Effects of health education under the concept of health quotient on self-management ability and medication compliance among ulcerative colitis patients

Abstract

Objective To explore the effects of health education under the concept of health quotient on self-management ability and medication compliance among ulcerative colitis patients. Methods From December 2015 to December 2017, we selected 140 ulcerative colitis patients at Nanyang City Center Hospital of the Affiliated Hospital of Zhengzhou University as subjects by convenience sampling. All of the patients were divided into observation group and control group with the method of random number table, 70 cases in each group. Control group adopted routine health education, while observation group carried out health education under the concept of health quotient which implemented health education using five dimensions of health quotient concept as start points. The intervention effects of patients of two groups, self-management ability and medication compliance, were compared with the Adult Health Self-Management Skill Rating Scale (AHSMSRS) and Morisky Medication Adherence Scale before (on admission) and after (reexamining three months after discharge) intervention. Results Before intervention, there were no statistical differences in the dimension scores of AHSMSRS of patients between two groups (P>0.05) . After intervention, the scores of AHSMSRS both groups all increased compared with those before intervention; the scores of diet management, sport management, responses to the diseases, resource usage, self-efficacy and environment self-management and the total score of AHSMSRS in observation group after intervention were higher than those in control group with statistical differences (P<0.05) . After intervention, the fine rate of medication compliance of observation group was 95.71% statistically higher than that (85.71%) of control group (P<0.05) . Conclusions Health education under the concept of health quotient can improve self-management ability and medication compliance among ulcerative colitis patients which is worthy of being spread in clinical application. Key words: Colitis, ulcerative; Medication adherence; Health education; Concept of health quotient; Self-management ability