照组开展医院常规产后健康宣教,观察组进行产后避孕咨询,并开展基于知-信-行健康教育模式的避孕宣教。于产后42d及产后3,6,12个月进行随访,了解产妇恢复同房、避孕、非意愿妊娠及人工流产情况,比较两组避孕知识掌握情况、健康行为情况(采用健康促进生活方式量表Ⅱ评估)及对产后服务的满意度。结果:除去失访病例,最终纳入观察组731人,对照组718人进行分析。健康宣教后观察组的产后避孕知识知晓情况得分及HPLP-Ⅱ总得分高于对照组(P<0.05);产后42d及产后3、6个月观察组恢复同房率均低于对照组,产后避孕率均高于对照组(均P<0.05);产后12月观察组的非意愿妊娠率3.3%,低于对照组的8.5%,观察组的人工流产率1.8%,低于对照组5.4%(均P<0.05);观察组对产后服务满意度高于对照组(P<0.05)。结论:在产后开展知-信-行健康教育模式的避孕宣教可以提升妇女对避孕知识的掌握度,提高产后避孕率,降低产后1年内的非意愿妊娠率及人工流产率。

中美健康传播学的起源、跨文化流动与体系建构

学科史“常识”一般将健康传播认定为传播学的一个分支,于21世纪初由美国引入我国。这种对于健康传播学起源的误解不仅低估了中美两国公共卫生领域的学术贡献,也直接影响了我国健康传播研究的学术视野、方法取径和评价体系。通过知识考古,重访以罗杰斯及其“创新扩散”理论为主要动力的美国健康传播学的创立过程,重估20世纪80年代我国公共卫生领域研究者们的本土健康传播学构想,可以发现,健康传播学学科建设与研究应植根于我国政治经济制度和社会历史发展现实,重视中华人民共和国成立以来公共卫生领域的健康教育实践,并在促进健康传播与公共卫生的对话与合作中重建健康传播的问题意识与知识体系。

首次化疗的妇科恶性肿瘤患者完成全程用药的影响因素分析

目的探讨首次化疗的妇科恶性肿瘤患者完成全程用药的影响因素,为提高用药依从性、完善妇科恶性肿瘤患者的化疗用药管理流程提供依据。方法选取2020年8月至2021年7月于首都医科大学附属北京妇产医院首次化疗且至少完成3个疗程的妇科恶性肿瘤患者,通过自行设计的化疗全程用药调查问卷,评价患者全程化疗过程中对化疗辅助药物的基本用药知识认知、用药依从性和化疗不良反应的应对能力,收集这三个量表中评分最高、最低的条目,并采用Pearson相关系数法分析基本用药知识认知、用药依从性、化疗不良反应应对能力得分之间的关系。结果单因素分析显示,付费方式、慢性病史、化疗后服药频次是首次化疗患者基本用药知识认知得分的影响因素,职业、经济来源是用药依从性得分的影响因素,职业、居住地、付费方式、化疗后服药种类是化疗不良反应应对能力得分的影响因素(P<0.05)。基本用药知识认知得分最高的条目是“了解所服药物的用法”,得分最低的条目是“了解忘记服药后的处理方法”;患者在自觉症状更坏时没有自行增加药量方面用药依从性最高,患者在无忘记服药的经历方面用药依从性最低;化疗不良反应应对能力得分中,得分居前3位的条目依次为“了解发热的处理方式”“了解便秘的处理方式”“了解腹泻的处理方式”,得分居后3位的条目依次为“了解血小板减低的危险”“了解血小板减低后的注意事项”“了解化疗后肝功能异常的处理方式”。Pearson相关系数法分析显示,化疗不良反应应对能力得分与基本用药知识认知、用药依从性得分呈正相关(P<0.05)。结论使用新农合付费、有慢性病史、化疗后服药频次>3次/d的患者对化疗辅助药物的知识认知水平较低,依靠退休金生活的患者用药依从性低,使用新农合付费的患者、化疗后服药种类≥5种的患者化疗不良反应应对能力较低。因此在化疗用药管理中,对这几类患者要进行重点宣教和干预,提高其基本用药知识的认知和用药依从性,进而提升化疗不良反应的应对能力。

回授式健康教育干预对上呼吸道感染发热患儿家长心理健康及知信行水平的影响

目的:探讨回授式健康教育干预对上呼吸道感染发热患儿家长心理健康及知信行水平的影响。方法:选取2020年12月-2021年12月某院收治的120例上呼吸道感染发热患儿,随机分为观察组(60例)和对照组(60例),对照组患儿家长予以常规干预,观察组患儿家长除此之外予以回授式健康教育干预。比较两组患儿家长干预前后心理健康状态、知信行水平、生活质量,干预后患儿临床症状消失时间及家长疾病认知程度、干预满意度。结果:观察组干预后SAS、SDS评分与对照组相比下降幅度更明显(t=-3.852,-6.129;P<0.05);观察组患儿咳嗽、发热、鼻塞、充血症状消失时间与对照组相比更短(t=-18.607,-15.745,-19.737,-19.467;P<0.05),家长疾病认知评分与对照组相比更高(t=40.146,P<0.05);观察组干预后预防知识、预防态度、预防行为评分与对照组相比更高(t=14.660,22.476,5.541;P<0.05);观察组干预后生活质量各评分与对照组相比更高(t=4.899,5.528,4.570,2.863;P<0.05);观察组患儿家长干预满意度为96.67%与对照组的77.50%相比更高(χ^(2)=3.930,P<0.05)。结论:回授式健康教育干预有利于改善其心理健康状态,提高知信行水平、生活质量和干预满意度,同时缓解患儿临床症状,增强家长疾病认知。

