| ObjectiveKAP theory as a framework to develop a health education intervention program in patients with cirrhosis.Apply the regimen to patients with cirrhosis and evaluate their effects.MethodsThis study is divided into two phases:The first stage is the intervention program of health education for the construction of knowledge,trust and conduct.To investigate the health education related literatures of patients with cirrhosis at home and abroad,the intervention plan of patients with liver cirrhosis was developed with the knowledge and behavior theory as the framework.And then the use of expert meeting of the convening of digestive medicine in the medical and nursing experts to hold expert meetings,the proposed program to revise and form a knowledge of the model of cirrhosis patients with health education intervention program.The second stage is the intervention study.Extracting September 2016-February 2017 in a hospital in Henan province Gastroenterology hospitalized patients with cirrhosis for the study were randomly assigned to the intervention group and the control group,40 people in each group.The control group was given routine cirrhosis care.On the basis of this,the intervention group implemented a 3-month intervention.Two groups were used in the study before general information questionnaire survey,respectively,before and after intervention for three months using cirrhosis knowledge questionnaire,general self-efficacy scale(GSES),Perceived Social Support Scale(PSSS),health(HPLP),medical coping style questionnaire(MCMQ),chronic liver disease questionnaire(CLDQ),according to the score,compare the effect of intervention.In the course of the implementation of the intervention program,found that patients with cirrhosis of the intervention program reflects the shortcomings,after the end of the intervention in accordance with the results of the timely revision of the program,and the formation of the final program.The data were analyzed by IBM SPSS Statistics 22.0.The test level is taken as a=0.05.Statistical methods include statistical description,t-test,and so on.The data were calculated by frequency and percentage.The baseline data of the two groups were compared by x2 test or rank sum test.After the intervention,the independent samples were used for t test and ?2test.ResultsThe first stage of the construction of the knowledge line model of health education intervention programLiterature search,to build the first draft of health education intervention program KAP mode,after expert evaluation of the program be revised to meet the implementation conditions.After intervention,adjust the intervention plan according to the outcome of the intervention and form the final draft.The second phase of the effect of health education intervention program KAP pattern-based evaluation.1 Comparison of two groups of patients with general informationIn this study,the baseline data of the two groups were compared,age,sex,marital status,educational level,occupational status,medical expenses,personal income,duration,disease history,liver function classification and other general data were compared,(P>0.05).2 Before and after the intervention of two groups of patients with liver cirrhosis related knowledge to grasp the situationRespectively,before and after intervention in both groups of patients with cirrhosis related knowledge to grasp the situation.Results:There was no significant difference between the two groups before treatment(?2 = 0.013,P = 0.910).The intervention group had 94.8%of the knowledge of the disease at 3 months after the intervention.Group 71.0%,the difference was statistically significant(x2= 7.782,P =0.005).3 Before and after the intervention of the two groups of patients with self-efficacy scores score comparisonThe results showed that there was no significant difference between the two groups(26.30±5.05)and the control group(25.39±5.93)(t=0.578,P = 0.499),and there was no significant difference between the two groups(t=0.578,P = 0.499)).After 3 months of intervention,the intervention group scored(32.89±3.59)higher than the control group(21.39±7.93).The self-efficacy score of the intervention group was significantly higher than that of the control group(t = 2.236,P = 0.028).4 Before and after the intervention of the two groups of patients with social support score comparisonWere two groups of patients were pre-intervention and post-intervention social support score compared,the results showed that patients in the intervention group before the intervention of social support in the home,outside the home,out of scores(14.74±2.85?26.46±4.29?41.20±4.19).And the control group,the total score(14.55±2.97?26.05±4.72?40.57±5.69),the difference was not statistically significant(t=0.287,P=0.774;t=0.397,P=0.692;t=0.551,P=0.583).After 3 months of intervention,the total score(23.92±2.42?45.97±3.42?69.89±4.44)was higher than that of the control group,the total score(19.50±4.60?40.07±5.975?9.31 ±6.75),the difference was statistically significant(t =2.292,P = 0.024;t = 2.333,P = 0.022;t ?2.143,P = 0.035)5 Before and after intervention,the scores of health behaviors of the two groups were comparedCompared the scores of health behavior were intervention of two groups of patients before and after the intervention.The result shows that the health behavior score of the two groups of patients before intervention,the difference was not statistically significant(P>0.05),intervention program after the implementation of the 3 months,the intervention group physical activity,nutrition,stress mediation,interpersonal relationship,mental health.Health responsibility and health behavior score of each dimension score(13.30 ± 2.07?18.56± 5.21?16.43 ± 4.65?17.84± 5.37?33.35±3.08?20.05±4.69?97.14± 12.17)higher than that of the control Group of physical activity,nutrition,stress mediation,interpersonal relationship,mental health,health responsibility scores in each dimension and the total score of health education(13.31 ±3.23?16.13±3.61?14.63±2.88?15.63±3.41?31.28±4.71?16.39±3.20,84.93±13.51),suggesting that patients in the intervention group in physical activity,nutrition,health responsibility,pressure and mediation,healthy interpersonal behavior the relationship between mental health and the six dimensions total score were higher than the control group(t=2.157,P=0.034;t=2.039,P=0.045;t=2.982,P=0.003;t=2.372,P=0.020;t=2.151,P=0.034;t=2.286,P=0.025;t=2.714,P=0.030),the health behaviors of the patients in the two groups were statistically significant(P<0.01).6 Before and after the intervention,the scores of coping styles of the two groups were comparedCompared the scores were the intervention of two groups of patients before and after the intervention coping style.The results showed that before the intervention of the two groups of patients face,avoid,yielding score(P=0.677,P=0.709,P=0.591),there was no statistically significant difference(P>0.05).3 months after the intervention,the intervention group in the face,avoid yield score(22.89±2.48?22.58±2.96?19.69±2.83)was significantly higher than the control group in the face,avoid,yielding score(19.21 ±4.56?18.47±5.04,?15.07±3.19)The difference was statistically significant(t=2.412,P=0.018;t=2.380,P=0.019;t=2.345,P=0.021).7 Before and after intervention in the two groups of patients with chronic liver disease questionnaire score comparisonTo intervene in two groups respectively before and after the intervention of chronic liver disease questionnaire score.Results:the two groups of patients with abdominal symptoms,fatigue,symptoms,anxiety,emotional function scores(P=0.908,P=0.365,P=0.734,P=0.747,P=0.980,P=0.707),the difference was not statistically significant(P>0.05).3 months after the intervention scheme intervention,intervention group abdominal symptoms,fatigue,symptoms,emotional functioning,anxiety scores were better than the control group,a statistically significant difference(t=2 118,P=0.037;t=2.355,P=0.021;t=2.938,P=0.004;t=2.192,P=0.031,;t=2.547,P=0.012,;t=2.680,P=0.009).ConclusionThe program of health education in patients with liver cirrhosis in the construction of KAP theory,can effectively improve the level of knowledge related to the disease,enhance disease rehabilitation confidence,promote their positive coping style,taking medicine,and choose healthy behavior,can be used in hospital and discharged home nursing in patients with liver cirrhosis. |
PDF Full Text Request