摘要
目的 观察基于倾向性评分匹配法的O2O式健康教育对中重度寻常型痤疮的影响。方法 回顾性分析2018年4月至2023年1月中国人民解放军西部战区总医院HIS中重度寻常型痤疮就诊患者为研究对象,根据是否进行O2O式健康教育分为常规教育组509例和O2O组243例;再采用倾向评分匹配(PSM)进行1∶1匹配,最终得到2组人群各241例。常规教育组采用宣教手册进行常规健康教育;O2O组进行线上线下相结合的健康教育,患者治疗期间,执行线下为主、线上为辅的健康教育,患者结束治疗后,执行线上为主、线下为辅的健康教育。统计2组的失联率、总体满意率、疾病复发率以及知识、态度以及行为调查量表(KAP)。结果 O2O组失联率为7.88%,满意率为98.65%,疾病复发率为19.09%;常规教育组失联率为17.01%,满意率为84.5%,疾病复发率为65.56%, O2O组均优于常规教育组,差异有统计学意义(P <0.05)。在KAP方面,治疗前2组在知识得分、态度得分和行为得分相比,差异均无统计学意义(P> 0.05)。治疗结束后3个月,2组3项得分均高于实施前,差异有统计学意义(P <0.05);组间相比,O2O组在3项得分均高于常规教育组的3项得分,差异有统计学意义(P <0.05)。结论 O2O式健康教育能够打破时间、空间限制,提高中重度寻常型痤疮患者对健康教育知识的接受程度以及满意度,减少痤疮复发率和失联率。
Objective To explore the effect of O2O health education based on propensity score matching method on moderate and severe acne vulgaris.Methods A retrospective analysis was conducted on the patients with moderate to severe acne vulgaris treated in the Western Theater Command General Hospital of the Chinese People’s Liberation Army from April 2018 to January 2023.According to whether O2O-style health education was conducted,the participants were divided into two groups:a conventional education group with 509 cases and an O2O group with 243 cases.Then,propensity score matching(PSM)was used to match the two groups in a 1∶1 ratio,resulting in 241 participants in each group.The conventional education group received routine health education using educational handbooks,while the O2O group received a combination of online and offline health education.During the treatment period,the O2O group primarily received offline education with online support,while after the treatment,the O2O group primarily received online education with offline support.The dropout rate,overall satisfaction rate,disease recurrence rate,as well as knowledge,attitude,and practice survey(KAP)were collected and analyzed for both groups.Results O2O group had a dropout rate of 7.88%,a satisfaction rate of 98.65%,and a disease recurrence rate of 19.09;while the conventional education group had a dropout rate of 17.01%,a satisfaction rate of 84.5%,and a disease recurrence rate of 65.56%.The O2O group performed better than the conventional education group,and the differences were statistically significant(P<0.05).In terms of KAP(Knowledge,Attitude,and Practice),there were no statistically significant differences in knowledge scores,attitude scores,and practice scores between the two groups before treatment(P>0.05).At 3 months after treatment,the scores for all three aspects were higher in both groups compared to before implementation,and the differences were statistically significant(P<0.05).When comparing between the two groups,the O2O group had higher scores in all three aspects compared to the conventional education group,and the differences were statistically significant(P<0.05).Conclusion O2O health education can break through time and space limitations,improve the acceptance and satisfaction of patients with moderate to severe acne vulgaris towards health education knowledge,and reduce the recurrence rate and loss rate of acne.
作者
詹丹丹
周舟
孙雄山
徐霞
ZHAN Dandan;ZHOU Zhou;SUN Xiongshan;XU Xia(General Hospital of the Western Theater Command of the Chinese People’s Liberation Army,Chengdu Sichuan 610083,China)
出处
《昆明医科大学学报》
CAS
2023年第8期172-176,共5页
Journal of Kunming Medical University
基金
中国人民解放军西部战区总医院院级课题(2021-XZYG-C41)
中国人民解放军西部战区总医院院级课题(XZYG-B03)。
关键词
倾向评分匹配
O2O式
健康教育
中重度寻常型痤疮
Propensity score matching
O2O type
Health Education
Moderate and severe acne vulgaris
