Impact of O2O Health Education Based on Propensity Score Matching on Moderate to Severe Acne Vulgaris
-
摘要:
目的 观察基于倾向性评分匹配法的O2O式健康教育对中重度寻常型痤疮的影响。 方法 回顾性分析2018年4月至2023年1月中国人民解放军西部战区总医院HIS中重度寻常型痤疮就诊患者为研究对象，根据是否进行O2O式健康教育分为常规教育组509例和O2O组 243例；再采用倾向评分匹配（PSM）进行1∶1匹配，最终得到2组人群各241例。常规教育组采用宣教手册进行常规健康教育；O2O组进行线上线下相结合的健康教育，患者治疗期间，执行线下为主、线上为辅的健康教育，患者结束治疗后，执行线上为主、线下为辅的健康教育。统计2组的失联率、总体满意率、疾病复发率以及知识、态度以及行为调查量表（KAP）。 结果 O2O组失联率为7.88%，满意率为98.65%，疾病复发率为19.09%；常规教育组失联率为17.01%，满意率为84.5%，疾病复发率为65.56%， O2O组均优于常规教育组，差异有统计学意义（P < 0.05）。在KAP方面，治疗前2组在知识得分、态度得分和行为得分相比，差异均无统计学意义（P > 0.05）。治疗结束后3个月，2组3项得分均高于实施前，差异有统计学意义（P < 0.05）；组间相比，O2O组在3项得分均高于常规教育组的3项得分，差异有统计学意义（P < 0.05）。 结论 O2O式健康教育能够打破时间、空间限制，提高中重度寻常型痤疮患者对健康教育知识的接受程度以及满意度，减少痤疮复发率和失联率。 Abstract:Objective To explore the effect of O2O health education based on propensity score matching method on moderate and severe acne vulgaris. Methods A retrospective analysis was conducted on the patients with moderate to severe acne vulgaris treated in the Western Theater Command General Hospital of the Chinese People’s Liberation Army from April 2018 to January 2023. According to whether O2O-style health education was conducted, the participants were divided into two groups: a conventional education group with 509 cases and an O2O group with 243 cases. Then, propensity score matching （PSM） was used to match the two groups in a 1∶1 ratio, resulting in 241 participants in each group. The conventional education group received routine health education using educational handbooks, while the O2O group received a combination of online and offline health education. During the treatment period, the O2O group primarily received offline education with online support, while after the treatment, the O2O group primarily received online education with offline support. The dropout rate, overall satisfaction rate, disease recurrence rate, as well as knowledge, attitude, and practice survey （KAP） were collected and analyzed for both groups. Results O2O group had a dropout rate of 7.88%, a satisfaction rate of 98.65%, and a disease recurrence rate of 19.09; while the conventional education group had a dropout rate of 17.01%, a satisfaction rate of 84.5%, and a disease recurrence rate of 65.56%. The O2O group performed better than the conventional education group, and the differences were statistically significant （P < 0.05）. In terms of KAP （Knowledge, Attitude, and Practice）, there were no statistically significant differences in knowledge scores, attitude scores, and practice scores between the two groups before treatment （P > 0.05）. At 3 months after treatment, the scores for all three aspects were higher in both groups compared to before implementation, and the differences were statistically significant （P < 0.05）. When comparing between the two groups, the O2O group had higher scores in all three aspects compared to the conventional education group, and the differences were statistically significant （P < 0.05）. Conclusion O2O health education can break through time and space limitations, improve the acceptance and satisfaction of patients with moderate to severe acne vulgaris towards health education knowledge, and reduce the recurrence rate and loss rate of acne. -
表 1 2组一般资料比较（未进行PSM） （
$ \bar x \pm s$ ）Table 1. Comparison of general information between two groups （Without PSM）（
