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健康教育對原發性高血壓患者生活方式及療效的影響

【摘要】 目的 探討健康教育對原發性高血壓患者生活方式及療效的影響。方法 2008年6月—2009年5月,將原發性高血壓患者隨機分為實驗組80例和對照組78例,實驗組在降壓藥物治療的基礎上,配合健康教育指導,觀察服藥依從性、合理飲食、戒煙限酒、控制體重、適量運動等衡量指標；對照組單純采用藥物治療。隨訪1年。〖HTH〗結果〖HTSS〗 實驗組患者生活方式的改善及血壓控制與對照組比較,差異有統計學意義(P＜005)。結論 原發性高血壓患者在常規藥物治療的基礎上配合健康教育指導,可明顯改善患者不良的生活方式,提高降壓效果,減少用藥量,提高患者的生活質量,減少或延緩并發癥的發生。

Investigation of Health Education Requirement on the Family Members of Patients with Rheumatoid Arthritis

【摘要】　目的　探討類風濕關節炎患者家屬的健康教育需求及獲得健康教育的途徑。　方法　2007年6月-2009年5月，我科健康教育小組采用問卷調查法對96名類風濕關節炎患者家屬進行健康教育需求調查，調查內容包括家屬對類風濕疾病相關知識的了解程度、健康教育需求及獲得知識的途徑。　結果　本組患者家屬普遍對類風濕關節炎的護理知識認識不夠，最希望了解類風濕關節炎藥物治療、功能鍛煉、飲食及心理指導的相關知識；電視、廣播等媒體的宣傳和電話咨詢是其獲得類風濕關節炎疾病相關知識的主要途徑；對獲得健康教育途徑的選擇具有多樣性。　結論　類風濕關節炎患者家屬普遍缺乏類風濕關節炎相關護理知識，開展多種形式的健康教育是完全必要的。【Abstract】　Objective　To investigate the requirement and paths of health education on the family members of the patients with rheumatoid arthritis.　Methods　From June 2007 to May 2009, family members of 96 patients with rheumatoid arthritis were investigated with questionnaire. The questions included the knowledge of rheumatoid arthritis, health education requirement and the path to obtain the knowledge.　Results　The family members of the patients knew a few of the nursing knowledge of rheumatoid arthritis. They wanted to know about the medication for rheumatoid arthritis, functional practice, diet and psychological instruction. The paths of obtaining the knowledge were various.　Conclusion　The family members of the patients with rheumatoid arthritis lack the knowledge of nursing rheumatoid arthritis; it is necessary to give the health education to the family members in various ways.

Out-patient Health Education for Diabetics

目的：提高門診糖尿病患者自我保健意識。方法：通過門診保健教育方式對門診糖尿病患者進行心理療法、飲食療法、運動療法、藥物療法方面的指導。結果：通過健康教育，患者將有一個較好的心態很好地配合醫生積極治療。結論：門診護理對提高糖尿病患者的自覺意識的作用是不可忽視的。

慢性乙型肝炎患者健康教育需求調查分析

目的:為了解慢性乙型肝炎患者對乙肝相關知識的了解程度,對健康教育內容和方式的需求,為臨床實施健康教育提供依據。方法:采用問卷調查方式,問卷為自行設計,經反復修改,并行預調查,證明可行。發出調查問卷141份,收回113份,回收率80.1％.由專職護士在統一指導語下先對患者作必要的解釋,然后由患者獨立完成問卷;將資料量化后輸入計算機,數據用統計軟件SPSS11.0處理,問卷總分用x-±s進行t檢驗。結果:從113例慢性乙肝患者問卷平均得分為(11.54±2.65),基本達到及格要求,反映出患者有一定的健康信息儲量,但缺乏較深層次的健康知識指導;慢性乙肝患者對乙肝相關知識的了解情況與文化程度及病程長短相關;對能解決實際問題的教育內容需求較多,最受歡迎的健康教育方式為發放健康手冊,一病一卡(建立患者檔案,醫護定時上門)。結論:慢性乙肝患者有一定的健康信息儲量,但不全面;患者對健康教育有較強的需求愿望;患者受著不同程度的心理壓力,且知行未完全合一;因此, 對慢性乙型肝炎患者的健康教育需加強知識的深度和廣度,重視教育內容和方式的有機結合,還要加強對慢性乙肝患者的心理疏導,情感支持,也是至關重要的。

Application of Knowledge attitude behavior and practice health education path table in health education of physician-nurse collaboration for children with epilepsy

ObjectiveTo develop Knowledge attitude behavior and practice (KABP) health education path table, and to explore its application in health education of physician-nurse collaboration for children with epilepsy, and provide practical reference for health education of children with epilepsy.MethodsA convenient sampling method was used to select 94 family units of children with epilepsy and their main caregivers from the Department of Neurology in Hunan Children’s Hospital from September 2018 to March 2019. Divided into observation group and control group, 47 cases in each group. In the control group, the health care education was carried out by the conventional method of medical personnel’s one-way input of knowledge. The observation group conducted health education through interactive participation in the path of the health education path of KABP on the basis of regular health education. Then compared the effect of the health education between the two groups.ResultsAfter the intervention, the quality of life scores of the observation group were significantly higher than the control group (P<0.01). The relevant knowledge scores of main caregivers at 1 and 3 months after discharge were significant higher than those in the control group (P=0.008, P=0.001). The medication compliance scores of children with epilepsy at 1 and 3 months after discharge were significant higher than those in the control group (P=0.010, P=0.006).ConclusionsThe KABP health education pathway can improve the knowledge level of caregivers, as well as the medication compliance and quality of life of children with epilepsy.

