Routine Health Education Research Articles

The effect of intrinsic motivation on self-efficacy and quality of life for low vision patients

Objective To investigate the effect of self-management program on low vision patients and the role of intrinsic motivation. Methods A total of 160 low vision patients were assigned into 2 groups by random digits table method with 80 cases each. The control group was given routine doctor's advice and health education,and the observation group was given a self-management program guided by well trained medical personnel on the basis of the control group.The General Self-efficacy Scale (GSS) and Chinese-version Low Vision Quality Of Life questionnaire (CLVQOL) was conducted before and after intervention. The patients' intrinsic motivation also was evaluated by Intrinsic Motivation Inventory (IMI) after intervention. Results The total score and scores of interest/fun, inner selectivity, subjective ability and stress/strain dimensions of IMI were (62.25±3.74), (18.43±3.67), (16.13±1.53), (16.05±7.34), (11.64±2.74) points、in observation group and(50.24±4.32), (13.53±2.78), (13.67±1.75), (13.52±2.42), (9.52±1.77) points in control group, and there were significant differences (t=5.813-18.800,P <0.05). The scores of GSS and CLVQOL in observation group after intervention were (27.49±3.41), (64.30±7.04) points, which were higher than those in control group:(16.54±2.25), (34.86±3.99) points, and there were significant differences (t=23.973, 32.540,P <0.05). After intervention,the total score and interest/fun, inner selectivity, subjective ability and stress/strain dimensions of IMI in observation group were positively associated with the score of GSS(r =0.663-0.739,P <0.05). The total score of IMI was positively associated with the total score of CLVQOL(r=0.765,P <0.05). In addition, a positive association was observed between the total score and each dimension of CLVQOL and inner selectivity, subjective ability and stress/strain dimensions of the IMI(r=0.661-0.765,P <0.05). Conclusions A self -management program can improve low vision patients' self-efficacy and quality of life, intrinsic motivation is the important factor influencing the effect of self-management program. Key words: Vision, low; Quality of life; Self-management; Intrinsic motivation; Self-efficacy

Effects evaluation of health educational prescription on adverse events of vaccinoprophylaxis in community

Objective To provide basic references for the utilization of health educational prescription in community and to evaluate the intervention effects of health educational prescription in child vaccinoprophylaxis. Methods A total of 1055 participants (age ranged from 1-24 months) along with their parents were recruited from the community received routine health education about vaccinoprophylaxis. Participants were randomly divided into control group (n=495) and intervention group (n=560). All parents in the control group received the conventional health education, while parents in the intervention group received the additional health education prescription based on the conventional health education. The rate of adverse reaction of vaccinoprophylaxis in children and the satisfaction level in parents for health care were compared between two groups after six months′ interventions. Results The incidence rate of adverse reaction in the intervention group were lower than that of the control group (P<0.01). The satisfaction level of parents in the intervention group was 97.3% and was 90.9% in the control group (χ2=4.24, P<0.05). Conclusions The health educational prescription can reduce the incidence of adverse reaction in children and improve the satisfaction level in parents. It is worthy of promotion in community child vaccinoprophylaxis. Key words: Community; Child; Planned immunization; Health educationa; Adverse reaction

Influencing of "321" health education pattern on self-efficacy and quality of life in patients with chronic heart failure

Objective To explore the 321 health education pattern on self-efficacy and quality of life in patients with chronic heart failure. Methods We selected 210 patients with chronic heart failure from February 2012 to 2014 in our hospital. All patients were randomly divided into experimental group and control group, each group of 105 patients. The patients of experimental group underwent 321 health education pattern, while the patients of control group were taken routine health education model. Results The score of anxiety was (48.43±7.82) in the experimental group comparing with (58.21±7.66) in the control group during slationary phase (t=2.219, P<0.05). The scores of sleep quality were (7.69±1.74) in the experimental group and (12.32±2.19) in the control group (t=3.225, P<0.05) when patients discharged. Conclusions After 321 model of health care, patients with chronic heart failure improved their emotional control ability and sleep quality, as well as quality of life. Key words: Health education mode; Chronic heart failure; Anxiety; Sleep; 321pattern

Application effects of standardized communication method on health education in PCI patients

Objective To explore the application effects of SBAR (situation, background, assessment, recommendation) as a standardized communication method for percutaneous coronary intervention (PCI) health education. Methods We studied 80 selective PCI patients who were averagely divided into experimental group and control group. The PCI patients of experimental group underwent SBAR communication method for health education while the patients of control group received routine health education method. The effects of health education were compared between two groups. Results The patients of experimental group had 100% satisfaction rate for nurse′s health education method comparing with 67.5% in the control group (χ2=15.522, P 0.05). Conclusions The utilization of SBAR communication method can standardize the communication process and the behavior of medical staffs, as well as the health education route of PCI, improve the efficiency and quality of nursing work, promote the cooperation of medical staff team and harmonize the relationship between nurses and patients. Key words: Coronary heart diseases; Health education; Coronary intervention; Standardized communication

Long-term effect of respiratory training for chronic obstructive pulmonary disease patients at an outpatient clinic: a randomised controlled trial.

