内科病人的心理特点及护理

论文编号:HL158  论文字数:13256.页数:31

论文题目：冠心病患者健康教育的研究
 
摘　要
 
 目的：分析冠心病知识水平的影响因素;探讨个体化健康教育和发放健康教育手册相结合方法对冠心病患者健康知识水平的影响。
 方法:于2008年9月至2009年1月对2所综合医院心内科92例冠心病患者进行一般资料和冠心病相关知识问卷调查。针对患者知识缺乏的部分进行针对性的个别指导和发放教育手册相结合的方式进行健康知识教育干预。1周后，采用相同的冠心病相关知识问卷对患者进行再次调查。对干预效果进行统计分析。
 结果：1.）干预前患者冠心病相关知识的总得分为0.60±0.17(满分为1)，患者的药物知识得分最低，平均为0.20±0.20，二级预防知识得分最高，平均为0.85±0.15。
2）.患者接受个体化健康教育后知识得分为0.71±0.14，与干预前比较有显著增长。
 结论：针对冠心病住院患者进行个体化的健康教育加发放健康教育手册的方法能显著提高患者的冠心病知识水平，尤其是药物相关知识。护理人员需要根据住院冠心病患者的原有的知识水平和文化程度有针对性地进行个体化健康教育。
 
 关 键 词  冠心病，健康教育
 
 论文类型：应用研究
 
 
 
 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  录
1 绪论 1
 1.1背景及意义………………………………………………………………………… 1
 1.2研究目的及目标……………………………………………………………….........1
 1.3关键词及定义…………………………………………………………………….....1
 1.4文献回顾…………………………………………………………………………….1
2研究设计 5
2.1研究对象 5
2.2一般资料 5
 2.3研究方法…………………………………………………………………………….5
 2.4研究步骤…………………………………………………………………………….6
3 结果 9
4讨论 11
5推论及建议 13
5.1推论 13
 5.2建议  13
致    谢 15
参考文献 17
附    录 19