在感知社会支持的背景下对慢性病患者实施治疗性教育的评估

Beata Ogórek-Tęcza, A. Gniadek, Zuzanna Radosz, A. Piskorz, Monika Rucka
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摘要

导言:治疗性教育应是治疗的一个组成部分,特别是在慢性疾病中,因为良好的疾病控制和较少的复发或恶化有助于改善生活质量,包括增加患者的精神安慰和对疾病的自决。使病人参与治疗性教育过程的一个重要因素是社会支持。研究目的:了解慢性疾病患者治疗性教育效果评价与体验性社会支持水平的关系。材料与方法:纳入98例患者。本研究采用诊断性调查方法。为了收集数据,采用作者问卷和标准化工具(ISSB)。对所得资料进行统计学分析。结果:慢性疾病患者中,治疗性教育以一次为主(42.6%),无事先准备教育方案为主(61.4%),以提供方法为主(46.5%)。被调查者最常参加由治疗小组的一名成员开展的教育活动(69.3%),教育时间根据个人需要调整。只有少数受访者(43.7%)对该计划进行了评估。结论:慢性病患者有机会参加一次性教育。临床实践中的治疗教育与理论家的建议相去甚远,需要在教育活动的各个阶段进行工作。
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Assessment of the implementation of therapeutic education in patients with chronic disease in the context of perceived social support
Introduction: Therapeutic education should be an integral element of treatment, especially in chronic disorders, because good disease control and less frequent relapses or exacerbations contribute to improving the quality of life, including increasing the patient’s mental comfort and self-determination in the disease. An important element of the ability to involve the patient in the process of therapeutic education is social support. Aim of the study: To understand the relationship between the assessment of the effectiveness of therapeutic education in patients treated for chronic diseases and the level of experienced social support. Material and methods: The study included 98 patients. The study involved the diagnostic survey method. To collect the data, the author’s questionnaire and a standardised tool (ISSB) were used. The obtained data were analysed statistically. Results: Among the patients suffering from chronic diseases, therapeutic education was most often carried out once (42.6%), without a previously prepared educational program (61.4%) and mainly providing methods (46.5%). The surveyed most often participated in educational activities carried out by a single member of the therapeutic team (69.3%), and the duration of education was adjusted to individual needs. The evaluation of the program was carried out only in a minority of those surveyed (43.7%). Conclusions: Patients with chronic diseases had the opportunity to participate in one-time education. Therapeutic education in clinical practice is far from the recommendations of theoreticians and requires work on each stage of educational activities.
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