【作者】 徐裴；

【导师】 刘志敏； 姜润生； 唐松源；

【作者基本信息】 昆明医学院 ， 社会医学与卫生事业管理， 2010， 硕士

【摘要】 研究目的了解云南省某肿瘤专科医院对住院患者开展健康教育的现状,分析影响肿瘤患者健康教育效果的因素,提出有效开展住院肿瘤患者健康教育的相关建议,为医院健康教育模式提供依据。研究对象和方法本研究为横断面调查设计,采用定性与定量相结合的方法,对234例住院肿瘤患者和130例医护人员进行了结构式问卷调查,对部分患者进行了个人深入访谈,对长期从事医院健康教育的医护人员和管理人员进行小组访谈。通过调查了解患者对医院健康教育的接受程度和需求等情况,同时了解医院及医护人员开展健康教育活动的现状等,探讨影响医院健康教育有效开展的因素。研究结果与发现(1)现阶段,云南省某肿瘤医院的健康教育活动已按计划实施起来且初见成效,但符合医院实际情况的健康教育模式和体系尚在搭建中;(2)患者掌握了一定的肿瘤防治相关知识,逐渐形成了健康信念和健康行为,他们对健康知识的需求越来越大;(3)医院缺乏专门的健康教育人员,医护人员的力量并未完全发挥;(4)医院管理层和上级部门对医院健康教育的的认识不足,支持力度不够,缺少专项基金。结论提高医院全体员工对医院健康教育重要性的认识,加强管理人员对医院健康教育的支持,增加医院健康教育专项经费,建立符合云南省某肿瘤医院实际情况的健康教育模式,构建合理的健康教育网络,系统化、规范化地开展医院健康教育;针对不同患者的健康需求实施个性化的健康教育,不断满足患者的健康需求,提高患者对疾病的认识和对治疗的依从性,促进患者疾病的康复和生活质量的提高。更多还原

【Abstract】 Objectives: To understand the current status of health education amongst cancer patients in Yunnan Province Hospital, to explore the factors which influence the delivery of health education in the hospital setting, to utilize this data to create and subsequently present some effective proposals which may provide the basis for an informed and effective hospital health education pattern.Subjects and Methods: This research uses the cross-sectional survey design to collect data by qualitative and quantitative methods. Structured questionnaires were completed by 234 patients and 130 doctors and nurses; some of the patients participated in qualitative interviews, while some doctors, nurses and managers participated in a group interview. Part of this research focuses on the demand for and attitude towards hospital health education amongst patients. The other portion of this research is focused on how hospital health education is carried out by doctors and nurses, as well as the exploration of factors which influence these education activities.Results and Findings: (1) At present, health education activities have been implemented according to the hospital’s plan, and have won some initial successes but the hospital lacks a comprehensive health education model; (2) Patients acquire some knowledge of some tumor prevention and cure; their health belief and health behavior take form gradually; their demands for health education also increase; (3) Hospital health education is not delivered by professional and dedicated staff, therefore the burden falls on doctors and nurses which results in ineffective delivery; (4) The managers in the hospital and other higher authorities do not direct enough support or funding towards health education.Conclusion: Improve all hospital staff’s understanding of the significance of hospital health education; strengthen managerial support and funding towards hospital health education; explore a hospital health education pattern consistent with the hospital reality; structure an efficient health education network; carry out a systematic and standardized hospital health education program; do target-oriented individual health education to patients to meet their health needs, improve their understanding of the disease, improve their adherence to treatment, promote their recovery and raise their quality of life.更多还原