| Objective:Taking empowerment education as the theoretical framework,a spouse synchronous empowerment education program was constructed to explore the impact of this program on drug compliance,self-efficacy,negative emotions,and quality of life of discharged patients with pulmonary tuberculosis,so as to provide new ideas for the nursing of pulmonary tuberculosis patients in the future,and provide basis and practical guidance for Fengfu clinical health education program.Methods:Through literature review and expert consultation,the draft of spouse simultaneous empowerment education program was established.Through pre-experiment,the program was tested,and finally a formal program of spouse empowerment education was formed.A total of 100 pairs of tuberculosis patients and their spouses who were discharged from the respiratory ward of the Department of Infectious Diseases of a tertiary hospital from August 2021 to December 2021 were selected.They were randomly divided into routine education group and empowerment education group,with 50 pairs in each group.Patients in the routine education group received routine health education methods such as discharge health guidance and issuing brochures to patients and their spouses at discharge.According to the five-step method of empowerment education,patients and their spouses in the empowerment education group were given empowerment health education for 5 times at the time of discharge,2 weeks after discharge,1 month after discharge,2 months after discharge,and 3 months after discharge,so that they could receive health education and rehabilitation guidance at the same time.The self-efficacy Scale,Medication Compliance Scale,General Anxiety Scale,General Depression Scale,Tuberculosis prevention Knowledge Questionnaire,Quality of Life Rating Scale and Caregiver Readiness Scale were used to evaluate the self-efficacy level,medication compliance,general anxiety level,general depression level and quality of life of the two groups of patients after 1 month and 3 months of intervention.The general anxiety level and caregiver readiness of spouses were evaluated after 1 month and 3 months of intervention.Results:(1)Self-efficacy level: There was no statistically significant difference in self-efficacy scores between the two groups at discharge(P>0.05).One month after intervention,the average score of general self-efficacy Scale of patients in the empowerment education group was(2.62±0.60),which was higher than(2.44±0.42)in the conventional education group,and the difference was statistically significant(P<0.01).After 3 months of intervention,the average score of the general self-efficacy Scale of patients in the empowerment education group was(2.98±0.36),which was higher than(2.68±0.37)of patients in the conventional education group.The differences were statistically significant(P<0.01).(2)Medication compliance: there was no statistically significant difference in the scores of medication compliance scale between the two groups at discharge(P>0.05).One month after intervention,the average score of the medication adherence Scale of patients in the empowerment education group was(6.12±1.48),which was higher than(5.88±1.14)in the conventional education group,and the difference was statistically significant(P<0.01).After 3 months of intervention,the average score of the medication adherence Scale of patients in the empowerment education group was(6.71±1.03),which was higher than(6.04±1.21)in the conventional education group,and the difference was statistically significant(P<0.01).(3)General depression Scale: there was no significant difference in the scores of general depression scale between the two groups at discharge(P>0.05).After one month of intervention,the average score of general depression Scale of patients in the empowerment education group was(54.18±4.35),which was lower than(56.84±2.92)in the conventional education group,and the difference was statistically significant(P<0.01).After 3 months of intervention,the average score of general depression Scale of patients in the empowerment education group was(51.87±2.80),which was lower than(56.60±3.11)in the conventional education group,and the difference was statistically significant(P<0.01).(4)General anxiety Scale: there was no significant difference in the scores of general anxiety scale of patients and their spouses between the two groups at discharge(P>0.05).After 1 month of intervention,the mean score of the general Anxiety Scale of patients in the empowerment education group was(53.90±4.09),lower than(56.41±2.65)in the conventional education group.The average score of general anxiety Scale of spouses in the empowerment education group was(43.88±3.64),which was lower than that in the conventional education group(50.94±3.58),and the differences were statistically significant(P<0.01).After 3months of intervention,the mean score of the general Anxiety Scale of patients in the empowerment education group was(51.8±3.14),lower than(55.42±2.55)in the conventional education group;The score of general anxiety Scale of spouses in the empowerment education group(42.18±3.55)was lower than that of spouses in the conventional education group(48.68±3.85),and the differences were statistically significant(P<0.01).(5)Quality of life: there was no significant difference in the score of quality of life scale between the two groups at discharge(P>0.05).After one month of intervention,the mean score of the quality of Life Scale of patients in the empowerment education group was(546.94±215.31),which was higher than(516.94±215.31)in the conventional education group,and the difference was statistically significant(P<0.01).After 3 months of intervention,the mean score of the quality of life Scale of patients in the empowerment education group was(696.40±215.79),which was higher than(417.20±204.78)in the conventional education group,and the difference was statistically significant(P<0.01).(6)Caregiver readiness: there was no significant difference in the score of Caregiver Readiness Scale between the two groups at discharge(P>0.05).After one month of intervention,the mean score of Spousal Caregiver Readiness Scale in the empowerment education group was(24.14±2.81),which was higher than(21.80±4.46)in the conventional education group,and the difference was statistically significant(P<0.01).After 3 months of intervention,the mean score of Spousal Caregiver Readiness Scale in the empowerment education group was(27.64±2.27),which was higher than(22.64±4.46)in the conventional education group,and the difference was statistically significant(P<0.01).Conclusion:(1)Spousal empowerment education program can improve the self-efficacy level,medication self-efficacy and quality of life of discharged patients with pulmonary tuberculosis;And reduce the level of anxiety and depression.(2)Spouse empowerment education program can reduce the anxiety level of spouses of discharged patients with pulmonary tuberculosis.And improve their care readiness,so as to promote the rehabilitation of patients with pulmonary tuberculosis. |
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