多阶段健康教育在玻璃体视网膜显微手术患者中的应用  

Application of multi-stage health education in patients undergoing vitreoretinal microsurgery

作　　者：吴欣期 黄晓薇 莫丽君 陈淑怡 蔡惠霞 朱中窈 

机构地区：[1]高要市人民医院眼科,526040

出　　处：《国际医药卫生导报》2014年第19期3028-3030,共3页International Medicine and Health Guidance News

摘　　要：目的探讨有家属参与的多阶段健康教育在玻璃体视网膜硅微手术患者中的应用。方法将46例玻璃体视网膜显微手术患者随机分为干预组与对照组各23例，对照组给予常规护理，干预组则接受家属共同参与的多阶段健康教育干预方案，记录术后第1天患者一次体位持续时间、不适症状、住院天数及随访资料等，综合以上资料进行评价。结果干预组在掌握疾病相关知识和技能、对健康教育满意度方面明显优于对照组（P=0．0093，0．0155，0．0019）；干预组一次体位维持时间为（170．3±25．5）min，对照组为（91．5±24．9）min，干预组住院天数为（8．3±1．6）d，对照组为（10．2±2．2）d；同时发现干预组与对照组相比，患者不适症状如颈肩不适、胸部不适、下肢麻木明显减少（P=0．0000，0．0011，0．0001）。结论对玻璃体视网膜显微手术患者实施由家属共同参与的多阶段健康教育，可显著提高患者对疾病相关知识的掌握，提高遵医行为，提高医疗护理质量。Objective To explore the influence and application value of multi-stage health education with family members participating in patients undergoing vitreoretinal microsurgery. Methods 46 patients undergoing vitreoretinal microsurgery were randomly divided into treatment group and control group, 23 cases in each group. The control group was given conventional nursing, While the treatment group was given the muhi-stage health education with family members participating. By recording the information of lasting time of first body position, symptoms, hospital stays, and follow-up, the research was applied. Results The treatment group was superior to the control group in understanding the related knowledge （P=0.0093） and skills （P=0.0155） of the diseases, shortening hospital stays （P=0.0013）, alleviating symptoms and keep the better body position of post operation （P=0.0000）. Conclusion Family members participating in multi-stage health education in patients undergoing vitreoretinal microsurgery can improve patients＇ understanding of disease related knowledge, compliance behavior, and the quality of medical care.

关 键 词：玻璃体视网膜 显微手术 多阶段 健康教育 

分 类 号：R473.77[医药卫生—护理学]