健康促进模式教育在女性膀胱过度活动症患者中的应用

健康促进模式教育在女性膀胱过度活动症患者中的应用

屠碧君褚小娟马贤赵茜金霄

孝感市第一人民医院泌外科

出版日期:2016-09-25 发布日期:2016-09-25

Effect of health education based on Health Promotion Model among women with Overactive Bladder

Online:2016-09-25 Published:2016-09-25

摘要/Abstract

摘要： 目的：评价健康促进模式教育对改善女性膀胱过度活动症患者生活行为和健康状况的效果。方法：选择我院 2015 年 1月1日至 6月30 日期间收治的女性膀胱过度活动症患者为研究对象，按照随机数字法分为对照组（86 例）和实验组（87 例）。对照组采用膀胱过度活动症常规健康教育，实验组在此基础上，实施基于健康促进模式的健康教育。于患者入院时和干预 3 个月后分别应用健康促进生活方式问卷 (HPLP)、膀胱过度活动症状评分量表（OABSS）和 King’ s 健康问卷（KHQ）评估。结果：干预 3 个月后，实验组健康责任、压力应对、运动、自我实现维度评分和总分均明显高于对照组（ P <0.05）；干预前后实验组OABSS 评分分别为（7.82±3.23）分和（3.10±2.24) 分，差异有统计学意义（ t =11.268， P <0.001）；干预后实验组 KHQ 评分量表的排尿症状严重程度、运动受限、社交受限、行为受限、症状应对和总体健康感受评分均低于对照组（ P <0.01）。结论：健康促进模式教育可以有效帮助患者建立健康行为，改善症状和健康状况。

Abstract: Objective: To explore the effect of health education based on Health Promotion Model among women with overactive bladder. Methods: Totally 173 women with overactive bladder in our hospital were recruited from Jan. 1, 2015 to Jun. 30, 2015, and were randomly divided into the study group (n=87) and the control group (n=86). Health Promotion Lifestyle Questionnaire (HPLP), Overactive Bladder Symptom Score (OABSS) and King's Health Questionnaire (KHQ)were used to investigate patients at admission and 3 months after discharge. Results: After 3 months' intervention, the scores of health responsibility, stress coping, exercise, self-fulfillment in the intervention group were significantly higher than those in the control group (P<0.05). OABSS scores before and after the intervention was (7.82±3.23) points and(3.10±2.24) points, and the difference was statistically significant (t=11.268, P<0.001). After the intervention, voiding symptoms in KHQ severity rating scale, restricted movement, restricted social behavior, symptom response, and all dimensions of KHQ scores were significantly lower than those in the control group (P<0.01). Conclusion: Health education based on Health Promotion Model could effectively establish healthy behavior, improve patient symptoms and health status.

屠碧君褚小娟马贤赵茜金霄. 健康促进模式教育在女性膀胱过度活动症患者中的应用[J]. , 2016, 16(9): 1281-1285.