ObjectiveTo assess the effect of respiratory training (RT) on lung function, activity tolerance and acute exacerbation frequency with chronic obstructive pulmonary disease (COPD).DesignA randomised controlled trial.SettingOutpatient clinic and home of the COPD patients, Zhengzhou City, China.SubjectsSixty participants with COPD were randomised into two groups: an intervention group (n = 30) which received the RT in self-management and a control group (n = 30) that received an education program during the study.InterventionPulmonary function, activity tolerance and frequency of acute exacerbation of these COPD patients were evaluated before and after the program. The intervention and control programs were delivered at monthly outpatient clinic visits over a period of 12 months. The pulmonary rehabilitation (PR) program was conducted by a physiotherapist (who delivered RT to the participant over a minimum of 1 h per visit) for the intervention group, whereas the control group received routine health education provided by physiotherapists. The intervention group patients were then instructed to perform exercises at home as taught in the RT at least 5 days per week at home.ResultsAfter 12 months of RT, the lung function and the activity tolerance of the COPD patients in the intervention group were significantly improved and the exacerbation frequency was also decreased.ConclusionLong-term RT can improve lung function and activity tolerance while decreasing the frequency of acute exacerbation for COPD patients.

Influence of health education based on the transtheoretical model on controllable behavior factors of stroke patients

Objective To explore the effect of health education based on the transtheoretical model on controllable behavior factors of stroke patients. Methods A total of 124 cases of first stroke were randomly divided into experimental group and control group with 62 cases in each.Health education based on the transtheoretical mode was applied in the experimental group, while the control group was given routine health education in department of internal medicine.After hospital discharge 6 months and 12 months, the awareness rate of stroke rehabilitation knowledge, secondary prevention behavior, knowledge of risk factors of stroke success rate and cerebral events were compared. Results The scores of stroke rehabilitation knowledge, secondary prevention behavior and risk factors of stroke compliance rate were higher than those of control group(P<0.01 and P<0.05). Conclusions Compared with the neurological department of internal medicine routine health education, health education based on the transtheoretical model can significantly improve stroke patients controllable behavior. Key words: Stroke; Controllable behavior factors; Quality of life; Health education

The effect of clinical nursing pathway on the health education for patients with clubfoot orthopedic surgery

Objective To explore the effect of clinical nursing path ways on the health education for patients with clubfoot orthopedic surgery. Methods A total of 84 patients with clubfoot orthopedic surgery were randomly divided into control group and observation group, observation group adopted full-course health education by clinical nursing pathway table, control group adopted routine health education. Results After the implementation of clinical nursing pathway, the average length of stay, cost of hospitalization, and postoperative incidence of adverse reactions and complications in observation group were significant lower than those in control group.And both the health education content mastery and patients' satisfaction of nursing services in observation group were substantial increased (both P<0.05). Conclusions The application of clinical nursing pathways can be helpful to improve the effects of health education, reduce health care costs and the incidence of postoperative adverse reactions and complications, shorten the average length of stay, enhance the exchange of communication between doctors and patients, nurses and patients, and cultivate young nurses. Key words: Clinical nursing pathway; Clubfoot orthopedic surgery; Health education

Influence of the concept of minimum safe remaining volume to children in continuous intravenous infusion

Objective To measure the concept of minimum safe remaining volumes in continuous venous transfusion and provide the basis to determine the optimal time to replace solution in the process of continuous intravenous infusion. Methods 118 children who indwelled in Feb to Mar 2013 were selected and randomly divided into control and experimental groups. In the experimental group, nurses determined the time to replace liquids under the guidance of minimum safe remaining volumes, and in the control group, nurses adopted the routine health education. Comparisons were conducted on the calling status of children and the judgments of nurses during each replacement of liquids. The observation lasted for 7 days. After the 7-day-treatment, the children were surveyed to evaluate the satisfaction of nursing visiting. Results There were 1 732 cases in the experimental group and 1 690 cases in the control group. There were significant differences in remaining volumes and calling rate of venous transfusion between the two groups(P<0.01). There were significant differences in parents'satisfaction with change in time, inspection and maintenance and ability of solving the problem between the two groups(P<0.05). Conclusions Measuring and using the concept of minimum safe remaining solution volumes in continuous intravenous infusion can improve the efficacy and safety of intravenous infusion nursing, reduce the risk of nursing and improve nursing satisfaction. Key words: Intravenous infusion; Safe remaining solution; Nursing risk; Children

