Abstract
Objective To analyze the application effectiveness of the Marketing Theory of 4C (customer,cost,convenience and communication) in health education to patients with pulmonary tuberculosis (PTB).Methods A total of 7176 PTB patients who hospitalized in Shanghai Pulmonary Hospital from January 2016 to December 2016 were enrolled in this study.The quasi-experimental research design was used to divide the enrolled patients into two groups:experimental group (3864 cases) and control group (3312 cases).The patients in the control group received the conventional health education following the order of events occurring after hospitalization:introduction of the hospital environment and medical staff,treatment,examination,medication and diet during hospitalization period,as well as the follow-up and rehabilitation education before leaving hospital.The patients in the experimental group were given the health education with a comprehensive program developed by using the marketing theory of 4C.This health education program was oriented by the patients' needs,and was developed following health education needs assessment,health education implementation and health education effects evaluation.A hospital health education evaluation form (including 5 items.:education contents,teaching methods,teaching materials,education time and ability in providing education),the average daily cumulative time spent on health education (the average value of the cumulative time that all nurses spent on health education) and the average score that the patients obtained based on their awareness to the core information and knowledge points (a total of 20 single choice questions,and each question was worth 5 points,the total was 100 points) were used to evaluate the health education effectiveness in the two groups.Results As for the evaluation form of the hospital health education effectiveness,the average scores on education contents,teaching methods,teaching materials,education time and ability in providing education were 3.08± 1.07,2.21± 1.06,2.54± 1.07,2.76± 1.15,2.17±0.70 in 3312 cases of control group;those scores were 4.15±0.49,3.82±0.69,4.13±0.74,3.97±0.70,4.02±0.68 in 3864 cases of experimental group.The differences were statistically significant (t=9.15,8.20,8.31,9.31,9.11;P＜0.05).The average daily cumulative time that the nurses carried out the hospital admission education,diet education,administering medicine education,examination education,disease education and treatment education,hospital discharge education in the control group was (20.34 ± 4.51) minutes,(19.88 ± 3.47) minutes,(52.64 ± 8.77) minutes,(19.56±3.59) minutes,(62.17±6.22) minutes,(22.44±4.36) minutes,(28.76±5.83) minutes,respectively;those values in the experimental group were (9.17±2.50) minutes,(15.64±2.91) minutes, (20.33±5.68) minutes,(13.61±3.55) minutes,(36.72±6.04) minutes,(13.45±2.06) minutes,(15.72±3.46) minutes respectively;the average daily cumulative time in the experimental group was statistically significant shorter than those in the control group (t=7.12,6.99,11.21,5.62,10.54,8.47,8.44;P＜0.05).The average scores of the patients'awareness on the core information and knowledge were 71.01±8.90 in the control group and 92.64±5.17 in the experimental group (t=7.13,P=0.000).Conclusion The health education program on TB developed by using the marketing theory of 4C can meet the needs of the patients with PTB on health education contents and methods,shorten the nurses' time on carrying out health education to the patients,and improve the patients to understand the contents of health education.关键词
结核/健康教育/对比研究/4C理论Key words
Tuberculosis/Health education/Comparative study/4Cs theory
