摘要
目的探讨以行为转变理论为指导的健康教育对老年子宫脱垂术后患者自我效能、生活质量及负性情绪的影响,为患者术后康复提供方法。方法选取2015年1月—2021年11月安徽省铜陵市人民医院就诊的62例老年子宫脱垂术后患者,按数字表法随机分为观察组(n=31)和对照组(n=31)。对照组采取常规健康教育,观察组在对照组的基础上,使用以行为转变理论为指导的健康教育。比较2组干预前后自我效能评分、生活质量评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分和盆底功能障碍问卷简短版-20 (PFDI-20)评分;并比较2组术后首次排气和排便时间及住院时间。结果干预后,2组自我效能评分和生活质量评分均较同组干预前明显提升,且观察组自我效能和生活质量评分评分高于对照组(P<0.05);干预后,2组SAS、SDS和PFDI-20评分均较同组干预前明显下降,且观察组SDS、SAS和PFDI-20评分均明显低于对照组(P<0.05)。观察组在术后首次排气时间显著短于对照组(P<0.05),而2组首次排便及住院时间差异均无统计学意义(P> 0.05)。结论以行为转变理论为指导的健康教育可有效提高老年子宫脱垂患者术后自我管理能力,改善术后负性情绪,利于术后快速恢复,从而提高生活质量。
Objective To explore the effect of health education guided by behavioral change theory on self-efficacy,quality of life and negative emotions of elderly patients after uterine prolapse surgery,and to provide methods for postoperative rehabilitation of patients. Methods A total of62 elderly patients after uterine prolapse surgery who were treated in People’s Hospital of Tongling City from January2015 to November2021 were selected and randomly divided into observation group(n= 31)and control group(n= 31)according to the numerical table method. The control group received routine health education,while the observation group received health education guided by behavioral change theory on the basis of the control group. The scores of self-efficacy,quality of life,Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)and Pelvic Floor Dysfunction Questionnaire Short Version-20(PFDI-20)were compared between the two groups before and after the intervention. The first postoperative exhaust and defecation time andhospitalization time were compared between the two groups. Results After the intervention,the scores of self-efficacy and quality of life of the two groups were significantly higher than those of the same group before the intervention,and the scores of self-efficacy and quality of life of the observation group were higher than those of the control group(P< 0.05);the scores of SAS,SDS and PFDI-20 of the two groups were significantly lower than those of the same group before intervention,and the scores of SDS,SAS and PFDI-20 of the observation group were significantly lower than those of the control group(P< 0.05). The first postoperative exhaust time of the observation group was significantly shorter than that of the control group(P< 0.05),but there was no significant difference in the first defecation and hospitalization time between the two groups(P> 0.05). Conclusion Health education guided by behavioral change theory can effectively improve the self-management ability of elderly patients after uterine prolapse surgery,improve postoperative negative emotions,facilitate rapid postoperative recovery,and improve quality of life.
作者
吴希静
章强凤
黄义
陆琼
李汪洁
Wu Xijing;Zhang Qiangfeng;Huang Yi;Lu Qiong;Li Wangjie(Department of Obstetrics and Gynecology,People's Hospital of Tongling City,(Clinical College of Anhui Medical University),Tongling,Anhui,244000,P.R.China;Department of Obstetrics and Gynecology,Shanghai Changzheng Hospital,Shanghai,200003,P.R.China)
出处
《老年医学与保健》
CAS
2022年第1期178-182,共5页
Geriatrics & Health Care
关键词
老年
子宫脱垂
行为转变理论
健康教育
术后
自我效能
生活质量
负性情绪
elderly
uterine prolapse
behavioral change theory
health education
postoperation
self-efficacy
quality of life
negative emotions
