Observation on the application effect of picture dialogue-based health education in elderly patients with iron deficiency anemia in the community

SENG Qin; YANG Nuo

doi:10.3969/j.issn.2096-9058.2025.05.016

Abstract：Objective To observe the application effect of picture dialogue-based health education in elderly pa-tients with iron deficiency anemia(IDA)in the community.Methods A total of 92 elderly patients with IDA treated in the Department of Hematology of Dazhou Integrated Traditional Chinese and Western Medicine Hospital from January 2024 to January 2025 were selected as the study subjects.They were divided into two groups using a random number table meth-od,with 46 cases in each group.Both groups received conventional iron supplementation and dietary guidance.The con-trol group received conventional health education,while the observation group received additional picture dialogue-based health education.Evaluations were conducted after 8 weeks of intervention.A self-designed IDA knowledge questionnaire was used to assess health knowledge awareness,the Medical Coping Modes Questionnaire(MCMQ)was used to evaluate coping styles,the Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)were used to assess negative emotions,the Self-Efficacy Scale was used to evaluate self-efficacy,the World Health Organization Quality of Life Brief Scale(WHOQOL-BREF)was used to measure quality of life,and the Newcastle Satisfaction with Nursing Scale was used to assess nursing satisfaction.Health knowledge awareness,coping styles,negative emotions,self-efficacy,quality of life,and nursing satisfaction were compared between the two groups before and after the intervention.Results After the intervention,health knowledge awareness increased in both groups,with the observation group showing higher levels(all P<0.05).HAMA and HAMD scores decreased in both groups,with the observation group showing lower scores(all P<0.05).The scores of the"yield"and"avoidance"dimensions in the MCMQ decreased in both groups,with the observation group showing lower scores(all P<0.05).The score of the"confrontation"dimension in the MCMQ increased in both groups,with the observation group showing higher scores(all P<0.05).Scores on the Self-Efficacy Scale and WHOQOL-BREF increased in both groups,with the observation group showing higher scores(all P<0.05).The nursing satisfaction scores of the observation group and the control group were 85.19±4.72 and 78.14±4.95,respectively,with the observa-tion group scoring higher than the control group(P<0.05).Conclusion Compared with conventional health education,picture dialogue-based health education can effectively improve health knowledge awareness,coping styles,negative emo-tions,self-efficacy,quality of life,and nursing satisfaction in elderly patients with iron deficiency anemia.