健康教育路径在巨脾型晚期血吸虫病围手术期患者中的应用  

Application of health education path in advanced schistosomiasis patients with splenomegaly in perioperative period

作　　者：潘洁[1] 刘玲[1] 严毅华 邵志伟[1] 李琴[1] 周瑞红[1] 

机构地区：[1]湖南省血吸虫病防治所附属湘岳医院,岳阳414000

出　　处：《中国血吸虫病防治杂志》2014年第4期425-427,430,共4页Chinese Journal of Schistosomiasis Control

基　　金：国家血吸虫病临床重点专科建设项目(卫办医政函[2012]649)

摘　　要：目的探讨健康教育路径对巨脾型晚期血吸虫病(晚血)围手术期患者的效果。方法巨脾型晚血围手术期患者60例随机分为观察组和对照组,每组30例。观察组按健康教育路径表的标准化流程从入院到出院实施护理及健康教育,对照组给予常规健康教育。比较两组患者对护理工作的满意度、住院时间和住院总费用及健康教育掌握度。结果观察组和对照组患者满意度分别为90.0%和60.0%,差异有统计学意义(χ2=7.57,P<0.05);两组平均住院时间分别为14.0±3.5 d和19.0±6.8 d,差异有统计学意义(t=2.85,P<0.01);两组平均住院费用分别为(1.5±0.5)万元和(2.2±0.7)万元,差异有统计学意义(t=24.57,P<0.01)。术后第10天,两组健康知识掌握度分别为96.7%和50.0%,差异有统计学意义(χ2=16.86,P<0.001)。结论实施健康教育路径可促进巨脾型晚血围手术期患者康复,提高患者满意度及健康知识掌握度,缩短住院时间,节省住院费用。Objective To evaluate the effect of health education path on advanced schistosomiasis patients with splenomega-ly in perioperative period. Methods A total of 60 advanced schistosomiasis patients with splenomegaly in perioperative period were randomly divided into an observation group and a control group （30 cases each group）. The patients in the observation group were intervened by the nursing and health education from admission to discharge according to the standardized process of health education path,while those in the control group were implemented with the conventional health education. Then the satis-faction of nursing work,hospital stays,hospitalization expenses and mastery of health knowledge of the patients in the two groups were investigated and the results were compared. Results The satisfaction rates of nursing work of patients in the obser-vation group and the control group were 90%and 60%,respectively,the difference between them was statistically significant （χ^2=7.57,P〈0.05）. The average hospitals stays of the above two groups were 14.0 ± 3.5 d and 19.0 ± 6.8 d（t=2.85,P〈0.01）,respectively,and the average hospitalization expenses were（1.5 ± 0.5）thousand Yuan and（2.2 ± 0.7）thousand Yuan （t=24.57,P〈0.01）,respectively,both of the differences were statistically significant. On the 10th day after surgery,the mas-tery rates of the health knowledge of the two groups were 96.7%and 50.0%,respectively,the difference was statistically signifi-cant（χ^2=16.86,P〈0.001）. Conclusions The implementation of the health education path can promote the rehabilitation of advanced schistosomiasis patients with splenomegaly,and increase the satisfaction as well as improve the mastery of the health knowledge of the patients. Meanwhile,it also can cut down the hospital stays and save the hospitalization expenses.

关 键 词：晚期血吸虫病 巨脾型 围手术期 健康教育路径 

分 类 号：R532.21[医药卫生—内科学]