Effectiveness of health education based on SHOW mode on self-management ability of venous thrombosis in patients with advanced lung cancer
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摘要: 目的 探讨基于“小视频(short video)+书面手册(handbook)+口头指导(oral)+微信(WeChat)”SHOW模式进行晚期肺癌患者静脉血栓自我管理的健康教育的效果。 方法 将2018年6—12月上海长海医院收治的符合纳入标准的140例晚期肺癌患者按随机数字表法分为观察组和对照组各70例。住院期间对照组采用书面手册或口头指导等单一形式进行宣教,而观察组采用SHOW模式进行健康宣教。2组患者在入院前均进行《VTE自我管理能力相关知识测试》,测试内容包括:①VTE重要性的认识程度评分;②早期症状的识别能力和相关急救技能的掌握程度。在出院时再次对2组患者进行《VTE自我管理能力相关知识测试》,评判患者静脉血栓自我管理的能力。 结果 SHOW模式健康教育的晚期患者对VTE重视程度评分要明显高于接受单一形式教育的患者[(4.81±0.39)分vs.(4.59±0.55)分,t=-2.827,P=0.005];SHOW模式的健康教育较单一形式教育更能提高晚期肺癌患者在预防静脉血栓和血栓急救措施的回答正确率(91.43%vs. 75.71%,χ2=6.295,P=0.021; 91.43%vs. 77.14%,χ2=5.393,P=0.035);而在血栓风险认识、血栓和肺栓塞的症状识别方面,2种健康教育方法均能提升患者静脉血栓自我管理能力。 结论 基于SHOW模式的健康教育有助于强化晚期肺癌患者静脉血栓自我管理能力,尤其在血栓预防和应急处置方面。Abstract: Objective To explore the effect of health education on venous thrombosis self-management in patients with advanced lung cancer based on the "short video+handbook+oral+WeChat" SHOW model. Methods A total of 140 patients who met the inclusion criteria were randomly divided into the experimental group and the control group. Each group has 70 patients. During the hospitalization, the control group used a single form such as a written manual or oral instruction to conduct the mission, while the experimental group used the SHOW model for health education. Both groups of patients underwent the VTE self-management related knowledge test before admission. The VTE self-management related knowledge test is revised according to the survey scale of Green et al., including the degree of recognition of the importance of VTE, the ability to recognize early symptoms and the mastery of relevant first-aid skills. At the time of discharge, the VTE self-management related knowledge test was again performed on the two groups of patients to judge the patient's ability to self-manage venous thrombosis. Results Patients with healthy education in SHOW mode scored significantly higher on VTE than those who received single-form education(4.81±0.39 vs. 4.59±0.55, t=-2.827, P=0.005). The health education in SHOW mode improved more than single form education. The correct rate of response to thromboprophylaxis for venous thrombosis and thrombosis in patients with advanced lung cancer(91.43% vs. 75.71%, χ2=6.295, P=0.021; 91.43% vs. 77.14%, χ2=5.393, P=0.035). In terms of thrombosis risk assessment, symptom identification of thrombosis and pulmonary embolism, both health education methods can improve the self-management ability of venous thrombosis in patients. Conclusion Health education based on SHOW mode can help to strengthen the self-management ability of venous thrombosis in patients with advanced lung cancer, especially in the prevention and emergency treatment of thrombosis.
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Key words:
- Health education /
- Advanced lung cancer /
- Venous thrombosis /
- Self-management
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