以赋能模型为基础健康指导在突发性耳聋中应用效果.docVIP

以赋能模型为基础的健康指导在突发性耳聋中的应用效果 　　[摘要] 目的 探?分析以赋能模型为基础的健康教育对突发性耳聋患者的改善效果。 方法 选取2015年1～12月在广东省中医院住院治疗的120例突发性耳聋患者，采用随机数字表法随机分为观察组和对照组，每组各60例，研究中每组各失访2例，最终对照组58例患者实施常规干预，观察组58例患者在常规措施的基础上实施以赋能模型为基础的健康指导。在干预前及干预后评估并比较两组患者的疾病自我管理能力、疾病治疗依从性及治疗效果。 结果 干预前两组患者的自我管理能力及治疗依从性各维度的得分差异无统计学意义（P 0.05）。干预后观察组的自我管理能力总分及各维度得分、治疗依从性均明显提升，且明显高于对照组（P 0.01）；对照组在自我管理能力总分及各维度得分，休息、饮食、运动、复查和随访依从性的得分亦明显改善（P 0.05）。观察组患者的治疗效果明显优于对照组（P 0.01）。 结论 以赋能模型为基础的健康指导能提升突发性耳聋患者的疾病自我管理能力和治疗依从性，并能有效促进其病情的改善和恢复。 　　[关键词] 突发性耳聋；赋能模型；健康指导；应用效果 　　[中图分类号] R76 [文献标识码] A [文章编号] 1673-7210（2017）03（c）-0120-05 　　Application of energizing model based health guidance to patients with sudden deafness 　　KONG Zhe YU Zhuojin LI Hong 　　Department of Otorhinolaryngology， Guangdong Hospital of Chinese Medicine， Guangdong Province， Guangzhou 510120， China 　　[Abstract] Objective To discuss and analyze the improvement effect of energizing model based health guidance on patients with sudden deafness. Methods 120 patients with sudden deafness who were treated in Guangdong Hospital of Chinese Medicine from January to December 2015 were divided into the observation group and the control group according to random number table. There were 60 cases in each group， including 2 losses of follow up in each group. At last， 58 patients in the control group were adopted routine intervention， while the 58 patients in the observation group were adopted the energizing model based on health guidance plus routine intervention. Illness self-management capability， illness treatment compliance and treatment effect before and after intervention were evaluated and compared. Results There were no differences in the scores of all dimensions of self-management capability and treatment compliance of the two groups before intervention （P 0.05）. After intervention， the self-management capability score， the scores of its dimensions and all dimensions of treatment compliance of the observation group were higher than those before intervention， and which