蓝珍 王杰 黄全珍 陈兰香

【摘要】 目的：觀察与研究以PDCA为指导的健康教育对膝骨性关节炎壮药泥灸治疗患者治疗认知、态度及行为的影响。方法：选取2019年1月-2020年6月收治的86例进行膝骨性关节炎壮药泥灸的患者，将2019年1-10月进行常规健康教育的43例患者设为对照组，将2019年11月-2020年6月以PDCA为指导进行健康教育43例患者设为观察组。比较两组健康教育前及健康教育后2、4周的治疗认知、态度、行为及对健康教育效果和模式的满意度。结果：健康教育前，两组的治疗认知、态度及行为比较，差异均无统计学意义（P>0.05）;健康教育后2、4周，观察组的治疗认知、态度、行为及健康教育效果和模式均优于对照组，差异均有统计学意义（P<0.05）。结论：以PDCA为指导的健康教育可改善膝骨性关节炎壮药泥灸治疗患者的治疗认知、态度及行为，其在膝骨性关节炎壮药泥灸治疗患者中的受认可程度及应用价值均相对更高。

【关键词】 PDCA 健康教育 膝骨性关节炎 壮药泥灸 治疗认知 治疗态度 治疗行为

Observation on the Influence of Health Education Guided by PDCA for Treatment Cognition， Attitude and Behavior of Patients with Knee Osteoarthritis Treated with Mud Moxibustion of Zhuang Medicine/LAN Zhen， WANG Jie， HUANG Quanzhen， CHEN Lanxiang. //Medical Innovation of China， 2021， 18（14）： -174

[Abstract] Objective： To observe and study the influence of health education guided by PDCA for treatment cognition， attitude and behavior of patients with knee osteoarthritis treated with mud moxibustion of Zhuang medicine. Method： A total of 86 patients with knee osteoarthritis treated with mud moxibustion of Zhuang medicine from January 2019 to June 2020 were selected. 43 patients treated with routine health education from January to October 2019 were chosen as the control group， 43 cases with health education guided by PDCA from November 2019 to June 2020 were chosen as the observation group. Then the treatment cognition， attitude and behavior were compared between two groups before and after 2 and 4 weeks of health education， and the satisfaction degree for health education effect and mode were compared between two groups. Result： Before health education， there were no significant differences in treatment cognition， attitude and behavior between the two groups （P>0.05）. 2 and 4 weeks after health education， the treatment cognition， attitude， behavior， health education effect and mode of the observation group were better than those of the control group， the differences were statistically significant （P<0.05）. Conclusion： The health education guided by PDCA can improve the treatment cognition， attitude and behavior of patients with knee osteoarthritis treated with mud moxibustion of Zhuang medicine， so the recognized degree and application value in the patients with knee osteoarthritis treated with mud moxibustion of Zhuang medicine are relatively higher.

[Key words] PDCA Health education Knee osteoarthritis Mud moxibustion of Zhuang medicine Treatment cognition Treatment attitude Treatment behavior

First-authors address： National Hospital of Guangxi Zhuang Autonomous Region， Nanning 530001， China

doi：10.3969/j.issn.1674-4985.2021.14.041

膝骨性关节炎在临床呈高发状态，本病对患者的肢体功能造成极大危害，同时易复发，因此本病的治疗方式是研究的重点，且涉及不同的治疗方案。壮药泥灸是利用加热后的矿物泥热辐射作用、中草药的特殊穿透力以及远红外透皮吸收技术，三效合一，对病灶部位进行治疗，敷于病灶部位，使药力直达腠理，达到缓解症状和治疗的作用，因此在膝骨性关节患者中具有较好的效果[1-3]。但是较多患者对此种治疗方式认知不足，导致其治疗态度不积极及依从性较差，进而影响最终的效果。故本研究就PDCA为指导的健康教育对膝骨性关节炎壮药泥灸治疗患者治疗认知、态度及行为的影响进行探究，现报道如下。