Application of knowledge-attitude-behavior theory based health education combined with health diary in ulcerative colitis patients

Abstract

Objective To explore the effects of knowledge-attitude-behavior theory based health education combined with health diary on medication adherence and quality of life in ulcerative colitis patients. Methods From February 2018 to January 2019, we selected 100 ulcerative colitis patients of Department of Gastroenterology at People's Hospital of Zhengzhou as subjects by convenience sampling. Patients were divided into control group and experimental group based on odd-even admission order, 50 cases in each group. There were 8 cases lost to follow-up due to out of touch in control group, and 4 cases withdrew from the study for various reasons in experimental group. Finally, totals of 42 cases were in control group and 46 cases were in experimental group. Control group carried out routine health education and discharge follow-up. On the basis of that, experimental group implemented knowledge-attitude-behavior theory based health education, and guided and supervised patients' health diary. The medication adherence and quality of life of patients between two groups were evaluated with the Morisky medication adherence scale and 36-item short-form health survey (SF-36) . Results Before intervention, there was no statistical difference in the scores of medication adherence patients between two groups (P>0.05) . After intervention, the score of medication adherence of experimental group was higher than that of control group with a statistical difference (P 0.05) . After intervention, the scores of bodily pain, general health status, vitality, social function, mental health of patients in experimental group were higher than those in control group with statistical differences (P 0.05) . Conclusions Knowledge-attitude-behavior theory based health education combined with health diary can improve medication adherence and quality of life of ulcerative colitis patients which has the generalization and application value. Key words: Colitis, ulcerative; Knowledge-attitude-behavior theory; Health records; Medication adherence; Quality of life