$ \bar x \pm s$ ）组别 n 平均年龄（岁） 性别（男/女） BMI指数（kg/m2） 病程（a） 教育程度（初中及以下/高中/大学/大学以上） O2O组 243 20.93 ± 1.24 133/110 23.35 ± 2.85 4.61 ± 0.42 75/78/79/11 常规教育组 509 23.30 ± 1.08 351/158 25.17 ± 3.12 3.25 ± 0.33 212/167/102/28 χ2/t 2.799 14.512 2.592 3.317 5.691 P 0.037* 0.0008* 0.048 0.026* 0.014* *P < 0.05。 
下载: 导出CSV
表 2 2组一般资料比较（进行PSM后）（
$ \bar x \pm s$ ）Table 2. Comparison of general information between two groups （After PSM）（
$ \bar x \pm s$ ）组别 n 平均年龄（岁） 性别（男/女） BMI指数kg/m2 病程（a） 教育程度（初中及以下/高中/大学/大学以上） O2O组 241 20.92 ± 1.21 132/109 23.35 ± 2.81 4.60 ± 0.39 75/78/79/9 常规教育组 241 21.02 ± 1.15 136/105 25.47 ± 3.06 4.51 ± 0.34 75/80/78/8 χ2/t 0.265 0.134 0.553 0.331 0.012* P 0.902 0.714 0.609 0.840 0.997 *P < 0.05。
下载: 导出CSV
表 3 2组失联率、总体满意率、疾病复发率比较 [n（%）]
Table 3. Comparison of drop-out rate，overall satisfaction rate，and disease recurrence rate between two groups [n （%）]
组别 n 失联率 满意情况（n） 疾病复发率 不满意 一般满意 满意 非常满意 总体满意 O2O组 241 19（7.88）# 3 56 143 20 219（98.65）# 46（19.09）# 常规教育组 241 41（17.01） 31 128 36 5 169（84.5） 158（65.56） 与常规教育组相比，#P < 0.05。
下载: 导出CSV
表 4 2组知识、态度以及行为调查量表（KAP）得分结果比较 （
$ \bar x \pm s$ ）Table 4. Comparison of the results of two knowledge，attitude，and practice （KAP） scores（
$ \bar x \pm s$ ）组别 n 知识、态度以及行为调查量表（KAP）得分 知识得分 态度得分 行为得分 治疗前 治疗结束后3个月 治疗前 治疗结束后3个月 治疗前 治疗结束后3个月 O2O组 241 6.22 ± 1.23 9.61 ± 1.39*# 11.19 ± 1.48 12.35 ± 2.08*# 9.26 ± 1.01 13.74 ± 2.15*# 常规教育组 241 6.17 ± 1.15 7.91 ± 1.28* 10.71 ± 1.30 9.56 ± 1.51* 9.10 ± 0.86 11.59 ± 1.76* t 1.621 6.154 2.057 5.158 1.851 4.861 P 0.574 0.001* 0.265 0.003* 0.468 0.008* 与治疗前相比，*P < 0.05；与常规教育组相比，#P < 0.05。
下载: 导出CSV
-
[1] Liu Y,Sun Q,Xu H,et al. Serum level changes of inflammatory cytokines in patients with moderate to severe acne vulgaris treated with dual-wavelength laser[J]. Chinese Journal of Plastic and Reconstructive Surgery,2023,5(2):47-52. doi: 10.1016/j.cjprs.2023.05.001 [2] 尹金鹏,杨显国,张庆远. 南阳市大学生对痤疮的认知及痤疮对生活质量的影响[J]. 重庆医学,2019,48(15):2630-2632. [3] REN J,HE A. A medical case of acne vulgaris treated with danggui shaoyao powder combined with sini powder[J]. Medicinal Plant,2022,13(3):59-60. [4] 朱国红,彭巧林,周青,等. 基于“O2O”的医护志愿者联动健康教育方案在老年糖尿病患者延续护理中的效果分析[J]. 当代护士(中旬刊),2022,29(6):102-105. [5] 李淑花,袁丽荣,马佳楚,等. 专科护士主导的O2O多学科管理模式在稳定期COPD病人中的应用[J]. 护理研究,2021,35(17):3162-3166. doi: 10.12102/j.issn.1009-6493.2021.17.030 [6] 赵辨. 中国临床皮肤病学[M]. 南京: 江苏凤凰科学技术出版社, 2017: 1288-1293 [7] 张艳,惠蓉,王丹,等. “1+N”延伸护理模式对2型糖尿病患者用药依从性及自我管理能力的影响[J]. 中华现代护理杂志,2019,25(29):3788-3792. [8] 王玲,杨晓莹. 基于“精准宣教”的个性化快速康复外科配合家庭“O2O”宣教模式在老年结直肠癌患者围手术期的应用[J]. 消化肿瘤杂志(电子版),2018,10(4):242-247. [9] 史逸秋,唐娇艳,孙慧伶. O2O移动医疗教育管理模式在初始基础胰岛素治疗糖尿病患者中的应用[J]. 中国护理管理,2020,20(1):92-96. [10] 方丹灵,王音,何汉,等. 微信结合情景图示的健康教育对开放性肘关节松解术患者康复的影响[J]. 护理学杂志,2022,37(16):1-4. doi: 10.3870/j.issn.1001-4152.2022.16.001 [11] 徐雁,王莉娜,尹萍. 基于微信平台的健康教育对哺乳期乳腺炎患者负性情绪和疼痛程度的影响[J]. 中国妇幼保健,2022,37(14):2675-2678. [12] 许馨文,曹建忠,李芸. 微信小程序在糖尿病前期患者健康教育中的应用效果[J]. 心血管康复医学杂志,2022,31(3):316-320. [13] 陈梅. 基于集束化基础的视频健康教育在胆总管结石行经内镜逆行性胰胆管造影术患者围术期中的应用效果与护理[J]. 吉林医学,2023,44(2):556-558. [14] 董家男,李秀荣,王娟,等. 短视频在父亲支持母乳喂养健康教育中的应用[J]. 护理学杂志,2023,38(2):69-72. doi: 10.3870/j.issn.1001-4152.2023.02.069 [15] 张静,周永进. 医学科普短视频在新冠肺炎疫情期间对全民健康教育的影响——以抖音短视频平台为例[J]. 中国医学教育技术,2022,36(1):75-78. doi: 10.13566/j.cnki.cmet.cn61-1317/g4.202201016 [16] 底瑞青,李星丹. 短视频在鼻咽癌放疗患者吞咽困难健康教育中的应用[J]. 中华护理教育,2020,17(1):84-88. [17] 郝玉佩. 短视频中的健康传播探讨——以“丁香医生”抖音号为例[J]. 新闻世界,2019(2):75-77. doi: 10.19497/j.cnki.1005-5932.2019.02.022 -
