健康信念模式对膀胱癌尿路造口患者自护能力的影响

摘要

目的:探讨健康信念模式对膀胱癌尿路造口患者自护能力、并发症及生活质量的影响.方法:2015年1月~12月选取100例直肠癌Miles术后肠造口患者,根据随机数字表将患者等分为观察组和对照组.对照组出院后行常规性健康教育,观察组在对照组基础上应用健康信念模式实施干预,记录两组患者相关并发症发生情况;比较两组患者干预前后自护能力及生活质量的变化.结果:观察组患者干预后自护技能、健康知识、自我概念、自护责任感及自护能力总评分均高于对照组(P<0.05);观察组术后并发症发生情况低于对照组(P<0.05);观察组术后生理健康、心理健康、社会健康、精神健康及总生活质量评分均高于对照组(P<0.05);结论:健康信念模式能有效提高膀胱癌尿路造口患者自护能力,降低患者相关并发症,提高患者生活质量.%Objective:To explore the effect of health belief model on self -care ability, complication and quality of life of patients with urinary stoma of bladder cancer.Methods:A total of 100 patients with intestinal stoma after Miles operation of rectal cancer in our hospital from January 2015 to December 2015 were selected and randomly divided into observation group and control group.The control group was treated with conventional health education,while the observation group was treated with health belief model intervention on the basis of traditional health education.Related incidence of complications in the two groups were recorded.The change of self-care ability and quality of life in the two groups before and after the intervention were compared.Results:The scores of self-care skills, health knowledge, self-concept, self-care responsibility and self-care ability of the observation group were higher than those of the control group(P<0.05).The postoperative complications of the observation group were lower than those of the control group(P <0.05). Physical health,mental health,social health,psychological health and total quality of life score in the observation group were higher than that of the control group(P<0.05).Conclusion:Health belief model can effectively improve self -care ability of patients with the bladder cancer and urinary tract stoma and reduce patient-related complications as well as improve patient quality of life.