摘要
目的分析程序化健康教育在急性胰腺炎治疗中的应用效果。方法回顾性分析2018年1月至2019年4月河南省人民医院消化内科收治的113例急性胰腺炎患者的临床资料,根据治疗中所采用的干预模式不同分为对照组(常规干预模式)51例和观察组(程序化健康教育干预)62例,两组均干预1周。比较两组患者干预后的临床疗效以及临床症状恢复时间;记录患者治疗期间的依从性;对患者进行为期12个月的随访了解患者复发率;采用一般自我效能量表(GSES)评价患者自我效能,采用生活质量评价量表36(SF-36)评价患者生活质量。结果观察组患者的治疗总效率为95.16%,明显高于对照组的76.47%,差异有统计学意义(P<0.05);观察组患者干预后的腹胀/腹痛缓解时间、排气/排便时间、肠鸣音恢复时间明显短于对照组,差异均有统计学意义(P<0.05);干预后,观察组患者的治疗依从率为96.77%,明显高于对照组的74.51%,而12个月后复发率为22.58%,明显低于对照组的56.86%,差异均有统计学意义(P<0.05);干预前两组患者的自我效能、生活质量比较差异均无统计学意义(P>0.05);干预后两组患者的自我效能、生活质量均明显提升,而观察组干预后的自我效能、生活质量评分明显高于对照组,差异均有统计学意义(P<0.05)。结论程序化健康教育在急性胰腺炎治疗中有较高的应用价值,是促进患者恢复、提升治疗效果、预防复发的有效干预手段。
Objective To analyze the application effect of programmed health education in the treatment of acute pancreatitis.Methods The clinical data of 113 patients with acute pancreatitis admitted to Department of Gastroenterology,Henan Provincial People's Hospital from January 2018 to April 2019 were retrospectively analyzed.According to the intervention mode used in the treatment,the patients were divided into a control group(received conventional intervention mode,51 cases)and the observation group(received programmed health education intervention,62 cases),both for 1 week.The clinical efficacy and the recovery time of clinical symptoms were compared between the two groups of patients 1 week after intervention.The compliance of the patients during the treatment was recorded.The patients were followed up for 12 months to understand the recurrence rate of the patients.The General Self-efficacy Scale(GSES)was used to evaluate the patients'self-efficacy,and the quality of life was evaluated using Short-form 36-item questionnaire(SF-36 Scale).Results The total treatment efficiency of the observation group was 95.16%,which was significantly higher than 76.47%of the control group(P<0.05).The abdominal distension/abdominal pain relief time,exhaust/defecation time,and bowel sound recovery time in the observation group after intervention were significantly shorter than those in the control group,and the differences were statistically significant(P<0.05).After the intervention,the compliance rate of treatment in the observation group was 96.77%,which was significantly higher than 74.51%of the control group,while the recurrence rate after 12 months was 22.58%,which was significantly lower than 56.86%in the control group,with statistically significant differences(P<0.05).There was no significant difference in self-efficacy and quality of life between the two groups before intervention(P>0.05).After the intervention,the self-efficacy and quality of life of the two groups of patients were significantly improved,while the self-efficacy and quality of life scores of the observation group after the intervention were significantly higher than those of the control group(P<0.05).Conclusion Programmed health education has a high application value in the treatment of acute pancreatitis,which is an effective intervention method to promote the recovery of patients and improve the treatment effect and prevent recurrence.
作者
董丽丽
温揽月
王亚楠
DONG Li-li;WEN Lan-yue;WANG Ya-nan(Department of Gastroenterology,Henan Provincial People's Hospital,Henan Provincial Key Laboratory of Nursing Medicine,Zhengzhou University People's Hospital,Zhengzhou 450000,Henan,CHINA)
出处
《海南医学》
CAS
2022年第12期1627-1629,共3页
Hainan Medical Journal
基金
河南省卫生和计划生育委员会课题(编号:Wjlx2017050)。
关键词
急性胰腺炎
程序化健康教育
治疗
预后
生活质量
Acute pancreatitis
Programmed health education
Treatment
Prognosis
Quality of life
