摘要
目的探讨基于督导强化模式的健康教育在心源性猝死(SCD)高危患者家属中的应用价值。方法选取2014年6月至2017年6月某院SCD高危患者家属100例,依据随机数字表法分为督强组和常规组,每组50例,常规组给予常规教育,督强组在常规教育基础上给予基于督导强化模式的健康教育,比较两组SCD疾病知识、心肺复苏(CPR)技能、焦虑、抑郁、教育满意度。结果督强组SCD疾病知识掌握率、CPR技能掌握率明显高于常规组,差异有统计学意义(P<0.05);在焦虑自评量表(SAS)、抑郁自评量表(SDS)得分方面,督强组和常规组干预后明显低于干预前,督强组干预后明显低于常规组,差异有统计学意义(P<0.05);督强组教育满意率明显高于常规组,差异有统计学意义(P<0.05)。结论基于督导强化模式的健康教育可有效提升SCD高危患者家属SCD疾病知识和CPR技能水平,缓解患者家属负性情绪,有利于提高护理满意度,值得临床进一步推广。
Objective To discuss the application value of health education based on supervision and reinforcement model in relatives of patients with high risk sudden cardia death （SCD）. Methods 100 relatives of patients with high-risk SCD were selected from June 2014 to June 2017 in our hospital. According to the random distribution, all patients were divided into supervision group and control group, with 50 cases in each group. Control group was given routine education, and supervision group on the basis was given health education based on supervision intensifying model. The SCD disease knowledge, cardiopulmonary resuscitation （CPR） skills, anxiety, depression, education satisfaction of the two groups were compared. Results The SCD disease knowledge mastery rate, CPR skills mastery rate of supervision group were significantly higher than those of control group, and the difference was statistically significant （P〈0. 05）. In self-rating anxiety scale （ SAS） and self -rating depression scale （SDS）, the scores of supervision group and control group after intervention were significantly lower than those before intervention, the scores of supervision group after intervention were significantly lower than those of control group, and the differences were statistically significant （P〈0. 05）. The education satisfaction rate of supervision group was significantly higher than that of control group, and the difference was statistically significant （P〈0. 05）.Conclusion Health education based on supervision and reinforcement mode can effectively improve the SCD disease knowledge and CPR skills in relatives of patients with high-risk SCD,it can relieve the negative emotions of family members, and it is helpful to improve nursing satisfaction, which is worth further clinical promotion.
作者
杨洋
陈军
YANG Yang;CHEN Jun(Department of Emergency,Huangshi Central Hospital,Eastern HubeiMedical Group（Hubei Polytechnic University Affiliated Hospital）,Huangshi 435000;Department of Respiratory Medicine,Huangshi Central Hospital,Eastern Hubei Medical Group（Hubei Polytechnic Uni-versity Affiliated Hospital）,Huangshi 435000)
出处
《解放军医院管理杂志》
2018年第10期939-942,共4页
Hospital Administration Journal of Chinese People's Liberation Army
关键词
督导强化模式
健康教育
心源性猝死
高危
患者家属
supervision and reinforcement model
health education
sudden cardia death
high risk
rela-tives of patients
