Effect Of CCM Based Health Education Intervention On Brucellosis Patients

Objectives:Investigating the influence of CCM based health education intervention on the disease related knowledge,health education satisfaction level,treatment compliance and quality of life for brucellosis patients.Raising suggestions to related departments based on the result of this study to provide better persistent health education nursing model including inside and outside of the hospital for brucellosis patients.Improving awareness rate of the family members on brucellosis and lowering the prevalence rate of human brucellosis by disseminating disease-related knowledge.Methods:Convenience sampling was performed to get 104 brucellosis hospitalized patients from Infectious Disease Division under a grade A class 3 hospital from Changchun from May2018 to August 2019,among which 52 cases from May 2018 to December 2018 were selected as control group and 52 cases from Jan 2019 to August 2019 were selected as intervention group.During hospitalization,the control group were applied regular health education,discharge guidance,and post-discharge follow-up by telephone and in clinic.For the intervention group,the CCM based health education intervention was applied until 12 weeks after discharge.The difference based on the disease related knowledge,satisfaction level on health education,treatment compliance and quality of life at different time points were compared: before intervention,before discharge,6 weeks after discharge and 12 weeks after discharge.During this experiment,5 cases from control group and 4 cases from intervention group were lost during follow-up.At last,95 patients in total completed the procedure,among which 47 cases were from control group and 48 cases were from intervention group.The data from this experiment was analyzed statistically by SPASS22.0software and P < 0.05 was taken as statistically significant.Results:(1)General information: There is no statistical significance(P>0.05)for general information among these two group of patients.These two groups are comparable.(2)Brucellosis related knowledge: Comparison of different time points between these two groups: there is no statistically difference(P>0.05)between the awareness rate on brucellosis related knowledge between these two groups upon admission;before discharge,6weeks after discharge and 12 weeks after discharge,awareness rate on brucellosis related knowledge for intervention group is higher than control group and this difference is statistically significant(P<0.001).Within each group,the comparison result between different time points are as follows.For control group: the awareness rate on brucellosis related knowledge before discharge,6 weeks after discharge and 12 weeks after discharge are all higher than the time point on admission and this difference is statistically significant(P<0.05);the awareness rate on brucellosis related knowledge at 6 weeks after discharge and12 weeks after discharge is lower than the time point before discharge,but this difference is not statistically significant(P>0.05).For intervention group: the awareness rate on brucellosis related knowledge before discharge,6 weeks after discharge and 12 weeks after discharge are all higher than on admission and this difference is statistically significant(P<0.05);the awareness rate on brucellosis related knowledge at 6 weeks after discharge is lower than the time point before discharge,which is statistically significant(P< 0.05);this rate is higher in week 12 after discharge comparing to week 6 after discharge and is also statistically significant(P< 0.05).(3)Medication compliance: The comparison at different time points between different groups shows that at week 6 after discharge,medication compliance level in intervention group is slightly higher than control group,but this difference is not statistically significant(P> 0.05);at week 12 after discharge,the medication compliance level in intervention group is statistically more significant higher than the control group(P< 0.001).The comparison at different time points within different groups shows that: in control group,at week 12 afterdischarge,compared to week 6 after discharge,the medication compliance level is dropped,which is statistically significant(P< 0.001);in intervention group,at week 12 after discharge,compared to week 6 after discharge,the medication compliance level is slightly dropped,but this difference is not statistically significant(P> 0.05).(4)Quality of life: The comparison at different time points between different groups shows that: there is no statistically difference between two groups on admission according to the scores under different dimension of quality of life(P> 0.05);at week 6 after discharge,the scores on the dimensions of RE,MH,VT and SF from intervention group are higher than the control group and this difference is statistically significant(P< 0.05);at week 12 after discharge,the scores for all the dimensions for intervention group are higher than the control group and this difference is statistically significant(P< 0.05).The comparison at different time points within different groups shows that,in both groups,the scores for different dimensions are gradually increasing along with the time of admission,6 weeks post discharge and 12 weeks discharges,all the pairwise comparison are statistically significant(P< 0.05).(5)The level of satisfaction on health education: on the day of discharge,the satisfaction level score from intervention group is higher than the control group,and this difference is statistically significant(P< 0.001).Conclusions:(1)The CCM-based health education intervention can improve the awareness rate of brucellosis-related knowledge for brucellosis patients.(2)The CCM-based health education intervention can improve the medication compliance level for a long time for brucellosis patients.(3)The CCM-based health education intervention can improve the quality of level for patients.(4)The CCM-based health education intervention can improve the satisfaction level for health education,which contributes to the implementation of high-quality nursing services,improvement of doctor-nurse-patient relationship and enhance the medical experience for patients.