基于格林模式的健康教育在健康体检幽门螺杆菌感染人群中的应用

史丽妙; 胡剑浩; 赵奇江; 蒋颖; 许文芳; 陈晶

doi:10.16766/j.cnki.issn.1674-4152.003123

基于格林模式的健康教育在健康体检幽门螺杆菌感染人群中的应用

doi: 10.16766/j.cnki.issn.1674-4152.003123

史丽妙^1, ,,
胡剑浩²,
赵奇江³,
蒋颖⁴,
许文芳⁵,
陈晶⁶

1.
绍兴文理学院附属医院校保健办，浙江绍兴 312000
2.
绍兴文理学院附属医院内镜中心
3.
绍兴文理学院附属医院体检中心
4.
绍兴第二医院医共体总院体检保健中心，浙江绍兴 312000
5.
绍兴文理学院附属医院检验科
6.
绍兴市第七人民医院心身障碍科二病区，浙江绍兴 312000

基金项目:

浙江省医药卫生科技计划项目 2023KY1272

详细信息

通讯作者:
史丽妙, E-mail: slm_2004@163.com

中图分类号: R473.57 R573
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- 被引次数: 0
出版历程
- 收稿日期: 2023-03-17
- 网络出版日期: 2023-09-13

Application of health education based on the Green's model in health examination of people infected with Helicobacter pylori

1.
School Health Office of Affiliated Hospital of Shaoxing University of Arts and Sciences, Shaoxing, Zhejiang 312000, China

摘要

摘要: 目的本研究以格林模式为框架，分析其在健康体检幽门螺杆菌感染患者中的健康教育效果，为临床宣教提供新思路。方法采用便利抽样法，选取2019年6月—2022年12月在绍兴文理学院附属医院健康体检中幽门螺杆菌感染的200例体检人员作为研究对象，根据随机数字表法将其分为对照组(100例)和观察组(100例)。对照组采取常规健康教育，观察组在对照组基础上采用基于格林模式的健康教育。比较2组接受治疗率及根除率、用药依从性、幽门螺杆菌感染知识掌握情况及健康行为评分，并统计2组健康教育满意度。结果观察组接受治疗率为93.0%(93/100)，对照组为78.0%(78/100)，2组比较差异有统计学意义(P < 0.05)，观察组根除率及用药依从良好率分别为82.8%(77/93)、94.6%(88/93)，均高于对照组[61.5%(48/78)、82.1%(64/78)，均P < 0.05]；干预后，观察组知识掌握情况各项评分及总分均高于对照组(均P < 0.05)；观察组健康行为总分为(108.32±4.12)分，高于对照组[(100.09±5.88)分，P < 0.05]；观察组宣教满意度高于对照组(P < 0.05)。结论基于格林模式的健康教育能促进幽门螺杆菌感染人群接受治疗并提高了根除率，有利于提高患者幽门螺杆菌感染知识掌握情况及健康行为，值得临床应用。
- 幽门螺杆菌 /
- 格林模式 /
- 健康教育 /
- 健康行为 /
- 用药依从性
Abstract: Objective This study uses the Green's model as a framework to analyze the effectiveness of health education in patients with Helicobacter pylori infection during health examinations, providing new ideas for clinical education. Methods A convenient sampling method was used to select 200 cases of Helicobacter pylori infection from health check-ups at the Affiliated Hospital of Shaoxing University of Arts and Sciences from June 2019 to December 2022 as the research objects. They were divided into the control group and the observation group with 100 cases each according to the random number table. The control group received routine health education, while the observation group received health education based on Green's model on the basis of the control group. The treatment rate, eradication rate, medication compliance, knowledge of Helicobacter pylori infection and health behavior score were compared between the two groups, and satisfaction of health education was counted. Results The treatment adherence rate in the observation group was 93.0% (93/100), while that in the control group was 78.0% (78/100). The comparison between the two groups was statistically significant (P < 0.05), and the eradication rate and good medication adherence rate of the observation group were 82.8% (77/93) and 94.6% (88/93), respectively, which were higher than 61.5% (48/78) and 82.1% (64/78) of the patients in the control group; after the intervention, the scores and total scores of knowledge mastery of patients in the observation group were higher than those in the control group (all P < 0.05); The total score of healthy behavior in the observation group was (108.32±4.12) points, which was higher than that in the control group [(100.09±5.88) points, P < 0.05]; the satisfaction with education in the observation group was higher than that in the control group (P < 0.05). Conclusion Health education based on Green's model can promote the treatment of people infected with Helicobacter pylori and improve the eradication rate of patients, which is conducive to improving the knowledge and health behavior of patients with Helicobacter pylori infection, and is worthy of clinical application.
- Helicobacter pylori /
- Green's mode /
- Health education /
- Healthy behavior /
- Drug compliance

