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《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:

期数:

2013年03期

页码:

183-186

栏目:

论著

出版日期:

2013-03-30

文章信息/Info

Title:

The effect of systemic health education in patients with arteriosclerosis obliterans in lower extremity

作者:

边焕英; 乐毅; 陈雪飞; 沈莹

山东省滨州市滨城区区直机关医院,山东 滨州 256600

Author(s):

BIAN Huan-ying; LE Yi; CHEN Xue-fei; SHEN Ying

Binzhou Bincheng District's Hospital,Binzhou,Shandong 256600,China Corresponding author:CHEN Xue-fei,E-mail:show-angel008@163.com

关键词:

健康教育;  系统性;  动脉硬化闭塞症;  医学应对;  领悟社会支持

Keywords:

Systemic;  Health education;  Arteriosclerosis obliterans;  Medical coping modes;  Perceived social support

分类号:

R494

DOI:

-

摘要:

目的 探讨系统性健康教育对下肢动脉硬化闭塞症(arteriosclerosis obliterans,ASO)患者医学应对方式和领悟社会支持的影响。方法 选择某三甲医院血管外科2010年12至2011年7月所有符合入选标准的ASO患者100例,随机分为实验组和对照组各50例,对入选患者在入院后1～2 d 及出院前一天由研究人员向其发放医学应对方式问卷、领悟社会支持量表,两组患者在住院期间均进行常规宣教,实验组在此基础上接受由研究人员提供的一对一的系统性健康教育。采用多元Hotelling T²检验、配对t检验进行统计学分析。结果 在面对、屈服和内支持维度上,两组得分差异均有统计学意义,P均<0.01,说明实验组优于对照组。结论 系统性健康教育可有效改善ASO患者住院期间的医学应对方式和领悟社会支持程度,尤其在面对、屈服和内支持方面。

Abstract:

Objective To explore the effect of systemic health education in patients with arteriosclerosis obliterans in lower extremity.Methods Totally 100 Patients in vascular surgery department with arteriosclerosis obliterans in lower extremity were assigned to reference group and test group,there are 50 patients in each group.Questionnaires including Medical Coping Modes Questionnaire and Perceived Social Support Scale were sent out to the patients after 1-2 days admission and one day before discharge.Both group members were educated in routine health education way,the test team members were educated with systemic health education methods by the researcher additionally.Statistical analyses were performed by SPSS version 13.0.Statistical significance was accepted at the 0.05 level given the multiple contrasts stated above.Results Positioning of these findings,highlighting diversity was shown in the areas of Confrontation,Family Social Support and Acceptance-resignation,the P<0.01,respectively.Statistical analyses revealed systemic health education precedes routine health education in general description when discharged.Conclusion The conclusion drawn is also valid that systemic health education can effectively improve medical coping modes in patients with arteriosclerosis obliterans in lower extremity.

参考文献/References:

[1] 段志泉,张强.实用血管外科学[M].辽宁:辽宁科学技术出版社,1999:400.
[2] Diehm C,Schuster A,Allenberg JR,et al.High prevalence of peripheral arterial disease and co-morbidity in 6880 primary care patients: cross-sectional study[J].Atherosclerosis,2004,172(1):95-105.
[3] 李小鹰,王洁,王全义,等.周围动脉硬化闭塞症在老年血脂异常人群中的现患率调查[J].中华老年心脑血管病杂志,2005,7(1):3-6.
[4] Fujiwara T,Saitoh S,Takagi S,et al.Prevalence of asymptomatic arteriosclerosis obliterans and its relationship with risk factors in inhabitants of rural communities in Japan: Tanno-Sobetsu study[J].Atherosclerosis,2004,177(1):83-88.
[5] 张立华,金晓燕,尚少梅,等.下肢动脉硬化闭塞症患者生存质量的调查与分析[J].中华护理杂志,2007; 42(7): 617-619.
[6] W Thom,M Rooke.2011 ACCF/AHA focused update of the guideline for the management of patients with peripheral artery disease(updating the 2005 guideline): a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines: developed in collaboration with the Society for Cardiovascular Angiography and Interventions,Society of Interventional Radiology,Society for Vascular Medicine,and Society for Vascular Surgery[J].Journal Of Vascular Surgery,2012,79(4): 501-531.
[7] 张岩,尚少梅,赵军.下肢动脉硬化闭塞症患者生活质量与应对方式的相关性[J].护理管理杂志,2010,10(9):624-625.
[8] 沈晓红,姜乾金.医学应对方式问卷中文版701例测试报告[J].中国行为医学科学,2000,9(1):22-24.
[9] 方积乾.领悟社会支持量表[J].行为医学量表,2001,10:206-207.
[10] 林清然.美国医院系统化健康教育的启示[J].广东医学,2008,29(7):1232-1233.
[11] 余卫华.影响住院患者健康教育效果的多因素分析[J].实用护理杂志,2000,16(3):52-53.
[12] Abadie A.Education program for patients with cardiovascular risks[J].Soins-Psychiatr,2007,712(Suppl): 15-17.
[13] Stewart KJ,Hiatt WR,RegensteinerJG,et al.Exercise training for claudication[J].N Engl J Med,2002,347(24):1941-1951.
[14] 范砚超,张国平.Buerger运动延缓动脉硬化性闭塞症坏疽的作用[J].中国中西医结合外科杂志,2005,11(2):124-125.
[15] 彭晓云,林可可.动脉硬化性闭塞症患者对足部护理知识的掌握程度及自我护理情况的调查分析[J].北京中医药,2010,29(2):154-156.
[16] 郑瑞玉,伍淑文,罗晓梅.非药物性护理干预在下肢动脉闭塞患者疼痛中的应用[J].现代护理,2005,11(23):1999-2000.
[17] Ando M,Morita T,Akechi T,et al.A qualitative study of mindfulnessbased meditation therapy in Japanese cancer patients[J].Support Care Cancer,2011,19(7):929-933.
[18] Anton MM,Cortez-Cooper MY,DeVan AE,et al.Cigarette smoking,regular exercise,and peripheral blood flow[J].Atherosclerosis,2006,185(1):201-205.
[19] Thomas D.Cardiovascular benefits of smoking cessation[J].La Presse Medical,2009,38(6):946-952.
[20] 岳文浩,潘芳,张红静.医学心理学[M].北京:科学出版社,2001:125.
[21] 马煊,陈龙.应对方式、人格特征与应激水平的关系[J].中国临床心理学杂志,2004,12(1):48-55.
[22] 尚玉秀,王学良,董桂清,等.冠心病患者领悟社会支持与实际社会支持调查[J].中国公共卫生,2010,26(3):351-352.
[23] 王英.心血管疾病患者生活质量和社会支持状况调查分析[J].现代中西医结合杂志,2010,19(15):1937-1938.

备注/Memo

备注/Memo:

作者简介:边焕英,主管护师,主要从事护理工作 通讯作者:陈雪飞,E-mail:show-angel008@163.com

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更新日期/Last Update: 2014-07-08