中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2011年
16期
1884-1887
,共4页
王颖%李冬梅%林红兰%秦安华
王穎%李鼕梅%林紅蘭%秦安華
왕영%리동매%림홍란%진안화
肝移植%随访研究%健康教育%健康信念模式
肝移植%隨訪研究%健康教育%健康信唸模式
간이식%수방연구%건강교육%건강신념모식
Liver tansplantation%Follow-up studies%Health education%Health belife model
目的 探讨健康信念模式在肝移植术后患者随访中的应用效果.方法 将肝移植术后随访患者随机分为实验组190例和对照组184例,实验组采取健康信念模式干预随访过程,对照组采取常规随访,对两组患者肝功能异常、感染等不良事件的发生率进行统计学分析.结果 肝移植术后患者随访过程所关注的问题集中在随访的意义、心理疏导、合理用药等7个方面;术后患者更希望通过设置随访专栏、成立移植之家、媒体播放随访故事与新闻等、强化随访角色功能等途径参与随访并进行互动.实验组肝功能异常、感染、原发病复发等主要不良健康事件的发生率分别为16.8%,3.2%和2.1%;对照组分别为21.2%,10.3%和9.8%,两组比较差异具有统计学意义(χ2分别为3.578、2.661、2.004,P<0.05).结论 将健康信念模式应用于肝移植术后随访教育过程,可明显减少患者术后不健康事件的发生率.
目的 探討健康信唸模式在肝移植術後患者隨訪中的應用效果.方法 將肝移植術後隨訪患者隨機分為實驗組190例和對照組184例,實驗組採取健康信唸模式榦預隨訪過程,對照組採取常規隨訪,對兩組患者肝功能異常、感染等不良事件的髮生率進行統計學分析.結果 肝移植術後患者隨訪過程所關註的問題集中在隨訪的意義、心理疏導、閤理用藥等7箇方麵;術後患者更希望通過設置隨訪專欄、成立移植之傢、媒體播放隨訪故事與新聞等、彊化隨訪角色功能等途徑參與隨訪併進行互動.實驗組肝功能異常、感染、原髮病複髮等主要不良健康事件的髮生率分彆為16.8%,3.2%和2.1%;對照組分彆為21.2%,10.3%和9.8%,兩組比較差異具有統計學意義(χ2分彆為3.578、2.661、2.004,P<0.05).結論 將健康信唸模式應用于肝移植術後隨訪教育過程,可明顯減少患者術後不健康事件的髮生率.
목적 탐토건강신념모식재간이식술후환자수방중적응용효과.방법 장간이식술후수방환자수궤분위실험조190례화대조조184례,실험조채취건강신념모식간예수방과정,대조조채취상규수방,대량조환자간공능이상、감염등불량사건적발생솔진행통계학분석.결과 간이식술후환자수방과정소관주적문제집중재수방적의의、심리소도、합리용약등7개방면;술후환자경희망통과설치수방전란、성립이식지가、매체파방수방고사여신문등、강화수방각색공능등도경삼여수방병진행호동.실험조간공능이상、감염、원발병복발등주요불량건강사건적발생솔분별위16.8%,3.2%화2.1%;대조조분별위21.2%,10.3%화9.8%,량조비교차이구유통계학의의(χ2분별위3.578、2.661、2.004,P<0.05).결론 장건강신념모식응용우간이식술후수방교육과정,가명현감소환자술후불건강사건적발생솔.
Objective To explore the importance of health belief model in the fellow-up course for patients after liver transplantation.Methods 374 patients were included. Questionnaire was used to discuss how to establish health belief model. All the patients were divided into experiment group (n=190) and control group (n=184) randomly. Experiment group adopted health belief model to follow up, while control group adopted general model. Contrast the occurring ratio of abnormal liver function, infection and recurring of original diseases between the 2 groups.Results The patient focus on the significance of fellow up, psychology leading, medicine and other 7 aspects. The patients also interested in fellow up column, transplantation group, story and news in media, strengthen the function of patients. Education grade and age had no effect on the questionnaire. Health belief model could be established through above aspects, following up in Health belief model the occurring ratio of abnormal liver function, infection and recurring of original diseases for experiment group was 17%, 3.1%, 2.7%, and for control group it was 21%, 10.2%, 9.8% respectively. All the differences were significant(χ2=3.578,2.661,2.004;P<0.05).Conclusions Using health belief model to intervene the course of follow-up could reduce the occurring ratio of harmful events significantly.