基于信息知识信念行为模式的健康教育对脑梗死后遗症期患者失眠状况及生活质量的影响研究

目的研究基于信息知识信念行为模式的健康教育运用于脑梗死后遗症期患者中的价值。方法选择我院2020年6月-2021年9月纳入的脑梗死后遗症期患者94例,按随机数字表法分成两组各47例,研究组开展基于信息知识信念行为模式的健康教育,对照组实施常规健康教育,干预后评价两组依从性,干预前后测评两组睡眠质量、简易智力状态(MMSE)、运动功能(FMA)、神经功能缺损(NIHSS)、语言功能、生活质量(SF-36),比较两组干预结果。结果研究组依从性91.49%高出对照组72.34%(P<0.05)。干预前两组睡眠质量无差异(P>0.05),干预后研究组睡眠质量、睡眠时间、睡眠障碍、睡眠效率评分低于对照组(P<0.05)。干预前两组MMSE、FMA、NIHSS、语言功能无差异(P>0.05),干预后研究组MMSE、FMA、语言功能高出对照组,但NIHSS低于对照组(P<0.05)。干预前两组SF-36无差异(P>0.05),干预后研究组评分均高出对照组(P<0.05)。结论基于信息知识信念行为模式的健康教育效果更为显著,能够提升患者依从性,增强其认知能力以及语言功能,促进运动能力恢复,同时改善睡眠质量,生活质量明显提升。

健康教育在学校结核病防控中的价值研讨

目的研究学校结核病防控中应用健康教育的效果。方法于2021年1月—2022年12月时间段对某高中学校进行调查,选择该校三年级400名进行研究,其中1~5班采用常规校园疾病防控管理(200名),6~10班采用健康教育疾病防控管理模式(200名),观察指标为健康知识水平、防控措施落实情况、新发结核病发生情况。结果6~10班学生结核病防控知识高于1~5班学生,差异有统计学意义(P<0.05);6~10班学生防控措施落实情况高于1~5班学生,差异有统计学意义(P<0.05);6~10班学生新发结核病发生为0,低于1~5班学生3例(1.50%),但差异无统计学意义(P>0.05);6~10班学生结核病主动汇报15例(7.50%),高于1~5班学生4例(2.00%),差异有统计学意义(P<0.05)。结论学校结核病防治过程中采用健康教育模式可以提升学生的健康知识水平,强化结核病防治措施落实效果,有效预防新发结核病发生,并提高其主动汇报率,改善学生预后效果。

藏族大学生健康行为调查研究

为了全面调查藏族大学生健康行为的整体情况,选取西藏民族大学、西藏大学、拉萨师范高等专科学校、西藏职业技术学院共4所普通高等院校的在校藏族大学生作为调查对象,应用SPSS统计软件对3 662份《关于藏族大学生健康行为现状调查》有效问卷进行分析.研究发现,藏族大学生健康行为整体得分较高,在4个维度中,情绪调控平均得分最高,其次为环境适应、健康知识、锻炼意识,表明藏族大学生在锻炼意识和健康知识方面亟待加强;不同性别和不同年级藏族大学生在基础健康知识、科学健康知识、健康知识教学等多方面均呈现出显著性差异.据此,建议学校、家庭、社会及个人协同发力,丰富体育健康知识的获取方式、积极营造培养藏族大学生健康行为的家庭环境、加强对体育俱乐部和健身俱乐部的管理、藏族大学生积极培养锻炼习惯和意识等策略,以期为西藏高校公共体育课程改革和体育学科核心素养培养提供参考.

以格林模式为指导的健康教育在经皮肾镜取石术病人围术期护理中的应用

目的:探讨以格林模式为指导的健康教育在经皮肾镜取石术(PCNL)病人围术期护理中的应用效果。方法:选取泌尿外科2021年9月—2022年9月收治的PCNL病人106例为研究对象,应用随机数字表将病人分为观察组(n=53)和对照组(n=53),对照组行常规健康指导,观察组实施以格林模式为指导的健康教育,两组随访6个月,比较两组手术情况、干预前后预防结石知信行评分、自我护理能力评分及术后复发情况、病人对护理的满意度。结果:两组手术时间、术中出血量、一次取石成功率比较,差异无统计学意义(P>0.05),观察组术后并发症发生率低于对照组(P<0.05),观察组干预后预防结石知信行评分及自我护理能力评分高于对照组(P<0.05)。观察组术后3个月、6个月的结石复发率低于对照组(P<0.05),而观察组护理满意度高于对照组(P<0.05)。结论:以格林模式为指导的健康教育能有效提升PCNL病人预防结石知信行水平及自我护理能力,从而有效预防病人术后并发症及结石复发,提升病人护理满意度。

基于LERANS模式的健康教育在卒中恢复期患者中的应用效果

目的:观察基于LERANS模式的健康教育在卒中恢复期患者中的应用效果。方法:选取2021年1月至2022年3月该院收治的78例卒中恢复期患者进行前瞻性研究,按照随机数字表法将其分对照组和观察组各39例。对照组实施常规护理,观察组在对照组基础上实施基于LERANS模式的健康教育。比较两组护理前后知信行、自我效能[脑卒中康复自我效能量表(SSEQ)]、生命质量[卒中专用生命质量量表(SS-QOL)]评分,以及护理满意度。结果:护理后,观察组知识、信念、行为等知信行评分和SSEQ、SS-QOL评分均高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为100.00%(39/39),高于对照组的84.62%(33/39),差异有统计学意义(P<0.05)。结论:基于LERANS模式的健康教育应用于卒中恢复期患者可提高知信行、自我效能、生命质量评分和护理满意度,效果优于常规护理。