Influence of peer education on maintenance knowledge of patients with peripherally inserted central catheter

Objective To investigate the influence of peer education on maintenance knowledge of patients with peripherally inserted central catheter (PICC)outside the hospital. Methods 74 patients with PICC were divided into the intervention group and the control group with 37 patients in each group according to the random digit table, the intervention group received peer education and the conventional health education, while the control group only received routine health education. The maintenance knowledge of PICC was investigated with questionnaires and the results were analyzed. Results After intervention, the maintenance knowledge of the intervention group was significantly higher than that of the control group[(36.95±2.84)scores vs.(31.78±4.79)scores,t=5.639,P<0.05]. The incidence rate of complications in the intervention group was lower than that of the control group [21.6% (8/37)vs. 62.2%(23/37), χ2=12.491, P<0.01]. Conclusions The peer education can improve patients' maintenance knowledge about PICC and reduce the occurrence rate of the complications of PICC. Key words: Catheterization, central venous; Peer education; Awareness; Complication

The effect of nursing intervention on the life quality of metabolic syndrome patients induced by antipsychotic medication

Objective To discusses the effect of nursing intervention on the life quality of metabolic syndrome patients induced by antipsychotic medication. Methods Sixty patients were divided into control group and intervention group,each had 30 cases. The control group was given routine nursing and health education, the intervention group was given knowledge and behavior intervention additionally. The levels of fasting blood glucose,TG,TC, LDL-C,blood pressure, body mass index were compared after 3 months. Results The levels of fasting blood glucose,TG,TC,LDL-C,blood pressure, body mass index were improved in intervention group after 3 months than those of control group. The scores of eight dimentions of life quality of intervention group were better than those of control group. Conclusions Nursing intervention promote rehabilitation of metabolic syndrome patients induced by antipsychotic medicatio, enhance the quality of life of the patients. Key words: Nursing intervention; Antipsychotic drugs; Metabolic syndrome; Quality of life

The effects of whole course health education path on the quality of life in patients with depression

Objective To investigate the application of health education path for improving the quality of life in patients with depression. Methods On March to November of 2011,67 cases of inpatients with major depression in our hospital mental wards were randomly divided into the observation group(34 cases)and control group(33 cases). During hospitalization and 6 months of discharging from hospital, patients in the observation group were received health education path,while patients in the control group were only received routine health education. Two groups of patients were assessed by WHO quality of life scale(WHOQOL-100)score in 24 h after admission,at discharge and 6 months after discharging from hospital. Results In the observation group,the life quality score at discharge and at six months after discharging were statistically better than that in the control group(P<0.01 or P<0.05). Conclusions The application of full health education path can effectively improve the quality of life in patients with depression. Key words: Health education path; Depression; Quality of life

Dioxin risk reduction programme at the most severe dioxin hot spot in Vietnam: Residual knowledge, attitude and practices five years post intervention

ABSTRACTBien Hoa Airbase was one of the bulk storage and supply facilities for defoliants during the Vietnam War. Environmental and biological samples taken around the airbase have elevated levels of dioxin. In 2007, a pre-intervention knowledge, attitude and practice (KAP) survey of local residents living in Trung Dung and Tan Phong wards was undertaken regarding appropriate strategies to reduce dioxin exposure. A risk reduction programme was implemented in 2008 and post-intervention KAP surveys were undertaken in 2009 and 2013 to evaluate the longer term impacts. Quantitative assessment was undertaken via a KAP survey in 2013 among 600 local residents randomly selected from the two intervention wards and one control ward (Buu Long). Eight in-depth interviews and two focus group discussions were also undertaken for qualitative assessment. Most programme activities had ceased and dioxin risk communication activities had not been integrated into local routine health education programmes; however, main results generally remained and were better than that in Buu Long. In total, 48.2% of households undertook measures to prevent exposure, higher than those in pre- and post-intervention surveys (25.8% and 39.7%) and the control ward (7.7%). Migration and the sensitive nature of dioxin issues were the main challenges for the programme's sustainability.

