Study On The Influence Of Health Education Based On Orem Self-care Theory On Patients With Peptic Ulcer

ObjectivesTo investigate the present situation of self-care agency of patients with PU; To explore the factors which influence patients' self-care agency; To do and evaluate HE which was based on Orem self-care theory for patients with PU to provide scientific theoretical foundation for improving patients self-care agency.MethodsTo use the questionnaires to investigate and describe the self-care agency of 146 patients diagnosed with PU in endoscope center of Tianjin Medical University General Hospital during December 2009 to July 2010 by convenience sampling. The n use one-way ANOVA and multiple regressions to analyze the factors which influence patients' self-care agency. All the subjects were divided into intervention group (n=74) and control group (n=72) randomly, intervention group received HE based on Orem self-care theory and control group received routine HE on PU. Evaluation questionnaires were administered to all the subjects after 6 weeks to evaluate the changes of their self-care agency, social support, and anxiety, therapeutic effects of PU, Hp infection and pain. Descriptive statistic,t test and Chi-square test were performed to observe the effects of HE on patients' self-care agency.Results1. Patients with PU own a high level of self-care agency generally,45.89% and 54.11% patients perceived higher and medium levels of ESCA respectively. In the four dimensions,60.96% and 39.04% patients perceived higher and medium levels of self-concept respectively; 35.62% and 64.38% patients perceived higher and medium levels of self-care responsibility respectively; 42.47% and 52.05% patients perceived higher and medium levels of self-care knowledge, but 5.48% patients perceived lower level of self-care knowledge; 34.25% and 65.07% patients perceived higher and medium levels of self-care skills, but 0.68% patients perceived lower level of self-care skills.2. Patients' sex,education,career,monthly income,treatment payment,PU history,the comprehension of PU,HE,social support and anxiety are the factors influence their self-care agency by one-way ANOVA, but patients' age,marriage,living and PU hospitalizations are irrelevant with their self-care agency. Then we find that patients' anxiety,monthly income,treatment payment and social support are the major factors influence their self-care agency consecutively by multiple regressions.3. Both HE based on Orem self-care theory and routine HE can improve patients' self-care agency and social support relieve anxiety,reduce Hp infection and promote healing, but the former is better than the latter. There is no difference between the two ways in eliminating patients' pain.ConclusionThe level of self-care agency of patients with PU is high generally, patients' anxiety,monthly income,treatment payment and social support influence their self-care agency. Both HE based on Orem self-care theory and routine HE can improve patients' self-care agency, but the former is better. We should do special HE to patients, in order to let patients involve in the management of disease actively and improve their self-care agency.