对冠状动脉搭桥手术患者应用书面告知和温馨提示卡效果研究  

Application of written announcement and informed card on patients having CABG operation

作　　者：程云清[1] 杨满青[1] 陈航燕[1] 朱晓凤[1] 蔡惜玲[1] 

机构地区：[1]广东省人民医院广东省医学科学院,广州市510080

出　　处：《中国护理管理》2010年第2期63-65,共3页Chinese Nursing Management

基　　金：广东省医学科研基金立项课题(A2008049)

摘　　要：目的:探讨术后告知书和温馨提示卡在冠状动脉搭桥(CABG)术后患者中使用的效果。方法:2007年7月至2008年8月,在该院行CABG手术的68例患者为对照组,使用常规口头宣教方法;2008年9月至2009年3月在该院行CABG手术的45例患者为实验组,除使用常规的口头宣教方法外,还使用CABG术后告知书和温馨提示卡对患者或家属进行康复知识宣教,比较两种不同宣教方法的效果。结果:干预后对术后康复知识的宣教内容未掌握率由对照组66.2%降低到实验组15.6%(P=0.018),差异有统计学意义。与对照组比较,实验组患者的平均总住院天数和术后总住院天数分别从(16.2±2.5)天缩短为(13.8±1.7)天,从(8.2±1.0)天缩短为(6.6±1.2)天,两组比较,差异有统计学意义(均P<0.05)。结论:使用CABG术后告知书和温馨提示卡能提高患者对康复知识的掌握率,降低患者的住院天数,促进患者的康复。Objective： To explore the effects of applying written announcement and informed card on patients having CABG operation. Methods： Sixty eight patients （control group） who had CABG operation from July, 2007 to August, 2008 were given traditional education. The other 45 patients （experimental group） on CABG operation from September, 2008 to March, 2009 got new style of education, including application of written announce- ment and informed card besides traditional didactic education. The effects were compared between these two groups. Results： The percentage of patients who did not understand the rehabilitation information related to CABG operation decreased from 66.2% to 15.6% after applying new style of education （P=0.018）. The average total hospital stay and post operation hospital stay lowered from 16.2 ±2.5 and 8.2 ±1.0 days to 13.8 ±1.7 and 6.6 ± 1.2 days （P 0.05）, respectively. Conclusion： Application of written announcement and informed card on patients having CABG operation could improve the patients’disease related knowledge level, shorten the length of hospital stay and promote patients’ rehabilitation.

关 键 词：CABG 告知 管理 安全 

分 类 号：R654.2[医药卫生—外科学] R471[医药卫生—临床医学]