| 刘翠,段增杰,马苏.基于BCW理论的健康教育模式在门诊患者结肠镜检查前肠道准备中的应用[J].上海护理,2021,21(5): |
| 基于BCW理论的健康教育模式在门诊患者结肠镜检查前肠道准备中的应用 |
| Application of health education model based on BCW in outpatient bowel preparation |
| DOI： |
| 中文关键词: 肠镜 健康教育 行为改变模式理论 门诊患者 肠道准备 |
| 英文关键词:Colonoscopy health education BCW outpatient bowel preparation |
| 基金项目:上海长海医院教育研究课题资助（CHJG2020022）；海军军医大学第一附属医院“234学科攀峰计划”质量改进专项（2020YZL015）；海军军医大学第一附属医院“234学科攀峰计划”临床学科创新项目（2020YXK023）；2020年上海市护理学会优秀青年人才育苗计划 |
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| 中文摘要: |
| 目的 探讨基于行为改变模式（behavior change wheel，BCW）理论的健康教育模式在结肠镜检查肠道准备中的应用效果，以期提高患者肠道准备质量。方法 采用方便抽样法，选取2019年5月在海军军医大学第一附属医院消化内镜中心首次行结肠镜检查的211例患者为研究对象，采用随机数字表法将其分为观察组（n=104）和对照组（n=107）。对照组患者给予常规结肠镜检查前健康教育，观察组采用基于BCW理论的健康教育模式进行干预。比较两组患者对结肠镜检查知识的知晓情况、检查前肠道准备依从性、肠道准备质量及满意度评价。结果 观察组结肠镜检查相关知识调查问卷总得分为（42.95±2.75）分，高于对照组（39.15±6.05）分，组间比较差异有统计学意义（t=-5.850，P＜0.001）；观察组肠道准备依从性得分为（8.06±1.17）分，高于对照组（5.11±1.47）分，组间比较差异有统计学意义（t=-16.07，P＜0.001）；观察组波士顿肠道准备评分量表得分为（7.17±1.15）分，高于对照组（6.25±1.23）分，组间比较差异有统计学意义（t=5.609，P＜0.001）；观察组对结肠镜检查健康教育的满意度评价优于对照组（Z=-8.608，P＜0.001）。结论 基于BCW理论的健康教育模式能够提高患者对肠道准备方案的依从性，提高肠道准备质量，是结肠镜检查前肠道准备健康教育的有效途径和方法。 |
| 英文摘要: |
| Objective To construct a model of bowel preparation health education for outpatients based on the behavior change wheel (BCW) theory and discuss its clinical application, so as to improve the quality of bowel preparation for outpatients. Methods Patients were recruited in Digestive endoscopy center of a hospital in May 2019. Patients (n=220) were randomly assigned to the experiment group (n=110) and the control group (n=110). The experiment group received health education model based on the BCW, while the control group received routine health education. Date was collected through questionnaires. Outcomes includes knowledge mastery, compliance with bowel preparation, tolerance and adverse reactions, satisfaction with colonoscopy health education and quality of bowel preparation (Boston bowel preparation scale). Results There were significant difference in colonoscopy knowledge scores (42.95±2.75 vs 39.15±6.05), bowel preparation compliance scores (8.06±1.17 vs 5.11±1.47) , BBPS scores (7.17±1.15 vs 6.25±1.23 ) and health education satisfaction scores. Conclusions The health education model based on the BCW theory can improve patients" compliance with the bowel preparation plan and improve the quality of bowel preparation, which is an effective health education approach and method for patients with bowel preparation before colonoscopy. |
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