中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2013年
25期
62-66
,共5页
健康教育%授权教育%自我管理行为%自我效能感%冠心病
健康教育%授權教育%自我管理行為%自我效能感%冠心病
건강교육%수권교육%자아관리행위%자아효능감%관심병
Health education%Empowerment education%Self-management ability%Self-efficacy%Coronary heart disease
目的 探讨授权教育对冠心病患者的疾病自我管理行为、自我效能的影响.方法 选取196例冠心病患者随机分为实验组和对照组.由指定的心血管专科医生进行第一次疾病知识宣教后,分别由研究者、心内科注册护士进行相应分组的健康教育.对全部患者在入组时、3,6个月时分别填写“基本情况调查表、冠心病自我管理行为量表、冠心病自我效能问卷量表”,并测量体重指数、腰围、血压、血糖、血脂等.结果 干预后3,6个月与干预前比较,2组冠心病患者自我效能得分、自我管理行为总分及各维度得分均明显改善,差异显著；且实验组的患者在干预后6个月这种差异仍持续存在.与对照组比较,实验组冠心病患者自我效能总分及各维度得分、自我管理行为总分及各维度得分均明显增高,差异显著.而在对照组的患者干预6个月后,自我管理行为中不良嗜好管理、症状管理、急救管理、一般生活管理、疾病知识管理方面无显著改善.结论 授权教育能够明显提高和改善冠心病患者的自我效能及自我管理行为能力,提高患者对自身疾病的管理能力和信心.且在增加患者自我效能感、改善患者自我管理行为方面更为持久,从而超越传统的健康教育方式,有望成为在新的医学模式下的一种有效的健康教育方式.
目的 探討授權教育對冠心病患者的疾病自我管理行為、自我效能的影響.方法 選取196例冠心病患者隨機分為實驗組和對照組.由指定的心血管專科醫生進行第一次疾病知識宣教後,分彆由研究者、心內科註冊護士進行相應分組的健康教育.對全部患者在入組時、3,6箇月時分彆填寫“基本情況調查錶、冠心病自我管理行為量錶、冠心病自我效能問捲量錶”,併測量體重指數、腰圍、血壓、血糖、血脂等.結果 榦預後3,6箇月與榦預前比較,2組冠心病患者自我效能得分、自我管理行為總分及各維度得分均明顯改善,差異顯著；且實驗組的患者在榦預後6箇月這種差異仍持續存在.與對照組比較,實驗組冠心病患者自我效能總分及各維度得分、自我管理行為總分及各維度得分均明顯增高,差異顯著.而在對照組的患者榦預6箇月後,自我管理行為中不良嗜好管理、癥狀管理、急救管理、一般生活管理、疾病知識管理方麵無顯著改善.結論 授權教育能夠明顯提高和改善冠心病患者的自我效能及自我管理行為能力,提高患者對自身疾病的管理能力和信心.且在增加患者自我效能感、改善患者自我管理行為方麵更為持久,從而超越傳統的健康教育方式,有望成為在新的醫學模式下的一種有效的健康教育方式.
목적 탐토수권교육대관심병환자적질병자아관리행위、자아효능적영향.방법 선취196례관심병환자수궤분위실험조화대조조.유지정적심혈관전과의생진행제일차질병지식선교후,분별유연구자、심내과주책호사진행상응분조적건강교육.대전부환자재입조시、3,6개월시분별전사“기본정황조사표、관심병자아관리행위량표、관심병자아효능문권량표”,병측량체중지수、요위、혈압、혈당、혈지등.결과 간예후3,6개월여간예전비교,2조관심병환자자아효능득분、자아관리행위총분급각유도득분균명현개선,차이현저；차실험조적환자재간예후6개월저충차이잉지속존재.여대조조비교,실험조관심병환자자아효능총분급각유도득분、자아관리행위총분급각유도득분균명현증고,차이현저.이재대조조적환자간예6개월후,자아관리행위중불량기호관리、증상관리、급구관리、일반생활관리、질병지식관리방면무현저개선.결론 수권교육능구명현제고화개선관심병환자적자아효능급자아관리행위능력,제고환자대자신질병적관리능력화신심.차재증가환자자아효능감、개선환자자아관리행위방면경위지구,종이초월전통적건강교육방식,유망성위재신적의학모식하적일충유효적건강교육방식.
Objective To evaluate the influence of empowerment education on self-management ability and self-efficacy of patients with coronary heart disease (CHD).Methods 190 patients with CHD were randomly divided into the experimental group and the control group.And all patients were trained respectively according to corresponding health education plan of each group by professional worker.These patients filled out the Essential Information Questionnaire (EIQ),Self-Efficacy Integration Scale (SEIS) and Coronary Artery Disease Self-management Scale(CSMS) at baseline,3 months and 6 months after health education.The clinical indexes in two groups such as body mass index,waistline,blood pressure,blood glucose and blood lipid were contrasted.Results The score of self-management ability and the score of self-efficacy in the experimental group was significantly more than that of the control group in 3 months and 6 months after health education,and this difference between two groups still persisted 6 months after health education.However,the score of symptom-maintaining in the SEIS and self-management of addiction,emergency,lifestyle and knowledge of diseases in the CSMS appeared to drop in the control group.Conclusions Empowerment education can significantly improve and increase the self-management ability and self-efficacy of patients with CHD,and this function of empowerment education was proved more enduring than that of traditional health education.So,empowerment education will be a new style of health education in the new model of clinical medicine instead of traditional health education.
