摘要
目的 探讨基于授权理论的看图对话教育在慢性心力衰竭患者中的应用效果.方法 以2014年5月-2016年4月在江阴市中医院住院且首次治疗的慢性心力衰竭患者为研究对象,其中2014年5月—2015年4月住院的61例为对照组,2015年5月-2016年4月住院的63例为观察组,对照组实施常规健康教育,观察组在对照组基础上利用授权理论的看图对话工具进行健康教育.比较两组患者教育后自我效能、治疗依从性和生活质量.结果 教育前后观察组患者在运动规模、疾病信息、获得帮助、与医师沟通、一般疾病管理、做家务、社会娱乐活动、症状管理、急促呼吸管理、抑郁控制10个维度改变程度明显大于对照组患者,差异均有统计学意义（t值分别为4.584、5.675、4.779、4.168、3.978、3.768、3.878、3.478、3.375、3.964;P〈0.01）.观察组患者用药依从性、按时复查、合理休息、合理饮食、合理锻炼、预防感染、戒烟戒酒7个维度及总的评分明显高于对照组,差异有统计学意义（t值分别为6.042、6.924、5.825、5.034、6.552、5.614、4.635、5.824;P〈0.01）.观察组患者生理功能、心理功能、社会功能、健康自我认识能力及总生活质量的得分改善情况均高于对照组患者,差异均有统计学意义（t值分别为5.725、4.735、4.742、4.332、3.823;P〈0.01）.结论 基于授权理论的看图对话教育有助于慢性心力衰竭患者增加自我效能,增强自我管理水平及坚持健康行为的能力,提高患者的治疗依从性.
Objective To explore the effect of conversation map education based on empowerment theory in patients with chronic heart failure.Methods Patients of chronic heart failure with first treatment admitted to Traditional Chinese Medicine Hospital of Jiangyin City from May 2014 to April 2016 were enrolled. Totals of 61 patients from May 2014 to April 2015 were as control group,and 63 patients from May 2015 to April 2016 were as observation group. Self efficacy,treatment compliance and quality of life of patients were compared between the two groups after education.Results The degree of changes in ten dimensions of movement scope, disease information,getting help,communication with physicians,general disease control,doing housework, social entertainments,symptom management,management of rapid breathing,depression control in the observation group were all higher than those in the control group（t=4.584,5.675,4.779,4.168,3.978,3.768, 3.878,3.478,3.375,3.964;P〈0.01）. The scores of seven dimensions in medication adherence,timely reviews,reasonable rest,reasonable diet,reasonable exercise,infection prevention,abstain from tobacco and drink and the total score in the observation group were significantly higher than those in the control group（t=6.042, 6.924,5.825,5.034,6.552,5.614,4.635,5.824;P〈0.01）. Besides,the improvement of physiological function,mental function,social function,health self-awareness ability and the total score of quality of life in the observation group were higher than those in the control group（t=5.725,4.735,4.742,4.332,3.823;P〈0.01）. Conclusions Conversation map education based on empowerment theory can improve self efficacy of patients with chronic heart failure,enhance the self-management level and the ability to persisting in health behavior and improve treatment compliance of patients.
出处
《中华现代护理杂志》
2017年第17期2230-2233,共4页
Chinese Journal of Modern Nursing
基金
江苏省卫生厅科技基金（H200950）
关键词
健康教育
心力衰竭
授权理论
看图对话教育
Health education
Heart failure
Empowerment theory
Conversation map education
