本文選題：知信行　切入點(diǎn)：健康教育　出處：《南京中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:1.了解卵巢癌術(shù)后患者對(duì)疾病的知識(shí)、信念、行為了解的同時(shí)還應(yīng)該對(duì)生活質(zhì)量以及希望水平的現(xiàn)狀有所了解。2.對(duì)知信行健康模式進(jìn)行探討,并對(duì)卵巢癌患者術(shù)后的希望水平以及生活質(zhì)量的影響進(jìn)行分析和研究。方法:1.本研究采用自制的《卵巢癌術(shù)后患者知信行問(wèn)卷》對(duì)南京大學(xué)醫(yī)學(xué)院附屬鼓樓醫(yī)院婦科符合入組標(biāo)準(zhǔn)的卵巢癌術(shù)后患者110名進(jìn)行調(diào)查(因2名患者中途自動(dòng)退出,最終對(duì)其中的]08名患者進(jìn)行研究)。評(píng)估患者的疾病相關(guān)知識(shí)、信念、行為狀況;采用歐洲癌癥研究與治療組織的生命質(zhì)量核心量表(EORTC QLQ-C30量表)評(píng)定患者的生活質(zhì)量;采用Herth希望量表(herth hope index,HHI)評(píng)估患者的希望水平。2.運(yùn)用隨機(jī)數(shù)字表法,按照簡(jiǎn)單的隨機(jī)方式分為對(duì)照組和試驗(yàn)組。對(duì)照組53例(常規(guī)護(hù)理組):在院期間采用常規(guī)健康教育及護(hù)理,包括入院指導(dǎo)、用藥指導(dǎo)、病情觀察、告知病人和家屬疾病治療、護(hù)理和康復(fù)知識(shí),出院后常規(guī)門診隨訪和復(fù)查;試驗(yàn)組55例(知信行健康教育模式組):建立基于知信行理論的健康宣教方式,在實(shí)行常規(guī)護(hù)理的同時(shí),還依托知信行健康教育模式來(lái)進(jìn)行完善,然后對(duì)術(shù)后三個(gè)月患者的生活質(zhì)量、希望水平以及知識(shí)、信念、行為再次做出測(cè)評(píng),比較兩組患者之間的統(tǒng)計(jì)學(xué)差異。結(jié)果:1.卵巢癌術(shù)后患者的KAP水平:知信行健康教育模式提高了試驗(yàn)組卵巢癌術(shù)后患者的知識(shí)、信念及行為,與對(duì)照組相比,差異有統(tǒng)計(jì)學(xué)意義(P0.01)。2.卵巢癌術(shù)后患者的生活質(zhì)量水平:知信行健康教育模式提高了試驗(yàn)組卵巢癌術(shù)后患者的生活質(zhì)量,與對(duì)照組相比,軀體功能、角色功能、情緒功能、認(rèn)知功能、社會(huì)功能、總體健康狀況、疲倦、失眠、食欲喪失等條目得分差異具有統(tǒng)計(jì)學(xué)意(P0.05)。3.卵巢癌術(shù)后患者的希望水平:知信行健康教育模式提高了試驗(yàn)組卵巢癌術(shù)后患者的希望水平,與對(duì)照組相比,差異有統(tǒng)計(jì)學(xué)意義(P0.01)。結(jié)論:1.卵巢癌術(shù)后患者的知識(shí)、信念、行為、生活質(zhì)量及希望水平總體低下。2.知信行健康教育模式有效地提高卵巢癌術(shù)后患者的疾病相關(guān)知識(shí),樹(shù)立抗?fàn)幇┌Y的信念和態(tài)度,從而建立積極、健康的生活方式;同時(shí)也提升了患者的生活質(zhì)量和希望水平。值得在婦科護(hù)理工作中推廣和應(yīng)用。3.本研究?jī)H在一家醫(yī)院進(jìn)行,由于各地區(qū)實(shí)際情況存在差異,因此研究結(jié)果存在一定的局限性,有待進(jìn)一步擴(kuò)展研究。
[Abstract]:Objective: to understand the 1. ovarian cancer patients on disease knowledge, belief and behavior should also understand the quality of life and the hope level status.2. understand on KAP health models were discussed, and the analysis and research of the ovarian cancer patients after the level of hope and quality of life. Methods: This study used 1. < ovarian cancer patients after self-designed KAP questionnaire > in gynecology Affiliated Hospital of Nanjing University medical school in accordance with the standard set of 110 ovarian cancer patients surveyed (2 patients with automatic withdrawal, eventually the]08 patients were studied. Patients with related assessment) disease knowledge, belief, behavior; the life quality of the core European Organization for research and treatment of cancer (table EORTC QLQ-C30 scale) assessment of the quality of life of patients; the Herth Hope Scale (Herth hope index, HHI) Evaluation of the hope level in patients with.2. using the random number table method, in accordance with the way of simple random divided into control group and test group. 53 cases in the control group (routine nursing group): the routine health education and nursing care in the hospital, including admission guidance, medication guidance, observation, inform the patient and family nursing treatment of diseases, and knowledge of rehabilitation after discharge, conventional outpatient follow-up and review; 55 cases of test group (KAP health education group): the establishment of health education KAP based on the theory, in the implementation of routine care at the same time, also rely on the KAP of health education to improve the quality of life of patients, and three months after the operation, hope level and knowledge, belief, behavior again make evaluation, significant differences between the two groups were compared. Results: 1. ovarian cancer patients KAP level: KAP health education model to improve the experimental group of ovarian cancer The knowledge of patients, beliefs and behavior, compared with the control group, the difference was statistically significant (P0.01) the level of quality of life in patients with.2. after ovarian cancer operation: KAP health education model to improve the experimental group of ovarian cancer patients quality of life, compared with the control group, body function, role function. Emotional function, cognitive function, social function, general health, fatigue, insomnia, loss of appetite and other item scores differed significantly (P0.05) to.3. levels in patients with ovarian cancer after operation: KAP health education model to improve the test level of hope with the experimental group of ovarian cancer after operation, compared with the control group. The difference was statistically significant (P0.01). Conclusion: 1. ovarian cancer patients after the operation of the knowledge, belief, behavior, quality of life and hope that the overall level of low.2. KAP health education model can effectively improve the postoperative ovarian cancer patients with the disease related knowledge tree Stand against cancer beliefs and attitudes, so as to establish a positive and healthy way of life; but also enhance the quality of life of patients and the level of hope. It is worth popularization in gynecological nursing work and the application of.3. in this study only in a hospital, because of the difference between the actual situation in various regions, so the research results have certain limitations that needs to be further expanded.

【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R473.73

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