個體化健康教育結合教育手冊對冠心病患者健康知識水平影響研究

論文編號:HL125  論文字數:10736.頁數:22

論文題目：個體化健康教育結合教育手冊對冠心病患者健康知識水平影響研究
摘　要
 目的：分析患者冠心病知識水平的影響因素，探討個體化健康教育與發放健康教育手冊相結合的方法對冠心病患者健康知識水平的影響。
 方法: 根據研究目的制定一般情況調查表。查閱國內外冠心病知識相關資料，編輯冠心病健康教育手冊。制定冠心病相關知識問卷，請相關專家對問卷進行初步效度的評價，內容效度系數為0.88，測得信度系數Cronbach’Sa為0.907，根據專家的建議對問卷進行修改后成為正式調查問卷。于2008年9月至20097年1月對2所綜合醫院心內科冠心病患者進行一般資料和冠心病相關知識問卷調查。針對患者知識缺乏的部分進行針對性的個別指導和發放教育手冊相結合的方式進行健康知識教育干預。1周后，采用相同的冠心病相關知識問卷對患者進行再次調查。
 結果：1）干預前患者冠心病相關知識的總得分為0.60士0.17(滿分為1)，患者的藥物知識得分最低，平均為0.20士0.20，二級預防知識得分最高，平均為0.85士0.15。2）影響患者冠心病知識水平的因素有患者的文化程度和經濟水平，未發現冠心病知識水平與患者的年齡、性別、飲食習慣、活動習慣、住院次數、因為冠心病的住院次數、體重指數、腹圍、婚姻狀況、是否吸煙有關。3）患者接受個體化健康教育后知識得分為0.71士0.14，與干預前比較有顯著增長（P<0.05）。
 結論：針對冠心病住院患者進行個體化的健康教育加發放健康教育手冊的方法能提高患者的冠心病知識水平，尤其是藥物相關知識。護理人員需要根據住院冠心病患者的原有的知識水平和文化程度有針對性地進行個體化健康教育。
 關 鍵 詞  冠心病，健康教育
 論文類型：應用研究
 
 
 
 Title: Evaluation of effectiveness of education intervention oninpatients with coronary heartdisease
ABSTRACT
 Objectives: TO investigate the CHD-related knowledge level of inPatients: to Probe the role of the education PamPhlets and the Personal edueation.
 Methods: The study，which was used anquasi-exPerimental design，Was conducted at 2 Cardiovascular wards.From SePtember 2008 to January 2009，Purposive samPles of 92 Patients were selected as the subjeets of the study.Instruments used for data eolleetion were c0mPosed of 2 Parts:DemograPhic Data Recording Form(DDRM)and the CHD-related Knowledge Scale.Data were collected before and after the Personal sPeeified edueation.DeseriPtive analysis，chi-square test，two-samPle t-test，analysis of variance(ANOVA)，Wilcoxon rank sum test，Paired t-test and rePeated measurement ANOVA were Perfomed using with the Statistieal Package for Social Seience(SPSS)13.0.
 Results: 1.) Before intervention in patients with coronary heart disease-related knowledge, somehow divided into 0.60 ± 0.17 (out of 1), the patient's medication knowledge score was the lowest average of 0.20 ± 0.20, the highest secondary prevention knowledge score, with an average of 0.85 ± 0.15 . 2.) Level of knowledge of patient factors with coronary heart disease in patients with education level and economic level, level of knowledge not found in patients with coronary heart disease by age, sex, eating habits, activity habits, frequency of hospitalization, hospitalization for coronary heart disease, weight index, abdominal circumference, marital status, smoking related. 3.) Patients receiving individual health education knowledge score was 0.71 after the 0.14 persons, compared with before intervention had significant growth.
 Conclusion:Patients hospitalized for coronary heart disease health education plus individualized health education manual payment method can significantly improve the level of knowledge in patients with coronary heart disease, especially drug-related knowledge. Nurses need to CAD patients of the original level of knowledge and culture and carry out individualized health education.
 KEY WORDS: Coronary heart disease, health education
 TYPE OF THESIS: Applied  Research

目  錄
1 緒論 9
 
 1.1背景及意義………………………………………………………………………… 1
 1.2研究目的及目標……………………………………………………………….........1
 1.3關鍵詞及定義…………………………………………………………………….....1
 1.4文獻回顧…………………………………………………………………………….1
2研究設計 13
2.1研究對象 5
2.2一般資料 5
 2.3研究方法…………………………………………………………………………….5
 2.4研究步驟…………………………………………………………………………….6
3 結果 17
4討論 21
5推論及建議 23
5.1推論 …..23
 5.2建議  23
致    謝 25
參考文獻 27