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表 1 2组幽门螺杆菌感染患者一般资料比较

Table 1. Comparison of general data of Helicobacter pylori infection patients in 2 groups

组别	例数	性别(例)		年龄 (x±s，岁)	受教育时间 (x±s，年)	BMI (x±s)	合并疾病(例)
组别	例数	男性	女性	年龄 (x±s，岁)	受教育时间 (x±s，年)	BMI (x±s)	高血压	糖尿病	脑血管疾病	其他
对照组	100	57	43	38.77±6.15	14.32±2.64	22.58±3.59	11	8	10	5
观察组	100	55	45	38.72±6.42	14.34±2.82	22.60±3.74	14	6	11	4
统计量		0.081^a		0.056^b	0.052^b	0.039^b	0.790^a
P值		0.776		0.955	0.959	0.969	0.852
注：^a为χ²值，^b为t值。

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表 2 2组幽门螺杆菌感染患者根除率及用药依从性比较

Table 2. Comparison of eradication rate and medication compliance of Helicobacter pylori infection patients between 2 groups

组别	例数	根除率 (%)	用药依从性[例(%)]
组别	例数	根除率 (%)	良好	中等	差
对照组	78	61.5(48/78)	64(82.1)	8(10.3)	6(7.7)
观察组	93	82.8(77/93)	88(94.6)	4(4.3)	1(1.1)
χ²值		9.748	6.790
P值		0.002	0.009

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表 3 2组幽门螺杆菌感染患者干预前后幽门螺杆菌感染知识掌握情况比较(x±s，分)

Table 3. Comparison of knowledge of helicobacter pylori infection in 2 groups before and after intervention(x±s, points)

组别	例数	疾病知识		用药		饮食		运动		总分
组别	例数	干预前	干预后	干预前	干预后	干预前	干预后	干预前	干预后	干预前	干预后
对照组	100	8.17±1.41	14.11±2.24	7.42±1.27	12.25±2.31	10.33±2.55	14.31±2.77	10.56±1.83	13.66±2.59	36.83±3.41	55.83±4.08
观察组	100	8.20±1.18	17.71±1.09	7.44±1.40	16.89±1.38	10.28±2.12	17.88±1.11	10.61±1.64	17.33±1.26	36.85±3.57	68.79±3.41
t值		0.163	14.451	0.106	17.244	0.151	11.963	0.203	12.742	0.041	24.373
P值		0.871	< 0.001	0.916	< 0.001	0.880	0.001	0.839	< 0.001	0.967	< 0.001

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表 4 2组幽门螺杆菌感染患者干预前后健康行为评分比较(x±s，分)

Table 4. Comparison of health behavior scores in two groups of Helicobacter pylori infection patients before and after intervention(x±s, points)

组别	例数	营养			运动		人际关系		压力
组别	例数	干预前	干预后		干预前	干预后	干预前	干预后	干预前	干预后
对照组	100	8.38±0.85	10.33±2.17		10.22±1.66	12.37±1.24	15.63±2.35	15.88±2.10	16.22±3.66	16.20±3.11
观察组	100	8.40±1.10	13.16±1.02		10.18±1.34	15.61±1.18	15.65±2.06	15.90±1.88	16.26±3.19	16.23±2.65
t值		0.144	11.803		0.187	18.928	0.064	0.071	0.082	0.073
P值		0.886	< 0.001		0.852	< 0.001	0.949	0.943	0.935	0.942

组别	例数	健康责任					自我实现		总分
组别	例数	干预前		干预后			干预前	干预后	干预前	干预后
对照组	100	20.15±3.42		23.22±3.42			21.76±3.88	21.77±3.55	92.67±6.20	100.09±5.88
观察组	100	20.12±3.84		25.71±2.51			21.73±3.17	21.74±2.87	92.66±5.89	108.32±4.12
t值		0.058		5.870			0.060	0.066	0.012	11.463
P值		0.954		< 0.001			0.952	0.947	0.990	< 0.001

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