全程整體化健康教育對提高梗阻性無精子癥患者顯微外科術后隨訪依從性的效果研究

目的探討全程整體化健康教育對提高顯微外科技術治療梗阻性無精子癥（OA）患者術后隨訪依從性及治療效果的影響。 方法將2012年2月－2013年1月采用顯微外科技術治療OA患者153例，采用隨機數字表法隨機分為2組，69例作為對照組，采用常規健康教育；84例作為干預組，在常規健康教育基礎上對患者實施全程、全方位、多渠道的整體化健康教育。分別追蹤兩組患者術后12個月隨訪情況及治療效果。 結果干預組術后3個月以上隨訪率高于對照組，術后12個月精道復通率和受孕率明顯提高，極大地提高了OA的治療效果，且差異具有統計學意義（P＜0.05）。 結論對顯微外科技術治療OA患者提供全程整體化健康教育可以提高患者隨訪依從性，改善治療效果。

Health Knowledge State of 290 Residents in Gaolan County: A Questionnaire Survey

Objective　To investigate the villagers’ cognitive degree of health knowledge in Gaolan county, Gansu province, so as to explore new methods to promote health education and spread health knowledge in rural areas. Methods　Through non-random sampling methods, the questionnaires were distributed to the residents in Shagang village, Manwan village and Yanzi village, and the data were then statistically analyzed by using Epidata 3.1 and Excel 2003 softwares. Results　A total of 290 questionnaires were distributed and retrieved with 100% valid rate. Only 23% of the surveyed had physical examination in the last one year; 75% thought they were lack of health knowledge; 92% would like to obtain health knowledge in regular; 86% thought lack of health knowledge was the reason of their or their relatives’ diseases; 74% obtained health knowledge by watching TV; 59% went to their village clinic first when suffering from mild symptoms of common diseases; and only 6% did exercises in their leisure time. Conclusion　Most people in rural areas don’t pay enough attention to their health condition and are lack of high-quality health knowledge resources as well as consciousness of physical training. So it is not only necessary to strengthen health education, but also urgent to promote physical and mental health education in rural areas.

Effects of health education based on process communication mode on the success rate and active cooperation rate of video EEG monitoring in elderly patients

ObjectiveVideo electroencephalography (VEEG) monitoring for health education of elderly patients based on a process-based communication model, and explore the impact of this model on the success rate, negative emotions, nursing satisfaction, and active cooperation rate of such patients.MethodsFrom September 2017 to September 2019, 118 patients with suspected epilepsy, encephalitis and other diseases who required VEEG monitoring in Suining Central Hospital were selected for this study (patients aged 61 to 73 years; 54 males and 64 females). Patients were divided into 2 groups using a random number table method, 59 patients in each group.A group received routine nursing, and B group received health education based on the process communication model. The monitoring success rate, negative emotion, active cooperation rate, and nursing satisfaction were compared between the two groups.ResultsThe total effective rate in the B group was 86.44%, which was significantly higher than 76.27% in the A group (P<0.05). After nursing intervention, the scores of anxiety and depression in the two groups were significantly decreased, but the decline was greater in the B group (P<0.05). The active cooperation rate and nursing satisfaction of the B group were significantly higher than those of the A group (P<0.05).ConclusionCompared with conventional nursing, health education based on process communication mode can significantly improve the success rate of VEEG monitoring in elderly patients, alleviate the negative emotions of patients, improve the active cooperation rate and nursing satisfaction.

Using Evidence-Based Nursing to Promote Health Education

Research on the Impact of Health Education on Health Knowledge Improvement and Healthy Lifestyle Establishment for Patients with Hypertension

目的　探討健康教育對提高高血壓病患者健康知識及建立健康生活方式的影響。 方法　2011年8月－12月對社區中100例高血壓病患者進行系統的健康教育，觀察其健康知識和生活方式的改變情況。 結果　健康教育前后其健康知識得分由（10.48 ± 0.82）分提高到（17.10 ± 1.21）分，亞類健康責任、飲食和運動得分也明顯提高，差異有統計學意義（P＜0.05）；健康生活方式得分由教育前的（18.65 ± 1.38）分提高到教育后的（25.91 ± 2.25）分，差異有統計學意義（P＜0.05）。 結論　在社區對高血壓病患者開展長期、系統的健康教育能有效提高他們的健康知識，促進其建立健康的生活方式。