健康教育对食道癌术后患者生存质量的影响  

Impact of health education on the life quality in patients after the esophagus carcinoma resection

作　　者：任丽秀[1] 

机构地区：[1]宜宾市第一人民医院,四川宜宾644000

出　　处：《海南医学》2011年第20期143-144,共2页Hainan Medical Journal

摘　　要：目的探讨健康教育在食道癌术后患者中的实施效果。方法将50例食道癌手术患者随机分为干预组和对照组,各25例。干预组采用健康教育护理干预,内容包括入院宣教配合心理指导,术前常规宣教,手术日个别指导宣教、术后两周内宣教、特殊问题的重点宣教和出院宣教。对照组采用传统的卫生知识宣教。入院第1天和手术后6个月对两组患者进行体力状态评价和生存质量评价。结果干预组在干预后体力状态卡氏评分(KPS)总分与干预组前和对照组比较显著上升,东部协作体能状态(ECOG)评分与干预前和对照组比较显著下降,对照组干预前后KPS、ECOG评分比较差异有统计学意义;干预组在干预后生存质量总评分与干预前和对照组比较显著下降,对照组干预前后总评分比较差异无统计学意义。结论对食道癌手术患者实施健康教育护理干预,为临床提供了一种行之有效的临床护理措施,可以提高患者的生存质量。Objective To evaluate the effect of health education on the life quality in patients after the esophagus carcinoma resection.Methods 50 patients with esophageal carcinoma were randomly divided into the intervention group and the control group.The intervention group received health education,including hospitalization introduction matching the psychological guidance,preoperative routine guidance,tutorial on surgery day and in 2 weeks of operation,emphasis guidance on special problem and discharge guidance.The control group received the traditional education of health knowledge.The physical status and life quality were evaluated on admission day and in 6 months after operation.Results Compared with the intervention group on admission day and the control group,the KPS,the ECOG and the total life quality scores of the intervention group in 6 months after operation were significantly different（P〈0.05）.The life quality of the intervention group was better than that of the control group.Conclusion Health education in patients with esophageal carcinoma provides an effective clinical care measures and can improve the life quality of patients.

关 键 词：健康教育 食道癌 生存质量 

分 类 号：R735.1[医药卫生—肿瘤]