自我管理教育在肝癌切除术患者康复过程中的应用  

Application of self-management education in the rehabilitation course of patients with hepatectomy for liver cancer

作　　者：吕静[1] 杨海清[1] 李佳梅[1] 陈冬梅[1] 李小娟[1] 吴波峰[1] 

机构地区：[1]广西医科大学第一附属医院,广西南宁530021

出　　处：《齐鲁护理杂志》2013年第10期20-22,共3页Journal of Qilu Nursing

摘　　要：目的:探讨自我管理教育在肝癌切除术患者康复过程中的应用效果。方法:将60例择期行肝癌切除术的患者随机分为对照组和干预组各30例,对照组行常规护理,干预组在对照组基础上于患者入院第1周、术前、出院前和出院后进行自我管理能力教育。分别于患者入院时和出院6个月采用疾病知识掌握情况调查表和中文版SF-36量表评估两组患者疾病知识掌握情况和生存质量。结果:干预组在出院6个月时疾病知识掌握情况调查表和SF-36量表评分均明显高于对照组(P<0.05)。结论:自我管理教育提高了患者对疾病知识的掌握程度,促使患者形成并坚持良好的自我健康管理行为习惯,提高了生活质量。Objective：To investigate the effect of self- management education in the rehabilitation course of patients with hepatectomy for liver cancer. Methods：60 patients undergoing elective hepatectomy were randomly divided into the control group and the intervention group （ 30 cases in each group ）. The patients in the control group received routine nursing care and the patients in the intervention group were given education on self - management ability when they were admitted to hospital for one week, before operation and were discharged from hospital on the basis of routine one. The patients＇understanding of disease - related knowledge and quality of life were assessed in the two groups by using questionnaire and SF - 36 scale in the Chinese version when the patients were admitted to hospital and after discharge for 6 months. Results ：The scores of the patients＇understanding of disease - related knowledge and SF - 36 scale were significantly higher in the intervention group than the control group after discharge for 6 months （ P 〈 0.05 ）. Conclusion ： The self - management education has upgraded the level of patients＇understanding of disease - related knowledge, promoted patient＇s behavior in health management and improved their clualitv of life.

关 键 词：肝癌切除术 自我管理教育 康复 

分 类 号：R473.73[医药卫生—护理学]