Study On The Effect Of Health Education Program Based On Green Model On Improving The Quality Of Life Of Patients With Sudden Hearing Loss

Objective:1.Based on the green model,a questionnaire with good reliability and validity was developed to comprehensively evaluate the influencing factors of quality of life of patients with sudden hearing loss.2.To explore the effect of health education program based on green model on improving the quality of life of patients with sudden hearing loss.Method:Part one:Based on the methods of literature review,group discussion,semi-structured interview and expert consultation,the questionnaires for the factors affecting the quality of life of deaf patients were compiled.The critical ratio method and correlation analysis method were used to organize and analyze the data of each item of the questionnaire;Use exploratory factor analysis to detect and determine the structural validity of the questionnaire;use expert inquiry to detect and determine the content validity of the questionnaire;calculate the Cronbach's?coefficient and retest the questionnaire to determine the Reliability level.Part two:72 cases of deaf deaf patients who meet the inclusion criteria were selected in the department of Otolaryngology Head and Neck Surgery of a third-level hospital by using the convenience sampling method,and they were grouped according to the random number table method.There were 36 cases in the experimental group and the control group.The control group was given general health education guidance for deaf patients.The experimental group based on the control group implemented a health education program with the Green model as the theoretical framework.The intervention time was 2 months.Pure tone audiometry was performed on the patients on the day of admission,1 month of intervention,and 2 months of intervention,and the overall assessment was made using the questionnaire for the factors affecting the quality of life of deaf patients and the SF-36concise quality of life scale.To evaluate the effect of the intervention.Result:Part one:the two rounds of expert letter inquiry volumes were all recovered.In the first round of expert consultation,the expert authority coefficient was 0.84,and the Kendall coordination coefficient of expert opinions was 0.187(P<0.05).The average value of the importance of each item was greater than 3.74,and the full score was 6.67%-93.33%.The coefficient of variation was 0.09-0.27;in the second round of expert consultation,the expert authority coefficient is 0.85,and the Kendall coordination coefficient of expert opinions is 0.231(P<0.05).The average importance of each item is greater than 4.21,and the full score is 20%-100%,The coefficient of variation is 0.00-0.19.A total of 170 test questionnaires were issued,and 165 data collected were analyzed.The project analysis is performed first,the critical ratio method and the correlation analysis method are used to evaluate the questionnaire entries,and then the reliability and validity of the questionnaire is tested.The results of the project analysis showed that the critical ratio of the questionnaire items fluctuated between 8.09-44.77(P<0.05);with the exception of items 8,11,and 13,the Pearson correlation coefficients between the scores of the other items and the questionnaire scores were>0.3.The KMO value of the questionnaire was0.844,the Bartlett's spherical test?~2 value was 3218,and P<0.001.A total of 5 common factors were extracted using the principal component analysis method,and the cumulative variance contribution rate was 60.905%.The content validity index of the questionnaire level is 0.955,the content validity index of each dimension is 0.786-0.981;the Cronbach's?coefficient of the questionnaire level is 0.875,the Cronbach's?coefficient of each dimension is 0.780-0.912;The retest reliability of each dimension is 0.810-0.913.The final questionnaire for the factors affecting the quality of life of deaf patients includes five dimensions and 31 items of knowledge factors,attitude factors,behavioral factors,contributing factors,and strengthening factors.Part two:There was no statistically significant difference in baseline data between the two groups of patients(P>0.05),which can be compared.1.One month after the intervention,pure tone audiometry was performed on the two groups of patients.The results of the chi-square test showed that there was no statistically significant difference in the treatment efficiency between the experimental group and the control group(?~2=0.605,P=0.437),and two interventions were performed.Two months later,pure tone audiometry was performed on the two groups of patients.The results of the chi-square test showed that the treatment group had significantly higher treatment efficiency,and the difference was statistically significant compared with the control group(?~2=8.000,P=0.005).2.The two-factor repeated measurement analysis of variance showed that the difference in overall scores of patients with quality of life questionnaires at different time points was statistically significant(F=52.280,P<0.001),and the patients'scores showed an upward trend over time.There was an interaction between time and groups(F=27.442,P<0.001),indicating that the overall scores of the questionnaires of the two groups of patients changed with time,the experimental group had a relatively large change,and the control group had a relatively small change.On the day of admission,the overall scores of the quality of life questionnaires for the two groups of patients were not statistically different(F=0.693,P=0.411);the scores of the two groups of patients were statistically different after 1 month and 2 months of intervention(F=23.551,P<0.001;F=69.358,P<0.001).The overall score of the quality of life questionnaire in the test group was significantly higher than that in the control group.3.The two-factor repeated measurement analysis of variance showed that the overall score difference of the SF-36 concise quality of life scale at different time points was statistically significant(F=32.607,P<0.001),and the SF-36 was concise with time.The overall score of the quality of life scale showed an upward trend.There is an interaction between time and groups(F=14.807,P<0.001),which indicates that the overall scores of the patient scales in the two groups have different trends over time.The change in the experimental group is relatively large,and the change in the control group is relatively small.On the day of admission,there was no statistical difference in the overall scores of the two groups of patients(F=0.621,P=0.436);there was a statistical difference in the overall scores of the two groups of patients after one month of intervention and two months after intervention(F=15.644,P<0.001;F=17.294,P<0.001),the overall score of the test group was significantly higher than that of the control group.Conclusion:1.The questionnaire based on Green's model is scientific,comprehensive,systematic,and has good reliability and validity.It can be used as a tool to evaluate the influencing factors of life quality of patients with sudden hearing loss.2.The health education program of sudden hearing loss patients based on green model can effectively mobilize the enthusiasm of patients to participate in nursing activities,help patients to understand health knowledge,change negative attitudes,correct bad behaviors,optimize the factors affecting their health,improve their treatment effect,and then improve the overall quality of life of patients.