內科病人的心理特點及護理

論文編號:HL158  論文字數:13256.頁數:31

論文題目：冠心病患者健康教育的研究
 
摘　要
 
 目的：分析冠心病知識水平的影響因素;探討個體化健康教育和發放健康教育手冊相結合方法對冠心病患者健康知識水平的影響。
 方法:于2008年9月至2009年1月對2所綜合醫院心內科92例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。對干預效果進行統計分析。
 結果：1.）干預前患者冠心病相關知識的總得分為0.60±0.17(滿分為1)，患者的藥物知識得分最低，平均為0.20±0.20，二級預防知識得分最高，平均為0.85±0.15。
2）.患者接受個體化健康教育后知識得分為0.71±0.14，與干預前比較有顯著增長。
 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顯著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 composed 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 .The score of CHD-related knowledge was low in the inpatients with CHD, the average score was 0.60±0.17(Total score is 1).The average score of the secondary prevention knowledge is the highest among the 8 factors, which is 0.85±0.18,while the average score of the medication knowledge is the lowest, 0.20±0.20.
 2. The patients' score of CHD-related knowledge increased significantly (from 0.60±0.17 to 0. 71±0. 14) after receiving the personal specified education and reading the pamphlets.
Conclusion: The personal specified education and the pamphlet can play an
important role in increasing the inpatients' health knowledge, particularly
the medication knowledge.It is better for the nurses to assess the patient's literacy and the CHD-related knowledge level before giving the health education, and to
deliver the health information personally.
KEY WORDS: CHD, health education
TYPE OF THESIS: Applied  Research

目  錄
1 緒論 1
 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 5
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 9
4討論 11
5推論及建議 13
5.1推論 13
 5.2建議  13
致    謝 15
參考文獻 17
附    錄 19