摘要目的 探讨病程日记对高危型HPV持续感染妇女健康教育效果的影响.方法 选择2014年7月—2016年8月住院治疗的高危型HPV持续感染患者116例为研究对象,按照随机数字表法分为干预组和对照组,各58例.对照组接受常规健康教育,干预组在对照组的基础上应用病程日记记录的模式进行健康教育.比较干预前后两组患者HPV感染情况、自我管理效能、HPV感染影响因素知晓率和生活质量.结果 干预后干预组患者对HPV感染影响因素(首次性生活年龄、性伴侣数、初次妊娠年龄、性生活频率、是否应用避孕套、性伴侣包皮过长、流产次数)的知晓率均明显高于对照组,差异有统计学意义(χ2值分别为3.896、8.593、9.757、4.833、6.327、5.225、6.327;P<0.05).干预前后干预组患者在正性态度、自我减压、自我决策3个维度改变程度上明显大于对照组患者,差异均有统计学意义(P<0.01).干预组患者在生理功能、心理功能、社会功能、健康自我认识能力及总生活质量上的得分改善情况均高于对照组患者,差异均有统计学意义(t值分别为5.745、4.768、4.775、4.334、3.896;P<0.01).干预6个月后,干预组和对照组HPV清除率分别为60.34%(35/58)和36.21%(21/58),差异有统计学意义(χ2=6.767,P=0.009).结论 应用病程日记对高危型HPV持续感染妇女进行健康教育,能明显改善患者的治疗依从性,提高患者HPV清除率、自我管理能力和生活质量.

abstractsObjective To explore the effect of diary on health education for women with high risk HPV infection.Methods A total of 116 patients with high risk HPV infection from July 2014 to August 2016 were divided into intervention group and control group according to random number table,each with 58 cases. The patients of the control group received routine health education,while the patients of the intervention group received health education on the basis of the control group. The HPV infection,awareness rate of influencing factors of HPV infection and quality of life were compared between the two groups before and after interventions. Results After interventions,the influence factors of prognosis in patients with HPV infection including the first sex,number of sexual partners,age at first pregnancy,the frequency of sexual life,whether using condoms,sex prepuce and abortion times in the intervention group were significantly higher than those in the control group, and the differences were statistically significant (χ2=3.896,8.593,9.757,4.833,6.327,5.225,6.327;P < 0.05). Before and after nursing intervention,the improvement in the three dimensions of positive attitude,self-decompression,self-decision of the patients in the intervention group were significantly higher than that the control group(P<0.01). Physical function,psychological function,social function,health self cognition and total quality of life scores were improved more in the intervention group than the control group(t=5.745,4.768, 4.775,4.334,3.896;P<0.01). After intervention for six months,the HPV clearance rate of the intervention group and the control group were 35/58 (60.34%) and (21/58),respectively,and the difference was statistically significant (χ2=6.767,P=0.009).Conclusions The application of the diary of the disease course for the health education in patients with high risk HPV persistent infection,can significantly improve the treatment compliance,and improve the patient′s HPV clearance rate,self-management ability and quality of life.