Construction And Application Of A Health Education Program Based On The ADDIE Model In Self-management Of Neurogenic Bladder

Objectives1.Under the construction of ADDIE model,combine with methods of the literature index,interview with semi-structure,experts meetings and class experiments to build a health education program in self-management of neurogenic bladder.2.Verify the effectiveness of the health education program in self-management of neurogenic bladder patients which is built on the basis of ADDIE model.Methods1.Based on the ADDIE model,making the guidance theory from the five phases of analysis,design,development,implementation and evaluation to construct a healthy education program.The program’s content and implementation guidelines were developed through literature review,semi-structured interviews,and expert meetings,with feedback received throughout the implementation and evaluation process.Combine with the implementation of the corresponding experiments.A complete neurogenic bladder health education program was formulated.2.A quasi-experimental study was conducted to evaluate the effectiveness of the health education program based on the ADDIE model.Random sampling was used to select 72 neurogenic bladder patients who complies with the exclusion criteria and were admitted to a rehabilitation medicine department of a tertiary hospital in Qingdao from September to December 2022 and met the inclusion criteria.One ward was designated as the control group,and the other as the intervention group,with 36 patients in each group.The control group received routine health education for neurogenic bladder patients provided by the department.The intervention group received a health education course based on the ADDIE model of self-management in healthy education program and in addition to routine health education,with the intervention lasting 20 days.The Neurogenic Bladder Self-management Scale,Neurogenic Bladder Symptom Score(NBSS),General Self-efficacy Scale(GSES),Generalized Anxiety Disorder(GAD-7)and Patient Health Questionnaire-9(PHQ-9)were used to assess the self-management ability,disease symptoms,self-efficacy,and anxiety and depression status of patients in both groups.The urinary tract infection rate and satisfaction evaluation were also compared between the two groups to evaluate the intervention effect.Data were analyzed using SPSS 26.0,with a statistical significance level set at P < 0.05.Results1.Based on the ADDIE model,a self-management in healthy education program for neurogenic bladder patients was developed through literature search,semi-structured interviews,and expert meetings.This health education program includes 4 health education modules and covers 17 health education topics,with a total of 17 health education videos recorded.2.After the intervention,the scores of bladder self-management ability in the intervention group patients were higher than those in the control group patients in all dimensions,including knowledge,attitude,and behavior,with a total score of(21.20±2.02)in the intervention group,which was significantly higher than the total score of(17.23±1.92)in the control group(P<0.05).After intervention,the intervention group got average score(2.68±0.35)of General Self-Efficacy higher than the control group as the average scores in(2.49±0.37),and this difference is meaningful in statistics.(P <0.05).3.The results of comparing the scores of the neurogenic bladder symptom rating scale between the two groups after the intervention showed that the total scores of the intervention group(37.06±6.43)in the three dimensions of urinary incontinence,storage and voiding,and outcome were significantly lower than those of the control group(49.79±4.27)(P<0.05).4.The anxiety and depression status of patients were compared by comparing the scores of the Generalized Anxiety Disorder-7 Scale(GAD-7)and the Patient Health Questionnaire-9(PHQ-9)between the intervention group and the control group.After the intervention,the total score of GAD-7 in the intervention group(10.09±3.52)was lower than that in the control group(11.70±2.97),and the total score of PHQ-9 in the intervention group(7.69±1.49)was lower than that in the control group(10.12±3.13),and the differences were statistically significant(P<0.05).5.The incidence of urinary system complications was compared between the two groups after intervention.The incidence of urinary tract infections in the intervention group was 8.6%,which was significantly lower than that in the control group(27.3%)(P<0.05).6.The satisfaction scores of the intervention group and the control group were compared after the intervention.The total satisfaction score of the intervention group(65.06±3.09)was higher than that of the control group(60.58±5.71),and the scores in the dimensions of medical and nursing staff work,doctor-patient communication,and health education were higher than those of the control group,and the differences were statistically significant(P < 0.05),while the difference in the admission guidance dimension was not statistically significant(P>0.05).ConclusionWith the guidance of the ADDIE model and the combination of literature review,semi-structured interviews,and expert meetings,the education program of self-management on health can improve the self-management ability of neurogenic bladder patients,reduce neurogenic bladder symptoms,improve the anxiety and depression status of patients,reduce complications,and improve patient satisfaction.This program can provide a reference for the design of health education programs in clinical nursing.