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目的:评价健康促进模式教育对改善女性膀胱过度活动症患者生活行为和健康状况的效果。方法:选择我院2015年1月1日至6月30日期间收治的女性膀胱过度活动症患者为研究对象,按照随机数字法分为对照组(86例)和实验组(87例)。对照组采用膀胱过度活动症常规健康教育,实验组在此基础上,实施基于健康促进模式的健康教育。于患者入院时和干预3个月后分别应用健康促进生活方式问卷(HPLP)、膀胱过度活动症状评分量表(OABSS)和King’s健康问卷(KHQ)评估。结果 :干预3个月后,实验组健康责任、压力应对、运动、自我实现维度评分和总分均明显高于对照组(P<0.05);干预前后实验组OABSS评分分别为(7.82±3.23)分和(3.10±2.24)分,差异有统计学意义(t=11.268,P<0.001);干预后实验组KHQ评分量表的排尿症状严重程度、运动受限、社交受限、行为受限、症状应对和总体健康感受评分均低于对照组(P<0.01)。结论 :健康促进模式教育可以有效帮助患者建立健康行为,改善症状和健康状况。
Objective: To evaluate the effect of health promotion model education on improving the living behavior and health of female patients with overactive bladder. Methods: Female patients with overactive bladder who were treated in our hospital from January 1, 2015 to June 30, 2015 were selected and divided into control group (86 cases) and experimental group (87 cases) according to random number method. The control group adopted conventional health education of overactive bladder and on the basis of this, the experimental group implemented health education based on the health promotion mode. At the time of hospital admission and 3 months after intervention, HPLP, OABSS and King’s Health Questionnaire (KHQ) were applied respectively. Results: After 3 months’ intervention, the scores of health responsibility, stress coping, motor and self-actualization in the experimental group were significantly higher than those in the control group (P <0.05). The OABSS scores of the experimental group before and after the intervention were (7.82 ± 3.23) (3.10 ± 2.24), the difference was statistically significant (t = 11.268, P <0.001). After intervention, the severity of urination symptom, exercise restriction, social limitation and behavior restriction in the KHQ score scale of the experimental group were significant Symptom response and overall health perception scores were lower than the control group (P <0.01). Conclusion: Health promotion model education can effectively help patients to establish healthy behaviors and improve symptoms and health status.