摘要
目的观察5S健康教育清单管理模式对老年鼻息肉切除术患者健康行为及自护能力的影响。方法选取2022年2月—2024年2月空军军医大学第一附属医院收治的老年鼻息肉切除术患者共102例,遵循随机数字表法分为常规组(n=51)与5S组(n=51)。常规组接受鼻息肉切除围术期常规护理,而5S组在常规组基础上实施5S健康教育清单管理模式干预措施。比较2组干预前后疾病不确定感[采用中文版Mishel疾病不确定感量表(MUIS)评估]、健康行为能力[采用健康行为能力自评量表中文版(SRAHP)评估]、自护能力[采用自我护理能力测量表(ESCA)评估]、生活质量[采用汉化版鼻腔鼻窦结局测试22条(SNOT-22)评估]及并发症发生情况。结果干预后,2组患者MUIS中不确定性、复杂性、不可预测性、信息缺乏评分及SNOT-22中生理问题、功能限制、心理问题评分均低于同组干预前(P<0.05),且5S组的评分均低于常规组(P<0.05);2组SRAHP中营养、心理安适、运动、健康责任评分及ESCA中自我概念、自护责任感、自护技能、疾病知识评分均高于同组干预前(P<0.05),且5S组的评分均高于常规组(P<0.05);5S组总并发症发生率低于常规组(P<0.05)。结论5S健康教育清单管理模式可缓解老年鼻息肉切除术后患者的疾病不确定性,增强其健康行为能力与自护能力,提升患者生活质量,降低并发症风险。
Objective To observe the effects of 5S health education checklist management model on health behavior and self⁃care ability of elderly patients undergoing nasal polypectomy.Methods 102 elderly patients undergoing nasal polypecto⁃my in First Affiliated Hospital of Air Force Medical University from February 2022 to February 2024 were selected and divided into routine group(n=51)and 5S group(n=51)according to random number table method.The routine group received rou⁃tine nursing during perioperative period of nasal polypectomy,while the 5S group implemented intervention measures of 5S health education checklist management model based on the basis of the routine group.The disease uncertainty[Chinese version of Mishel Uncertainty in Illness Scale(MUIS)],health behavior ability[Chinese version of Self⁃Rated Abilities for Health Practices Scale(SRAHP)],self⁃care ability[Exercise of Self⁃care Agency Scale(ESCA)]and quality of life[Chinese ver⁃sion of Sinonasal Outcome Test⁃22(SNOT⁃22)]before and after intervention and the incidence of complications were com⁃pared between the two groups.Results After intervention,the scores of the uncertainty,complexity,unpredictability and lack of information of MUIS and scores of physiological problem,functional limitations and psychological problem of NOT⁃22 in both groups were lower than those in the same group before intervention(P<0.05),and the above scores in the 5S group were lower than those in the routine group(P<0.05).The scores of nutrition,psychological comfort,exercise,and health respon⁃sibility of SRAHP and scores of self⁃concept,self⁃care responsibility,self⁃care skills and disease knowledge of ESCA in both groups were higher than those in the same group before intervention(P<0.05),and the above scores in the 5S group were higher than those in the routine group(P<0.05).Conclusion The 5S health education checklist management model can alle⁃viate the disease uncertainty of elderly patients after nasal polypectomy,enhance their health behavior and self⁃care abilities,improve their quality of life,and reduce the risk of complications.
作者
孙倩
董艳
刘永收
葛艳霞
薛梦菲
张慧敏
田妍妍
李锦
Sun Qian;Dong Yan;Liu Yongshou;Ge Yanxia;Xue Mengfei;Zhang Huimin;Tian Yanyan;Li Jin(Department of Otorhinolaryngology,Head and Neck Surgery,Affiliated Hospital of Air Force Military Medical University,Xi'an,Shaanxi,710032,P.R.China;Xi'an International Medical Center Hospital,Xi'an,Shaanxi,710100,P.R.China)
出处
《老年医学与保健》
2024年第6期1630-1634,1639,共6页
Geriatrics & Health Care
基金
陕西省重点研发计划项目(2018SF-069)。
关键词
老年
鼻息肉切除术
5S健康教育清单管理
健康行为
自护能力
elderly
nasal polypectomy
5S health education checklist management
health behavior
self⁃care ability