Application of health education intervention based on protection motivation theory in community female patients with stress urinary incontinence

Objective To apply the health education intervention based on protection motivation theory in community female patients with stress urinary incontinence, in order to establish a health behavior and to control urinary incontinence. Methods 96 female patients with stress urinary incontinence were randomly divided into the control group and the experimental group by random number table method, the control group received routine health education, the experimental group received health education based on protection motivation theory. The ICI-Q-SF score, pelvic muscle exercise compliance scale score, urinary incontinence coping efficacy score were compared between the control group and the experimental group. Results The ICI-Q-SF score of the experimental group after the intervention was 5.43±1.77 ,which was significant lower than that in the control group, 7.96±2.98,t=4.88,P<0.01. The urinary incontinence coping efficacy scores of experiment groups after the intervention was 17.63±1.85, which was higher than that in the control group, 13.49±2.46,t=-9.09,P<0.01. There were 29 cases accounted for 63.04% with good compliance and 17 cases accounted for 36.96% with poor compliance in experimental group after intervention, 14 cases accounted for 31.11% with good compliance and 31 cases accounted for 68.89% with poor compliance in control group after intervention, the difference was statistically significant,χ2=9.306,P<0.05. Conclusions Health education based on protection motivation theory can promote the coping efficacy and health behavior of community female patients with stress urinary incontinence and can effectively control urinary incontinence symptom. Key words: Urinary incontinence, stress; Protection motivation theory; Middle-aged female; Self-efficacy

Effect of network peer education on the 131I treatment adherence in patients with thyroid cancer

Objective To study the effect of network peer education on the 131I treatment adherence in patients with thyroid cancer. Methods A total of 120 patients with thyroid cancer who performing 131 I treatment from April 2012 to April 2014. They were divided into intervention group 61 cases and control group 59 cases according to the hospital ward number. Control group was given routine health education and intervention group was given network peer education. The data from the habits, drug therapy, grasp the situation, the equivalent monitoring of the relevant knowledge of 4 different dimensions of treatment adherence for patients were investigated and compared before discharge by using questionnaire and examination method. Results The incidence of the good habits, drug therapy,grasp the situation, and the equivalent monitoring reaching the standard were 96.7% (59/61), 98.4% (60/61), 96.7% (59/61), 100.0% (61/61) in intervention group, and 54.2%(32/59), 76.3%(45/59), 79.7%(47/59), 89.8%(53/59) in control group, there were significant differences,χ2=29.54, 13.38, 8.47, 4.56, P<0.01 or <0.05. Conclusion Network peer education for patients with thyroid cancer during the 131I treatment can effectively improve the patient's treatment adherence, has positive significance for the treatment. Key words: Thyroid neoplasms; Iodine isotopes; Patient compliance; Network peer education

Cognitive behavior therapy treated preoperative anxiety and depression for patients with aneurysm clipping

Objective To investigate the effects of cognitive behavior therapy on anxiety and depression for patients with aneurysm clipping. Methods A total of 80 patients with aneurysm clipping were chosen and averagely divided into intervention group with cognitive behavior therapy based on control group and control group taking routine nursing and health education by random number table. The mean arterial blood pressure (MAP) and heart rate(HR)were compared and documented the level of anxiety and depression by SAS and SDS. Results Compared with the control group, after the interventions the SAS [(52.12±3.46)] and SDS [(31.25±2.82)] score were dramatically decreased in the intervention group (t=2.98, 3.14; P<0.05); and the MAP [(88.5±2.8)mmHg] and HR [(87.5±3.7)beats/min] in the intervention group were better than these of the control group as well (t=3.74, 3.23; P<0.05). Conclusions Cognitive behavior therapy can reduce the intensity of stress reaction and alleviate anxiety and depression emotions in the patients with aneurysm clipping. Key words: Cognitive behavior therapy; Aneurysm; Anxiety; Depression

Application of health education path to the canicule moxibustion prevention and treatment of children with recurrent respiratory tract infections

Objective To investigate the effect of health education path on canicule moxibustion prevention and treatment of children with recurrent respiratory tract infections. Methods 200 cases of routine canicule moxibustion treatment of recurrent respiratory tract infections were randomly divided into observation and control groups, patients in the observation group were given selfdesigned health education path table implementation of nursing intervention and in control group were given routine health education, recurrent respiratory tract infection of knowledge to grasp the situation and efficacy were observed. Results The situation to grasp the knowledge and efficacy of health education of children in observation group were significantly higher than those of control group (P< 0.01). Conclusions Health education path could promote the situation of children and parents to master related knowledge, increase the efficacy. Key words: Health education path; Moxibustion; Recurrent respiratory tract infections

