护理干预对结核性毁损肺手术患者健康教育效果的影响  

Effect of nursing intervention on health education in patients with tuberculous destroyed lung who received surgery

作　　者：曾华志[1] 刘洪涛[2] 叶敏涛[2] 张玲[1] 陶曙[3] 温文沛[3] 黄冬生[3] 

机构地区：[1]广州市胸科医院护理部,510095 [2]广州市胸科医院外科,510095 [3]广州市胸科医院医务科,510095

出　　处：《中国防痨杂志》2013年第8期601-605,共5页Chinese Journal of Antituberculosis

摘　　要：目的探讨结核性毁损肺手术患者健康教育的方法。方法抽取2010年6月至2013年3月我院住院的结核性毁损肺手术患者100例,以入院时间为序随机分为实验组和对照组各50例。制定实验组手术护理路径,根据患者的具体临床症状表现及护理需求有计划地进行健康教育;对照组采取常规护理方法进行健康教育,对照评价两组患者的健康教育效果。数据采用SPSS 11.0统计分析软件处理,知晓率差异比较用χ2检验,健康行为得分差异比较用t检验,以P<0.05为差异有统计学意义。结果实验组在术前检查知识4项(86.5%,173/200)、术前准备知识6项(82.3%,247/300)、术后镇痛知识3项(80.7%,121/150)、术后管道知识1项(82.0%,41/50)、饮食与营养知识1项(82.0%,41/50)、术后康复知识4项(82.0%,164/200)的知晓率均明显高于对照组(分别为78.0%,156/200;58.7%,176/300;54.7%,82/150;56.0%,28/50;62.0%,31/50;57.0%,114/200)(χ2值分别为4.95、40.397、23.17、7.901、4.96、29.48,P值均<0.05),而两组疾病相关知识6项的知晓率(分别为74.7%,224/300;68.3%,205/300)差异无统计学意义(χ2=2.953,P>0.05);实验组、对照组的健康行为改变[分别为(11.34±1.17)分、(10.38±1.64)分]相比较差异有统计学意义(t=4.13,P<0.05)。结论建立结核性毁损肺手术护理临床路径,能够为护理人员提供全面有效的专科指导,提高健康宣教效果,促进手术患者早日康复。Objective To explore the methods of health education in patients with tuberculous destroyed lung who received surgery.Methods One hundred patients with tuberculous destroyed lung who received surgery in our hospital from June 2010 to March 2013 were randomly divided into experimental group and control group according to admission time.We designed nursing clinical pathway for the experimental group.Fifty patients in the experimental group received health education by clinical pathway according to the patient＇s specific clinical symptoms and care needs,and the patients in control group received routine care health education.The effects of health education in 2 groups were compared.SPSS 11.0 software was used for data analysis,χ^2test was applied to compare the difference of awareness rate and t test was applied to compare the difference of score of health behavior.P0.05 was set for statistical difference.Results The awareness rates of patients in experimental group on 4 preoperative examination knowledge points（86.5%,173/200）,6 preoperative preparation knowledge points（82.3%,247/300）,3 postoperative analgesia knowledge points（80.7%,121/150）,1 postoperative pipeline manage knowledge point（82.0%,41/50）,1 knowledge point（82.0%,41/50） on diet and nutrition and 4 postoperative rehabilitation know-ledge points（82.0%,164/200） were significantly higher than the control group（78.0%,156/200;58.7%,176/300;54.7%,82/150;56.0%,28/50;62.0%,31/50;57.0%,114/200 respectively）（χ^2values were 4.95,40.397,23.17,7.901,4.96 and 29.48 respectively,P0.05）.And there was no significant difference of disease-related knowledge awareness between 2 groups（χ^2.953,P0.05）.There were more changes in health behavior in experimental group than control group[（11.34±1.17） vs（10.38±1.64）]（t=4.13,P0.05）.Conclusion Establishing nursing clinical pathway for patients with tuberculous destroyed lung who received surgery can provide comprehensive and effective professional guidance for nurses,improve the

关 键 词：结核 肺 外科学 手术前护理 手术后医护 健康教育 

分 类 号：R473.6[医药卫生—护理学]