基于健商理论的健康教育清单在宫颈癌根治术病人中的应用

李怡巍; 周萍; 龚巧慧; 何春涛

doi:10.13898/j.cnki.issn.1000-2200.2020.12.032

基于健商理论的健康教育清单在宫颈癌根治术病人中的应用

Application of health education checklist based on health quotient theory in patients undergoing radical surgery of cervical cancer

摘要

摘要:
目的探讨基于健商理论制作健康教育清单在宫颈癌根治术病人中的应用效果。
方法选择手术的84例宫颈癌病人为研究对象，随机分为观察组和对照组，各42例。对照组进行常规健康宣教，观察组实施基于健商理论的健康宣教。比较2组病人健商指数、一般自我效能、知识缺失率、负性情绪、满意度和并发症发生率。
结果2组病人入院时各项健商指数差异无统计学意义（P>0.05）；观察组病人出院前自我保健、健康知识、生活方式、生活技能评分均高于对照组（P < 0.05~P < 0.01）；观察组出院前自我保健、健康知识、生活方式、生活技能评分均明显高于入院时的评分（P < 0.01）。观察组宫颈癌相关知识、手术准备知识、情绪调节知识、伤口处理知识、术后锻炼知识、术后用药知识、术后并发症知识、预后知识缺失率均明显低于对照组（P < 0.01）。观察组病人出院前汉密尔顿抑郁量表评分分级、汉密尔顿焦虑量表评分分级、满意度均优于对照组（P < 0.05~P < 0.01）。2组病人入院时一般自我效能得分差异无统计学意义（P>0.05）；观察组病人出院前一般自我效能得分明显高于对照组（P < 0.01）。观察组尿潴留发生率低于对照组（P < 0.05），2组下肢静脉血栓和腹胀的发生率差异无统计学意义（P>0.05）。
结论采用基于健商理论的健康教育清单对宫颈癌根治术病人进行健康教育，可提高病人的健康意识和自我管理能力，降低负性情绪，提高病人的自我效能和满意度。

Abstract:
ObjectiveTo explore the making of health education checklist based on health quotient theory, and its effect in patients undergoing radical surgery of cervical cancer.
MethodsEighty-four cases of cervical cancer operated were selected as the study objects, and randomly divided into observation group and control group(42 cases in each group).The control group received routine health education, and the observation group received health education based on health quotient theory.The health quotient index, general self-efficacy, knowledge deficiency rate, negative emotion, satisfaction and complication rate were compared between the two groups.
ResultsThere was no significant difference between the two groups at admission(P>0.05);the scores of self-care, health knowledge, life style and living skill in observation group before discharge were higher than those in control group(P < 0.05 to P < 0.01);the scores of self-care, health knowledge, life style and living skill in observation group before discharge were significantly higher than those at admission(P < 0.01).The knowledge deficiency rate of cervical cancer, operation preparation, emotion regulation, wound treatment, postoperative exercise, postoperative medication, complication and prognosis in observation group were significantly lower than those in control group(P < 0.01).The scores of Hamilton depression scale and Hamilton anxiety scale, and satisfaction in observation group before discharge were better than those in control group(P < 0.05 to P < 0.01).There was no significant difference in general self-efficacy scores between the two groups at admission(P>0.05), and the general self-efficacy scores in observation group before discharge were significantly higher than that in control group(P < 0.01).The incidence of urinary retention in the observation group was lower than that in control group(P < 0.05), and there was no significant difference in the incidence of venous thrombosis and abdominal distension between two groups(P>0.05).
ConclusionsApplication of health education checklist based on health quotient theory in the health education in patients undergoing radical surgery of cervical cancer can improve patients' health awareness and self-management ability, reduce negative emotion, and enhance patients' self-efficacy and satisfaction.

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