Research On The Application Of Empowerment Incentive Education Model In Patients With Systemic Lupus Erythematosus

Objective:Objective to explore the application effect of empowerment incentive education model in improving Systemic lupus erythematosus(SLE)patients’ self-efficacy,awaken patients’ self-management ability,improving patients’ physical and mental status,and cultivate patients’ healthy behavior,provide clinical basis for the application of empowerment incentive education model in health education of SLE patients.Methods:Methods 82 patients with SLE admitted to the Department of Rheumatology and immunology of hospital from July 2020 to Decenber 2020 were selected and randomly divided into control group and experimental group,41 cases in each group.The control group received routine health education,and received disease-related knowledge guidance(sports,nutrition,medication,safety,etc.)after admission.The form of education was one-to-one health education,Department lecture hall,etc.The experimental group adopted the health guidance based on the empowerment and incentive education mode,and the researchers implemented the health guidance intervention according to the empowerment and incentive education mode.Each patient received three times of empowerment and incentive education.When the patients were discharged from hospital,further health education,answer questions,determine the direction of improvement and related content.After discharge,the patients were followed up by clinic,telephone or wechat every 15 days for three months.The relevant data before and three months after the intervention were collected.The general information questionnaire,CDSES,CCQR,FSS and HPLP-Ⅱwere used to explore and analyze the effect of empowerment incentive education.SPSS24.0software was used to establish the database,and t test and chi square test were used to analyze the data.Results:At the end of this trial,a total of 80 patients were collected,and the data recovery ratewas 97.6%,including 40 patients in empowerment education group and 40 patients in routine education group.1.Baseline data: there was no significant difference in gender,age,marital status,occupation,duration of illness,education level,annual family income,medical insurance type and other basic personal data between the two groups(P>0.05).2.Physiological index: before the intervention,there was no significant difference between the two groups(P>0.05).After 3 months of intervention,the disease activity and C-reactive protein score of the intervention group were better than those of the control group(P<0.05).3.Self efficacy: there was no significant difference between the two groups before intervention(P>0.05).After 3 months of intervention,the self-efficacy scores of the two groups were significantly higher than those of the control group(P<0.05).4.Treatment compliance: there was no significant difference in treatment compliance score between the two groups before intervention(P>0.05).After 3 months of intervention,the treatment compliance score of the two groups was significantly higher than that of the control group(P<0.05).5.Fatigue degree: before intervention,there was no significant difference in fatigue degree score between the two groups(P>0.05).After 3 months of intervention,the fatigue score of the intervention group was significantly lower than that of the control group(P<0.05).6.Health behavior: before the intervention,there was no significant difference in the scores of six dimensions of health behavior between the two groups(P>0.05).After 3months of intervention,the scores of six dimensions of health behavior in the intervention group were significantly higher than those in the control group(P<0.05).Conclusion:1.SLE patients generally have deficiencies in self-efficacy,treatment compliance,fatigue severity and health behavior.2.The application of empowerment incentive education model in health education of SLE patients can effectively reduce the disease activity and fatigue severity of patients,improve the self-efficacy and treatment compliance of patients,and promote the formation of health behavior.It is more scientific and practical,and can be promoted and applied in health education of SLE patients.