Effect analysis of transtheoreical model for weight control in obstructive sleep apnea hypopnea syndrome

Objective To probe into the intervention effect analysis of transtheoreical model for weight control in Obstructive Sleep Apnea Hypopnea Syndrome (OSAHS) patients. Methods A total of 134 OSAHS patients were randomly divided into the intervention group (69 cases) and the control group (65 cases) from November 2013 to January 2014. Patients in the intervention group received transtheoreical model for weight control, and patients in the control group received routine health education. They were evaluated in the aspects of the weight control intention stage, BMI, the number of weekly exercise more than 3 times, neck size and the score of Epworth sleepiness. Results The weight control intention change stage, BMI of the two groups were significantly different(F=22.45, 22.00; P<0.01). The number of weekly exercise more than 3 times, neck size and the score of Epworth sleepiness of the two groups were significantly different(χ2/t=45.32, -2.32, -2.06; P<0.05). Conclusions The transtheoreical model intervention framework can efficiently change the weight control intention stage of the OSAHS patients. It′s an effective method for weight control, and it can reduce the BMI and neck size, also can improve the sleeping quality of the patients. Key words: Transtheoreical model; Obstructive sleep apnea hypopnea syndrome; Weight control; Sleeping quality

Effects assessment of gestational diabetes mellitus club health education model based on theory of planned behavior

Objective To explore the effects of gestational diabetes mellitus (GDM) club health model based on theory of planned behavior (TPB). Methods By convenient sampling method, we selected 60 patients who were diagnosed as GDM when they had prenatal examination during gestational 22 weeks to 28 weeks as research sampling from August to December in 2013. According to touch ball method of simple random sampling method, 30 GDM patients with single number took part in GDM club as experimental group while another 30 GDM patients with double number involved routine health education as control group. The fasting blood glucose (FBG), 2 h postprandial blood glucose (2 h PBG), diabetes mellitus knowledge scale and self-efficacy had been observed and compared before and after intervention. Results After the intervention, the FBG and 2 h PBG were (4.99±0.31), (7.89±0.93) mmol/L in the experimental group, which were better than those of the control group (t=-2.11, -2.08, respectively; P<0.05). The total score of diabetes mellitus knowledge scale was (25.70±2.72) in the experimental group, which was higher than that of the control group (t=4.18, P<0.01); the gravida of the experimental group had more confidence at diet management, excise management, blood glucose control than the control group (P<0.05). Conclusions GDM club health education based on TPB can provide a feasible and theoretical health education method (club type) for GDM, and it is worthy of clinical promotion. Key words: Diabetes mellitus, encyesis; Health education; Theory of planned behavior

The role of multi-media health education in improving the rate of primipara breastfeeding

Objective To explore the role of multi- media health education in improving the rate of primipara breastfeeding. Methods In our hospital 200 primipara were randomly divided into observation group and control group. The primipara in observation group received multi- media health education plus routine health teaching, and the primipara in control group received routine health education. Results The primipara in observation group were superior to those in control group in knowledge and skill of breastfeeding. Conclusions Multimedia health education can improving the learning enthusiasm of primipara, ensure the content of health education standardization, and improve effectiveness of health education and working efficiency of nurse. Key words: Multi-media; Health education; Primipara; Breastfeeding

Application effect of discharge-home transition management scheme in patients with chronic heart failure

Objective To explore the application effect of discharge-home transition management scheme in patients with chronic heart failure. Methods From January 2013 to February 2014, 200 patients with chronic heart failure were selected and randomly divided into the observation group and the control group, with 100 cases in each group. The observation group were given the discharge-home transition management scheme, while the control group was used the routine health education. After 4-month follow-up, rate of re-admission and regular hospital return visit, breath training, regular exercise, regular medication and other nursing indicators were compared between the two groups. Results In the observation group, 54, 32 and 14 cases had high, moderate and low level of self-care, which was significantly better than those of the control group (Hc=10 773, P<0.05). The re-admission rate and regular hospital return visit rate were 7% and 73%, which were significantly higher than those of the control group (χ2=5.351, 4.935, respectively; P<0.05). The breath training, regular exercise and regular medication were also significantly better in the observation group (χ2=4.863, 5.482, 6.571, respectively; P<0.05). Conclusions Discharge-home transition management scheme in patients with chronic heart failure can improve patients′ recovery capability, which can be further extended and used in clinical practice. Key words: Chronic heart failure; Discharge-home; Transition period; Management scheme